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Čustveni vidiki amputacije okončine : diplomsko delo
ID Ičanović, Armin (Author), ID Levec, Tina (Mentor) More about this mentor... This link opens in a new window, ID Lampe, Tomaž (Reviewer)

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Abstract
Uvod: Amputacija je kirurška odstranitev okončine ali njenega dela zaradi poškodbe ali bolezni, najpogosteje sladkorne in periferne arterijske bolezni. Posledice amputacije so lahko bolečina, težave s kožo, okužba rane, kontrakture in nevarnost za padce. Zmanjšana je kakovost življenja in predstavlja breme za družino, družbo in zdravstvo. Posledica amputacije pa je lahko tudi spremenjeno čustvovanje. Namen: Namen diplomskega dela je s pregledom literature raziskati čustvene vidike amputacije okončine. Cilj diplomskega dela je odgovoriti na naslednji raziskovalni vprašanji: Kakšna čustva doživljajo pacienti ob amputaciji okončine? Kako lahko zdravstveni delavci pomagajo pri čustvenih stiskah pacientov po amputaciji okončine? Metode dela: Uporabljena je deskriptivna metoda dela. Opravljen je pregled strokovne in znanstvene literature iz izbranega področja. Pregled literature je opravljen v podatkovnih bazah Pubmed, CINAHL in ScienceDirect. Vključitveni kriteriji, ki so bili upoštevani, so literatura objavljena po letu 2007, tematska skladnost literature z namenom diplomskega dela, ustreznost ključnih besed, izvirni znanstveni in strokovni članki. Rezultati: V diplomsko delo smo vključili 12 strokovnih in znanstvenih člankov. Prvi odzivi na amputacijo so obup, občutek nemoči in nevzdržnost. Čustva, ki jih doživljajo, so šok, zanikanje, jeza, depresija, anksioznost, krivda, pogajanje in hrepenenje ter sprejetje usode. Ugotovljeno je, da sta se po amputaciji spodnje okončine kakovost življenja in čustveno stanje predvsem pri moških poslabšala. Pojavljajo se lahko tudi težave s spolnostjo. Vloga različnih virov podpore je zelo pomembna. Terapevtska edukacija je nepogrešljivi del oskrbe. V multidisciplinarnem timu je potrebno imeti strokovnjaka za dušeno zdravje. Razprava in zaključek: Amputacija uda ima večplastne učinke. Prizadene funkcionalnost osebe z amputacijo in vpliva na percepcijo telesnega izgleda in samovrednotenja. Poleg tega lahko vodi v težjo ponovno družbeno integracijo pacienta, njegov umik iz družbene interakcije in pojav lažjih ali težjih psiholoških stanj. Spremenjen telesni izgled ne vpliva le na psihosocialno prilagajanje, temveč tudi na čustveno doživljanje in duševno zdravje. Osebe z amputacijo se zelo pogosto srečujejo s socialno izolacijo, zato je družbena podpora v takih primerih v veliko pomoč. Rezultati pregledane literature potrjujejo, da se prilagoditve na amputacijo zgodijo prav v procesu socialnih interakcij z drugimi. Multidisciplinarna strokovna pomoč mora biti usmerjena na pacienta in ga obravnavati celostno na vseh področjih njegovega življenja in delovanja. Ključnega pomena je zgodnje prepoznavanje težav in ustrezno ukrepanje.

Language:Slovenian
Keywords:diplomska dela, ortotika in protetika, amputacije, čustva, podpora zdravstvenih delavcev
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[A. Ičanović]
Year:2023
Number of pages:22, [10] str.
PID:20.500.12556/RUL-151066 This link opens in a new window
UDC:617.3
COBISS.SI-ID:166334723 This link opens in a new window
Publication date in RUL:28.09.2023
Views:915
Downloads:93
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Secondary language

Language:English
Title:Emotional aspects of limb amputation : diploma work
Abstract:
Introduction: Amputation is defined as the surgical removal of all or part of a limb due to a traumatic injury or a chronic disease, most commonly diabetes or peripheral artery disease (PAD). Highly prevalent consequences of amputation are the chronic aches and pain, skin problems, wound infection, muscle contractures and risk of falls. Amputation affects the person’s quality of life and presents a major health burden on the families, society, and on medical services as well. Also significant are the psychological and emotional effects of losing a limb. Purpose: The thesis aims to answer the two research questions inquiring into the post-amputation emotional responses and the importance of supportive role of health professionals. Methods: For the purpose of the thesis, a literature review of the relevant professional and scientific literary sources was performed. The search was conducted in the data bases Pubmed, CINAHL and ScienceDirect. The inclusion criteria for research were the time of publication (after 2007), purpose of the review, keywords relevance, primary scientific and professional sources. Results: The literature review encompasses 12 scientific and professional articles. It was established that the initial response to amputation was one of despair, a severe sense of self-collapse, something almost unbearable. The emotions experienced by grieving patients were a shock, denial, anger, bargaining, depression anxiety, guilt, and acceptance. The loss of a lower limb has a significant impact on the quality of life and emotional imbalance, especially in men. Sexual functioning of amputees is also affected. The role of different sources of support is of utmost importance to alleviate this life changing experience. The therapeutic education should become an integral part of rehabilitation process. A multidisciplinary team, including mental health professionals, is ideal for comprehensive healthcare. Discussion and conclusion: The implications of a limb loss are multifold. It affects the patient’s abilities of physical functions and alters their self-perception and self-esteem. This life-altering event can lead to isolation, social withdrawal and can result in different degrees of psychological trauma. The altered body image therefore challenges not only psychosocial adaptation but has a negative impact also on emotional and psychological wellbeing. The amputees should therefore be provided with a strong social support by their family, friends, and community members. Results of the study confirm that there is a strong and positive correlation between social support and the patients’ overall quality of life. Multidisciplinary holistic approach is advisable in order to timely detect and target the patient’s needs and preferences.

Keywords:diploma theses, orthotics and prosthetics, amputations, emotions, support of health care workers

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