Psychological factors after traumatic amputation in landmine survivors: The bridge between physical healing and full recovery
Psychological factors after traumatic amputation in landmine survivors: The bridge between physical healing and full recovery
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DOI：
10.1080/09638280410001708968
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发表时间：
2004-07-01
影响因子：
2.2
通讯作者：
Gomez, M
中科院分区：
文献类型：
--
作者：
Ferguson, A;Richie, BS;Gomez, M
目的：地雷伤造成的肢体丧失是突然和毁灭性的。由此产生的残疾使生活在一个身体能力是“常态”的世界中充满挑战。为了更好地了解个人在地雷伤害后的康复过程中所作的心理调整，地雷幸存者网络进行了一项探索性的定性研究，以确定有助于个人康复的因素。该研究探讨了心理社会方面，应对策略，并在不同的文化，社会和经济backgrounds.Method的肢体损失幸存者的弹性特征：八十五名参与者（68人的肢体损失，10个家庭成员，7个服务提供者）进行了采访，使用半结构化的协议在美国和一个开放式的格式在6个地雷影响的国家。采用扎根理论分析方法对数据进行分析。结果：幸存者对截肢的接受程度和心理恢复状况受个体复原力特征、社会支持、医疗保健、经济状况和社会对残疾人的态度等因素的影响。地雷事故幸存者创伤性截肢后的康复工作需要全面和协调，需要在家庭、社区、社区和社区的范围内满足个人的生理、心理、经济和社会需要，以及他们所处的社会文化环境。
Purpose : Limb loss due to a landmine injury is sudden and devastating. The resulting disability makes life challenging in a world where physical ability is the 'norm'. In order to better understand the psychological adjustments individuals make in their recovery from a landmine injury, the Landmine Survivors Network conducted an exploratory qualitative study to determine factors that contribute to an individual's recovery. The study examined psychosocial aspects, coping strategies, and resilience characteristics of limb loss survivors across differing cultural, societal and economic backgrounds.Method : Eighty-five participants (68 persons of limb loss, 10 family members, seven service providers) were interviewed using a semi-structured protocol in the USA and an open-ended format in six landmine affected countries. Data analysis was completed using grounded theory analytic strategies.Results : Data indicated that the survivors' acceptance of limb loss and their state of psychological recovery were greatly influenced by the individual's resilience characteristics, social support, medical care, economic situation and societal attitudes toward people with disabilities.Conclusion : Recovery from traumatic amputation in landmine survivors needs to be comprehensive and coordinated, and requires addressing the individual's physical, psychological, economic and social needs within the context of family, community, and the socio-cultural environment in which they live.