An integrative review of peer support for patients undergoing major limb amputation

Reichmann, J; Bartman, Kimberly

doi:10.1016/j.jvn.2017.10.002

Cited by 26 publications

(16 citation statements)

References 25 publications

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“…In the same way, we raise it in terms of the dimension of frustration in both sexes. These psychological needs are well documented, both professionally by the health team [25] and through mutual help groups, since the appearance of psychiatric disorders are frequent, such as dysfunctional grief, anxiety and depression, among others [26,27], responsible for the deterioration of the quality of life.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic Determinants for the Health-Related Quality of Life of Patients with Vascular Amputations as Determined with the Prosthesis Evaluation Questionnaire

Benavent

Tenías

Pellin

et al. 2020

IJERPH

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Background: To identify the sociodemographic variables independently related to the different dimensions of the Prosthesis Evaluation Questionnaire (PEQ). Methods: An observational, cross-sectional study was conducted, with a sample of 61 Spanish vascular amputees (Valencia, Spain). Included in this study are the results of the PEQ and explanatory-sociodemographic variables, as well as a descriptive and analytic analysis. Results: Gender differences were observed in “appearance” and “perception of appearance” (significantly higher levels for men). Older patients tended to have worse scores in “utility”, “frustration”, “social burden” and “deambulation”. More favorable scores were obtained for those residing in rural areas in “social burden” and “deambulation”. Educational level had a positive correlation with scores. Conclusion: Gender, age, place of residence, and educational level could be considered determinants of the quality of health related to prosthesis adaptation in vascular amputees. Clinical relevance: Knowing the influential variables in the process of prosthetization will allow better adaptation and an improvement in the quality of life.

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Section: Discussionmentioning

confidence: 99%

Sociodemographic Determinants for the Health-Related Quality of Life of Patients with Vascular Amputations as Determined with the Prosthesis Evaluation Questionnaire

Benavent

Tenías

Pellin

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Although previous research has considered the role of peer support in different contexts, there is limited literature exploring its usefulness for individuals with limb loss [11]. Furthermore, peer support literature on limb loss to date has focused on the experience of the individual receiving the support, rather than those delivering the intervention.…”

Section: Discussionmentioning

confidence: 99%

“…To date, although there is some literature examining the benefits of receiving peer support following limb loss, and peer support is recommended in the rehabilitation process [11], there is no literature examining the experience of delivering this peer support by mentors. However, findings from other studies suggest that delivering peer support can have a positive impact on wellbeing and adjustment to physical health conditions [15].…”

mentioning

confidence: 99%

Being a peer support mentor for individuals who have had a lower limb amputation: an interpretative phenomenological analysis

Richardson

Molyneaux

Murray

2019

Disability and Rehabilitation

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Purpose: Although peer support has received research attention within different health related contexts, there is limited research considering individuals who have experienced an amputation. In particular, the peer mentoring role is under-explored. Therefore, this research aimed to explore the experiences of participants delivering peer support interventions to individuals with lower limb loss. Methods: Eight people who acted as peer mentors for people with limb loss took part in semistructured interviews. Data were analysed using Interpretative Phenomenological Analysis (IPA). Results: Two overarching themes were identified from the data: 'Developing a Helpful Self', in which the personal value and meaning of being a peer mentor is presented, and 'Connecting with Vulnerability', which addresses the emotional challenges of peer mentoring and the impact of these on well-being. Conclusions: Findings suggest positive experiences of providing support, including increased hope, resilience and a sense of belonging and connection to others. However, peer mentors experienced challenges related to uncertainty and doubt about their mentoring abilities and with developing and maintaining resilience in the role. Recommendations include the development of training packages and increased clarity for volunteers of the peer mentor role.

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“…This may suggest that physical, cognitive, and psychological characteristics after amputation, rather than pre-existing characteristics, influence depression risk. Long-term holistic care that meets physical, mental, and social needs via peer support groups has been shown to facilitate social support, and participation in such support groups has been reported to help to maintain cognition and stress resilience [7,18 –22], which, in turn, may improve physical mobility [8] and reduce depression risk in amputees. Thus, interventions that facilitate maintenance of these factors may contribute to reducing depression risk among TLA patients.…”

Section: Discussionmentioning

confidence: 99%

Risk of depression following traumatic limb amputation—a general population-based cohort study

Lindner

Montgomery

Hiyoshi

2019

Scand J Public Health

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Background: Individuals with traumatic limb amputation (TLA) may be at risk of depression, but evidence of increased depression after TLA from longitudinal studies has been limited. It is also unknown whether physical function, cognitive function, and employment prior to amputation affects depression risk. We aimed to examine longitudinal associations between TLA and depression in working age men, and to explore the role of pre-amputation occupational and individual characteristics. Methods: A Swedish national register-based cohort of 189,220 men born between 1952 and 1956, and who attended conscription assessments in adolescence, was followed from 1985 to 2009. Physical, cognitive, and psychological characteristics were measured at the conscription examination, and occupational information was obtained from the 1985 census. Main outcome measures were hospital inpatient and outpatient admissions for depression. Results: In total, 401 men underwent TLA; mean age at amputation was 42.5 years (SD 7.4). Cox regression produced an unadjusted hazard ratio (95% confidence interval) of 2.61 (1.62–4.21) for risk of subsequent depression associated with TLA compared with the general population. Adjustment for occupational, physical, cognitive, and psychological characteristics did not change the association much, producing a hazard ratio of 2.53 (1.57–4.08). Conclusions: TLA is associated with an increased risk of depression in men over more than two decades of follow up. Occupational and individual characteristics prior to amputation did not greatly change depression risk following amputation. We speculate that a coordinated combination of social support and medical management may help reduce persistent depression risk in men who experience amputation.

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An integrative review of peer support for patients undergoing major limb amputation

Cited by 26 publications

References 25 publications

Sociodemographic Determinants for the Health-Related Quality of Life of Patients with Vascular Amputations as Determined with the Prosthesis Evaluation Questionnaire

Sociodemographic Determinants for the Health-Related Quality of Life of Patients with Vascular Amputations as Determined with the Prosthesis Evaluation Questionnaire

Being a peer support mentor for individuals who have had a lower limb amputation: an interpretative phenomenological analysis

Risk of depression following traumatic limb amputation—a general population-based cohort study

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