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Social participation in persons with upper limb amputation receiving an esthetic prosthesis

Kristjansdottir, Freyja ; Dahlin, Lars B. LU ; Rosberg, Hans Eric LU and Carlsson, Ingela K. LU (2019) In Journal of Hand Therapy
Abstract

Study Design: Qualitative study. Introduction: An amputation injury to the hand may lead to not only impaired hand function but also psychosocial consequences. Purpose of the Study: The purpose of the study was to explore personal experiences of social participation for persons provided with an esthetic prosthesis after acquired upper limb amputation. Methods: Thirteen persons with acquired upper limb amputation, who were in need of and had received an esthetic prosthesis, were interviewed. The transcribed text was subjected to content analysis. Results: The emotional reactions to a visibly different hand were linked to a changed appearance and a feeling of being exposed. Recollecting the accident could result in nightmares and sleeping... (More)

Study Design: Qualitative study. Introduction: An amputation injury to the hand may lead to not only impaired hand function but also psychosocial consequences. Purpose of the Study: The purpose of the study was to explore personal experiences of social participation for persons provided with an esthetic prosthesis after acquired upper limb amputation. Methods: Thirteen persons with acquired upper limb amputation, who were in need of and had received an esthetic prosthesis, were interviewed. The transcribed text was subjected to content analysis. Results: The emotional reactions to a visibly different hand were linked to a changed appearance and a feeling of being exposed. Recollecting the accident could result in nightmares and sleeping disorders. A change of personality, due to sadness after the amputation was expressed, as well as social insecurity and impact on relations and life roles. Adapting to social challenges comprised hiding or exposing the hand, using personal internal resources and receiving support from others. The esthetic prosthesis contributed to an intact appearance and could serve as a facilitator for initial or long-term social participation. The time that had passed since the injury made it easier to deal with the consequences or in achieving acceptance. Discussion: Coping with emotions and social relations after an acquired amputation can be difficult and complex. Conclusions: Individual needs must be considered and questions about appearance and how it may affect social participation must be asked. An esthetic prosthesis can normalize the appearance and offer the confidence needed to facilitate social participation in those struggling with appearance-related concerns.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Adaptation, Participation, Prosthesis, Social participation, Upper limb amputation, Visible difference
in
Journal of Hand Therapy
publisher
HANLEY & BELFUS-ELSEVIER INC
external identifiers
  • scopus:85065237117
ISSN
0894-1130
DOI
10.1016/j.jht.2019.03.010
language
English
LU publication?
yes
id
6cbf3215-090f-4cd6-8b12-54411432e7b9
date added to LUP
2019-05-22 08:16:12
date last changed
2019-12-01 05:52:38
@article{6cbf3215-090f-4cd6-8b12-54411432e7b9,
  abstract     = {<p>Study Design: Qualitative study. Introduction: An amputation injury to the hand may lead to not only impaired hand function but also psychosocial consequences. Purpose of the Study: The purpose of the study was to explore personal experiences of social participation for persons provided with an esthetic prosthesis after acquired upper limb amputation. Methods: Thirteen persons with acquired upper limb amputation, who were in need of and had received an esthetic prosthesis, were interviewed. The transcribed text was subjected to content analysis. Results: The emotional reactions to a visibly different hand were linked to a changed appearance and a feeling of being exposed. Recollecting the accident could result in nightmares and sleeping disorders. A change of personality, due to sadness after the amputation was expressed, as well as social insecurity and impact on relations and life roles. Adapting to social challenges comprised hiding or exposing the hand, using personal internal resources and receiving support from others. The esthetic prosthesis contributed to an intact appearance and could serve as a facilitator for initial or long-term social participation. The time that had passed since the injury made it easier to deal with the consequences or in achieving acceptance. Discussion: Coping with emotions and social relations after an acquired amputation can be difficult and complex. Conclusions: Individual needs must be considered and questions about appearance and how it may affect social participation must be asked. An esthetic prosthesis can normalize the appearance and offer the confidence needed to facilitate social participation in those struggling with appearance-related concerns.</p>},
  author       = {Kristjansdottir, Freyja and Dahlin, Lars B. and Rosberg, Hans Eric and Carlsson, Ingela K.},
  issn         = {0894-1130},
  language     = {eng},
  month        = {05},
  publisher    = {HANLEY & BELFUS-ELSEVIER INC},
  series       = {Journal of Hand Therapy},
  title        = {Social participation in persons with upper limb amputation receiving an esthetic prosthesis},
  url          = {http://dx.doi.org/10.1016/j.jht.2019.03.010},
  doi          = {10.1016/j.jht.2019.03.010},
  year         = {2019},
}