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Title: Limb reconstruction : distress, appearance concerns, social support and patient experience
Author: Woodward, Catherine Emily
ISNI:       0000 0004 2718 484X
Awarding Body: University of East London
Current Institution: University of East London
Date of Award: 2011
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Limb reconstruction is an orthopaedic surgical technique designed to treat severe fractures, including fractures that have failed to heal using conventional methods, and congenital deformities. The existing research suggests high levels of distress among patients, and that the appearance of the external fixation device is a possible factor contributing to distress, but the psychological contribution to this research is scarce. The overall aim of this mixed methods study was to gain a better understanding of the experience of limb reconstruction patients. In particular, the quantitative study aimed to investigate levels of psychological distress in adults undergoing limb reconstruction, and to examine variables that correlate with distress. A crosssectional sample of patients completed measures of psychological distress, appearance concern, social support, and pain. The purpose of the qualitative part of the study was to gain an in-depth understanding of the experience of adults undergoing limb reconstruction via external fixation device (EFD). Semi structured interviews were conducted with current patients, and were analysed using Interpretative Phenomenological Analysis. Self-reported levels of psychological distress were high. Appearance concern was higher among younger, female patients. Patients described feelings of vulnerability, and a fear of falling following their accidents. Patients' identity was called into question and there were psychological consequences when treatment was longer than expected. The results are considered in relation to relevant literature and the implications for intervention are discussed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psych.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available