Article

PURPOSE: To identify and synthesize qualitative literature on the experience of
amputation and prosthesis use for adults, and to make recommendations based on
these findings for rehabilitation services. METHODS: A systematic search of three
databases for qualitative research exploring the experience of amputation and
prosthesis use for adults was undertaken. Included papers were evaluated using
the Critical Appraisal Skills Programme (CASP) quality guidelines. Data were
extracted and themes synthesized in accordance with accepted procedures for
qualitative metasyntheses. RESULTS: From the 15 papers (13 studies) included in
there view, five concepts were identified: (i) Becoming an amputee and facing
prosthesis use; (ii) Adjustment to and coping with amputation and prosthesis use;
(iii) The role of valued relationships in recovery; (iv) Amputation and
prosthesis use in social interaction; and (v) Prosthetically enabled identities.
CONCLUSIONS: The findings provide a base from which to make suggestions regarding
the provision of health rehabilitation services for this population. It is
recommended that such services make greater use of psychological interventions
and education, include patients' social support networks, use psychotherapy to
support and develop positive coping strategies, and facilitate peer support from
those who have already made positive adjustments to amputation and prosthesis
use.

Langue : ANGLAIS