非血管性下肢截肢后的生活质量通过职业活动进行了语境化解读:一项定性研究。
Quality of life following non-dysvascular lower limb amputation is contextualized through occupations: a qualitative study.
发表日期:2023 Sep 21
作者:
Stephanie R Cimino, Sander L Hitzig, Vera Fung, Katie N Dainty, Crystal MacKay, Joanna E M Sale, Amanda L Mayo, Sara J T Guilcher
来源:
PHYSICAL THERAPY & REHABILITATION JOURNAL
摘要:
为了了解非血管性下肢截肢者如何通过从事职业来确定其生活质量(QoL),我们进行了一项定性研究,采用解释性描述法。对访谈的分析是根据职业观点进行的,该观点考虑了对个体而言重要的日常活动。我们采访了20名成年非血管性获得性截肢者(如创伤、癌症或感染)。经过主题分析,我们得出了两个主题:(1)通过职业来表达自我的感觉;(2)通过职业受到他人归属感的影响。参与者通过他们的活动来表达他们对自己的感受,并高度重视自己是否能参与某些职业。参与者还描述了随着职业环境的变化,他们的归属感如何改变。这项研究的发现可以为临床医生和研究人员提供参考,以改善对这一人群的关怀。康复计划应考虑通过恢复职业或开展新的职业来帮助非血管性下肢截肢者,因为他们对职业的重要性十分重视。
To understand how persons with non-dysvascular lower limb amputation (LLA) use occupations to contextualize their quality of life (QoL).A qualitative study using an interpretative description approach was conducted. Analysis of the interviews was guided by an occupational perspective, which considers the day-to-day activities that are important to an individual.Twenty adults with an adult-acquired non-dysvascular amputation (e.g., trauma, cancer or infection) were interviewed. Following thematic analysis, two main themes were developed: (1) sense of self expressed through occupations; and (2) sense of belonging with others influenced by occupations. Participants expressed the way they felt about themselves through their activities and placed high value on whether they could participate in certain occupations. Participants also described how their sense of belonging was changed through the context of their changing occupations.The findings from this work can be leveraged by clinicians and researchers alike to improve care for this population. Rehabilitation programs should consider interventions and programming that help to restore occupations or develop new ones given the importance placed on occupations by persons with non-dysvascular LLA.