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Psihosocialne prilagoditve na amputacijo : diplomsko delo
ID Pasar, Jan (Author), ID Levec, Tina (Mentor) More about this mentor... This link opens in a new window, ID Fošnarič, Miha (Reviewer)

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Abstract
Uvod: Amputacija je kirurška odstranitev okončine ali njenega dela zaradi poškodbe (travmatska amputacija) ali bolezni (netravmatska amputacija). Amputacija uda ima večstranske posledice. Ne prizadene le funkcije in občutenj, pač pa vpliva tudi na zaznavanje telesne samopodobe in samospoštovanja ter na posameznikovo sobivanje v družbi, socialno izolacijo, večjo odvisnost od pomoči drugih in njegovo psihološko počutje. Številne psihološke reakcije so lahko kratkotrajne in celo v pomoč pri rehabilitaciji in privajanju na spremembe, ki jih nujno povzroči amputacija. Nekatere reakcije pa vodijo do težjih psiholoških stanj in zahtevajo psihološko in psihiatrično podporo. Dejavniki, ki vplivajo na psihološko in čustveno doživljanje amputacije, so psihosocialni in zdravstveni. Psihosocialni dejavniki vključujejo starost in spol, osebnostno naravnanost, stopnjo izobrazbe in zaposlitev ter podporo družine in socialnega okolja. Vplivni zdravstveni dejavniki na razvoj psihološkega odziva na amputacijo pa so komorbidnost, razlogi za amputacijo in priprava na operativni poseg, višina amputacije in protetična rehabilitacija. Namen: Namen diplomskega dela je raziskati psihosocialno problematiko oseb z amputacijo, predstaviti dejavnike, ki vplivajo na kakovost življenja osebe po odstranitvi uda ter opisati možne spremljajoče težave po operaciji. Metode dela: V diplomskem delu je bila uporabljena deskriptivna metoda dela, pri čemer je bila opravljena analiza relevantne literature ter primerjava in obdelava pridobljenih podatkov. Rezultati: V diplomski nalogi smo ob upoštevanju vključitvenih kriterijev izbrali in analizirali pet raziskav. V raziskavah so obravnavne posledice odstranitve okončine, kot so kakovost življenja, brezposelnost in mobilnost, kot tudi psihološke prilagoditve na amputacijo ter spolna aktivnost oseb z amputacijo. Upoštevani sta bili tudi demografski spremenljivki spola in starosti, poleg tega pa so bili izpostavljeni tudi narava, razlogi in trajanje fantomske bolečine. Razprava in zaključek: Vpliv amputacije na pacientovo družbeno življenje ter čustveno in psihološko doživljanje je neizbežen, ne glede na vzrok in višino amputacije. Potrebe in prilagajanje posameznika pa so odvisni od številnih psihosocialnih in zdravstvenih dejavnikov. Nadaljnje raziskave o psihološko-čustvenem doživljanju, ki spremlja amputacijo, bo potrebno izvesti na širši populaciji ter potrditi učinkovitost uporabljenih obravnav in pristopov v času pred in po operaciji. Rehabilitacija bo uspešna le, če bo vključevala vse vidike pacientovega stanja in ga motivirala ter opolnomočila za aktivno sodelovanje v procesu zdravljenja.

Language:Slovenian
Keywords:diplomska dela, ortotika in protetika, amputacija, psihosocialni dejavniki, adaptacija
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[J. Pasar]
Year:2023
Number of pages:26 str.
PID:20.500.12556/RUL-146815 This link opens in a new window
UDC:617.3
COBISS.SI-ID:155706115 This link opens in a new window
Publication date in RUL:14.06.2023
Views:921
Downloads:102
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Secondary language

Language:English
Title:Psychosocial adaptation to amputation : diploma work
Abstract:
Introduction: Amputation is defined as a surgical removal or loss of a limb in part or full due to a trauma (traumatic amputation) or an injury, disease, or infection (nontraumatic amputation). The limb loss may result not only in long-term function and mobility limitations but may have diverse negative emotional and psychological ramifications. The new physical appearance distorts the patient’s self-image and self-esteem, affects their social life and independence. Some of these psychological responses to amputation are transient and can even enhance the rehabilitation process and adjustment to the changed reality. Conversely, some psychological consequences of limb amputation tend to cause more severe psychological conditions, which require psychological and psychiatric assistance. Psychological reactions depend on multiple medical variables (aetiology and level of amputation, comorbidity, prosthetic rehabilitation) and psychosocial factors (the patient’s age, gender, personality style, educational level, employment, support of their family and social environment). Purpose: The thesis aimed to identify the psychosocial responses to amputation and the factors affecting quality of life and problems following amputation. Methods: A literature review of the relevant literary sources was conducted and the results obtained were compared and analysed. Results: In adherence with inclusion criteria, five studies were included into the thesis. The studies addressed the psychological consequences of amputation, including the quality of life, unemployment and mobility, the impact of some demographic variables (age and gender) as well as the nature, reasons and duration of phantom pain. Discussion and conclusion: The influence of amputation on the patient’s social life and their emotional and psychological state is inevitable regardless of amputation level. The patient’s needs and adaptation to the altered circumstances depend on several psychosocial and medical factors. Further research on a larger population is recommended to explore the impact of amputation across various aspects of patients’ life and to assess the efficacy of specific preoperative and postoperative treatment approaches currently applied. The rehabilitation of patients should take into consideration their physical, psychological and emotional dimensions and empower them for active participation in the treatment process.

Keywords:diploma theses, orthotics and prosthetics, amputation, psychosocial variables, adaptation

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