Key result
Positive reappraisal, social support, and problem-solving link to better adjustment following lower limb amputation.
Why the study?
The coping strategies used following lower limb amputation due to vascular disease and their relationship to adjustment across hospital, rehabilitation, and home settings were not well understood.
Observational (n=16)
Coping strategies following lower limb amputation due to vascular disease vary across settings, with positive reappraisal and social support linked to better adjustment.
Answers are grounded in this paper and cite their sources.
May inform coping support in vascular amputation rehab; hypothesis-generating and requires prospective trials before practice change.
Objectives. To explore the coping strategies used following a lower limb amputation and their relationship to adjustment in the hospital, rehabilitation, and home setting. Method. Sixteen individuals who had a lower limb amputation due to vascular disease completed questionnaires, including the Ways of Coping Questionnaire (WCQ), during hospitalization (T1), at the end of rehabilitation (T2), and 2-3 months after discharge from rehabilitation (T3). A subsample ( n=10 ) also participated in three semistructured interviews analyzed using the approach of Miles and Huberman. Results. Self-controlling was the coping strategy used most, followed by seeking social support and positive reappraisal. Three additional coping strategies not found in the WCQ were identified in the qualitative data: noticing progress, learning new things, and using humor. Confrontive coping (T1) and escape-avoidance (T1, T2, and T3) were related to adjustment problems while positive reappraisal (T1 and T3), seeking social support (T1 and T3), and planful problem solving (T3) were associated with positive adjustment. Conclusion. Coping strategies used to deal with the amputation seem to vary across settings, thus signifying the complexity of the coping process following a lower limb amputation due to vascular disease.
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Couture et al. (2012) conducted an observational in Lower limb amputation due to vascular disease (n=16). Coping strategies was evaluated on Coping strategies used and their relationship to adjustment. Self-controlling was the most used coping strategy following lower limb amputation; positive reappraisal, seeking social support, and planful problem solving were associated with positive adjustment.
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