| Author/Editor | Horvat, Barbara; Burger, Helena | |
| Title | Značilnosti doživljanja sebe pri osebah po amputaciji roke | |
| Translated title | Characteristics of self-experience in people after upper-limb amputation | |
| Type | članek | |
| Vol. and No. | Letnik 12, št. 3 | |
| Publication year | 2013 | |
| Volume | str. 13-21 | |
| ISSN | 1580-9315 - Rehabilitacija | |
| Language | slv | |
| Abstract | Izhodišča: Samopodoba je uporaben pojasnjevalni konstrukt, saj obsega posameznikovo predstavo o samem sebi. Na zmožnost doživljanja sebe vplivajo številni dejavniki in spremembe, ki se zgodijo v življenju. Med te prav gotovo spada življenje z zmanjšano zmožnostjo delovanja, v okviru katere smo se osredotočili na osebe po amputaciji roke. Namen naše študije je bil raziskati, ali so v skupini oseb po amputaciji splošna samopodoba in njene komponente, posebno telesna, nižje kot pri osebah s popolno telesno shemo, hkrati pa smo pričakovali obrambno varovalno vedenje. Metode: V raziskavo je bilo vključenih 28 oseb, 14 v skupini oseb po amputaciji roke in 14 v kontrolni skupini. Skupini smo poskušali glede na osnovne demografske spremenljivke čim bolj izenačiti. Raziskava je temeljila na dveh vprašalnikih: na tennesseejski lestvici koncepta sebe za merjenje samopodobe in na lestvici za ugotavljanje stopnje sprejemanja proteze - moja podoba zdaj. Z vsakim udeležencem smo opravili krajši pogovor. Zbiranje podatkov je potekalo od junija 2012 do konca januarja 2013 v sodelovanju z ambulanto ročne ortotike in protetike na Univerzitetnem rehabilitacijskem inštitutu Republike Slovenije - Soča. Za primerjavo skupin smo uporabili test t za parne vzorce. Rezultati: Ugotovili smo statistično značilno tendenco k dajanju ekstremnih odgovorov v skupini oseb po amputaciji roke. V tej skupini ustrezajo rezultati skoraj polovice udeležencev standardiziranim vrednostim (T), ki kažejo prisotnost obrambnega varovalnega vedenja in zvišano verjetnost neveljavnih rezultatov, kar onemogoča nadaljnjo interpretacijo in posredovanje oprijemljivih ugotovitev. Oba uporabljena vprašalnika sta se izkazala kot zanesljiva z vidika notranje skladnosti. Zaključek: Vprašljiva veljavnost rezultatov na vprašalnikih nakazuje pomembne težave v procesu spoprijemanja s stanjem po amputaciji zgornjega uda, ki so še zlasti povezane s spremenjeno telesno shemo. Za učinkovitejše spoprijemanje (predvsem v obdobju prvih petih let) s spremenjeno telesno shemo in načinom življenja bi bila dobrodošla in zaželena strokovna podpora.Background: Self-concept is a useful explanatory construct because it includes the individuals perception of him/herself. Numerous factors affect the way of experiencing ourselves and change the quality of our lives. Reduced capacity of functioning is one of these factors. We focused on individuals after amputation of the upper limb. The aim of our study was to investigate whether their self-concept (specifically the body self-concept) differs from persons without amputation. We also expected the presence of defence mechanisms. Methods: The study included 28 individuals - 14 in each group. We tried to match the basic demographic variables in both groups. We applied two questionnaires: the Tennessee self-concept scale for measuring the self-concept, and the Amputee Body-Image Scale for assessing satisfaction with the prosthesis. An interview was held also with each of the participants. The data were collected from June 2012 to January 2013 in cooperation with the orthotics and prosthetics outpatient clinic at the University Rehabilitation Institute in Ljubljana. Paired-samples t-test was used for comparing the groups. Results: A statistically significant tendency toward making extreme responses was observed in the group of persons after amputation. The standardized (T) values of the row scoresof almost one half of the participants in this group indicate the presence of defensive behaviour and increase the likelihood of invalid results, which prevents further interpretations. Conclusion: The questionable validity of the questionnaire scores indicates significant problems in the process of coping with the situation after amputation of the upper limb, linked to the altered physical schema. Professional support would be welcome to facilitate the strategies of coping with a modified body schema and lifestyle (especially during the first five years after amputation). | |
| Descriptors | Self Concept Grief | |
| Keywords | copping mourning defence mechanisms psychological consequences samopodoba žalovanje proces spoprijemanja obrambni varovalni mehanizmi psihološke posledice |