Experiencing one´s self-image after lower limb amputation

Uvod: Amputacija je izguba okončine, ki s seboj prinese veliko fizičnih, psihičnih in socialnih izzivov. Amputacija spodnje okončine spremeni človekov pogled na lastno telo in spremeni njegovo samopodobo. Povzroča nelagodje glede lastne podobe in zmanjša kakovost življenja. Metode: V zaključnem delu je bil izveden sistematičen pregled literature po korakih smernic PRISMA. Uporabili smo metodo pregleda, analize in sinteze. Iskanje literature je bilo opravljeno v podatkovnih bazah: PubMed, CINAHL, ScienceDirect in Web of Science s pomočjo iskalnega niza ter vključitvenih in izključitvenih kriterijev. Rezultati: Ugotovljeno je bilo, da se po amputaciji spodnjega uda (v nadaljevanju ASU) pojavijo občutki jeze, žalosti, šoka, razočaranja in nesprejemanja. Amputacija za paciente pomeni prelom s preteklostjo, izgubo neodvisnosti ter povzroči socialno zadrego in nemoč. Veliko pacientov se sooča tudi s fantomsko bolečino, njena pogostost in intenzivnost pa poslabšata telesno samopodobo in čustveno stanje posameznika. Uporaba proteze ima zelo velik vpliv na samozavest amputiranca in na njegovo zaznavanje lastne samopodobe. Razprava in sklep: Pacienti po ASU se soočajo s številnimi težavami, od izgube samostojnosti in spremenjene podobe telesa, izgube samozavesti in psiholoških težav do tega, da se počutijo manjvredni, zapuščeni in pohabljeni. Uporaba proteze pa s seboj prinese veliko pozitivnih učinkov, kot so izboljšana samopodoba, večja mobilnost, boljša kakovost življenja in boljše psihološko stanje.Introduction: Amputation is the loss of a limb and brings many physical, psychological and social challenges. Amputation of a lower limb changes a person\u27s view of their own body and self-image. It causes discomfort to one\u27s self-image and reduces the quality of life. People may feel disgusted, unhappy with their hair, and experience depression and anxiety. Methods: In this work, a systematic literature review was conducted following PRISMA guidelines. We used the method of review, analysis and synthesis. The literature search was performed in databases: PubMed, CINAHL, ScienceDirect and Web of Science, using a search string and inclusion and exclusion criteria. Results: Feelings of anger, sadness, shock, disappointment and non-acceptance have been found to occur after lower limb amputation. For patients, amputation means a break from the past, a loss of independence and social embarrassment and helplessness. Many patients also experience phantom pain, and the frequency and intensity of phantom pain deteriorate the individual\u27s physical self-image and emotional state. A prosthesis has a very significant impact on the amputee\u27s self-esteem and self-perception. Discussion and conclusion: Patients face many difficulties after lower limb amputation, from loss of independence and altered body image, loss of self-confidence, and psychological problems to feeling inferior, abandoned and crippled. However, using a prosthesis brings with it many positive effects such as improved self-esteem, greater mobility, a better quality of life and improved psychological well-being