Alt Ekstremite Ampütelerinde Vücut İmajı Algısı ve Yaşam Memnuniyeti İlişkisi

Öz

Amaç: Çalışma, alt ekstremite ampütelerinde yetişkin bireylerin vücut imajı algısı ile yaşam memnuniyeti arasındaki ilişkiyi incelemek amacıyla planlandı. Gereç ve Yöntem: Araştırmaya 57 (14 kadın, 43 erkek) alt ekstremite ampütesi edildi. Çalışmaya dahil edilen bireylerin cinsiyeti, yaşı, beden kütle indeksi, ampütasyon süresi ve tarafı kaydedildi. Katılımcılarda yaşam memnuniyet düzeyi “Yaşam Memnuniyeti Skalası” (YMS) ile, vücut imajı algısı ise “Ampüte Vücut İmajı Skalası” (AVİS) ile değerlendirildi.  Sonuçlar: Çalışmaya yaş ortalamaları 39,15±11,95 yıl olan 29 sağ, 23 sol ve 5 bilateral alt ekstremite ampütasyonlu birey dahil edildi. Katılımcıların YMS ortalama skoru 25,94±5,77, AVİS kişisel faktör skoru 22,78±4,62, AVİS-sosyal faktör skoru 17,64±6,74, AVİS-fonksiyonel faktör skoru 14,59±10,67 ve AVİS toplam skoru 52,80±10,73 olarak bulundu.  YMS toplam skoru ile AVİS-kişisel faktör (p=0,012, r=-0,330), AVİS-sosyal faktör (p=0,003, r=-0,393), AVİS-fonksiyonel faktör (p= 0,044, r=-0,268) ve AVİS-toplam skoru (p=0,001, r=-0,515) arasında istatistiksel olarak anlamlı negatif yönde ilişki bulunmuştur. Tartışma: Çalışmadan elde edilen veriler aracılığıyla ampütelerin vücut imajı algısı ile yaşam memnuniyetleri arasında anlamlı ilişki ortaya koyulmuştur. Ampüte rehabilitasyonunda, bireyin hayata bağlanmasının ve katılımının desteklenmesi için vücut algısının üzerinde durulması gerektiği düşünülmektedir.

Anahtar Kelimeler

• Ampütasyon,Vücut imajı,Yaşam memnuniyeti

The Relationship between Body Image Perception and Life Satisfaction in Individuals with Lower Extremity Amputation

Öz

Purpose: Purpose: The study was planned to investigate the relationship between body image perception and life satisfaction of adult individuals with lower limb amputation. Material and Methods: Fifty-seven (14 female, 43 male) individuals with lower limb amputation were included in the study. The participants' gender, age, body mass index, amputation duration and side were recorded. Participants’ life satisfaction statuses were assed by Satisfaction with Life Questionnaire (SWLQ) and body image perception were assessed by the "Amputee Body Image Scale" (ABIS). Results: The study included 29 right, 23 left, and 5 bilateral lower extremity amputee (mean age 39.15±11.95 years). Individuals had SWLQ mean score of 25.94±5.77, ABIS personal factor score of 22.78±4.62, ABIS-social factor score of 17.64±6.74, ABIS-functional factor score of 14.59 ± 10.67 and ABIS total score of 52.80±10.73. There were statistically significant negative correlations between SWLQ total score and ABIS-personal factor (p=0.012, r=-0.330), ABIS-social factor (p=0.003, r=-0.393), ABIS- functional factor (p= 0.044, r=-0.268) and ABIS-total score (p=0.001, r=-0.515). Discussion: Through the data obtained from study, significant relationship was found between the body image perception and life satisfaction. In amputee rehabilitation, it is thought that body perception must be emphasized in order to support the attachment and participation to life.

Anahtar Kelimeler

• Amputation,Body image,Life satisfaction

Kaynakça

1. Ahmad, N., Thomas, G. N., Gill, P., Chan, C., & Torella, F. (2014). Lower limb amputation in England: prevalence, regional variation and relationship with revascularisation, deprivation and risk factors. A retrospective review of hospital data. Journal of the Royal Society of Medicine, 107(12), 483-489.
2. Akkaya, N., Atalay, N. S., Selcuk, S. T., Akkaya, S., & Ardic, F. (2011). Impact of body image on quality of life and mood in mastectomized patients and amputees in Turkey. Asian Pac J Cancer Prev, 12(10), 2669-2673.
3. Alagöz, M. Ş., Başterzi, A. D., Uysal, A. Ç., Tüzer, V., Ünlü, R. E., Şensöz, Ö.,& et al. (2003). The psychiatric view of patients of aesthetic surgery: self-esteem, body image, and eating attitude. Aesthetic plastic surgery, 27(5), 345-348.
4. Anderson, D. R., Roubinov, D. S., Turner, A. P., Williams, R. M., Norvell, D. C., & Czerniecki, J. M. (2017).
5. Perceived social support moderates the relationship between activities of daily living and depression after lower limb loss. Rehabil Psychol, 62(2), 214.
6. Bakalım, O., & Taşdelen-Karkçay, A. (2016). Body Appreciation Scale: evaluation of the factor structure and psychometric properties among male and female Turkish university students. Mersin Üniversitesi Eğitim Fakültesi Dergisi, 12(1), 410-422.
7. Bayramlar, K., Bumin, G., Yakut, Y., & Şener, G. (2007). Ampute Vücut İmajı Ölçeği (Amputee Body Image Scale-ABIS) Türkçe uyarlamasının geçerliği. Fizyoterapi ve Rehabilitasyon, 18(2), 79-83.
8. Breakey, J. W. (1997). Body Image: The Lower-Limb Amputee. J Prosthet Orthot, 9(2), 58-66.

9. Bumin, G., Bayramlar, K., Yakut, Y., & Sener, G. (2009). Cross cultural adaptation and reliability of the Turkish version of Amputee Body Image Scale (ABIS). J Back Musculoskelet Rehabil, 22(1), 11-16.
10. Cash, T. F. (2015). Multidimensional Body–Self Relations Questionnaire (MBSRQ). Encyclopedia of Feeding and Eating Disorders (pp. 1-4). Springer.
11. Ching, S., Thoma, A., McCabe, R. E., & Antony, M. M. (2003). Measuring outcomes in aesthetic surgery: a comprehensive review of the literature. Plast Reconstr Surg, 111(1), 469-482.
12. Civitci, A. (2015). Perceived stress and life satisfaction in college students: Belonging and extracurricular participation as moderators. Procedia Soc Behav Sci, 205, 271-281.
13. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. J Pers Assess, 49(1), 71-75.
14. Durak, M., Senol-Durak, E., & Gencoz, T. (2010). Psychometric properties of the satisfaction with life scale among Turkish university students, correctional officers, and elderly adults. Soc Indic Res, 99(3), 413-429.
15. Ebrahimzadeh, M. H., Moradi, A., Bozorgnia, S., & Hallaj-Moghaddam, M. (2016). Evaluation of disabilities and activities of daily living of war-related bilateral lower extremity amputees. Prosthet Orthot Int, 40(1), 51-57.
16. Gilg, A. C. (2016). The Impact of Amputation on Body Image. Honors College of The University of Southern Mississippi. Holzer, L. A., Sevelda, F., Fraberger, G., Bluder, O., Kickinger, W., & Holzer, G. (2014). Body image and self-esteem in lower-limb amputees. PLoS One, 9(3), e92943.
17. Hovardaoğlu, S. (1993). Vücut algısı ölçeği. Psikiyatri, Psikoloji, Psikofarmakoloji (3P) Dergisi, 1(1), 26.
18. Mayer, A., Kudar, K., Bretz, K., & Tihanyi, J. (2008). Body schema and body awareness of amputees. Prosthet Orthot Int, 32(3), 363-382.
19. Miller, W. C., Deathe, A. B., & Speechley, M. (2001). Lower extremity prosthetic mobility: a comparison of 3 self-report scales. Arch Phys Med Rehabil, 82(10), 1432-1440.
20. Novotny, M. P. (1986). Body Image Change in Amputee Children: How Nursing Theory Can Make the Difference. Journal of the Association of Pediatric Oncology Nurses, 3(2), 8-13.
21. Pedlow, H., Cormier, A., Provost, M., Bailey, S., Balboul, G., Coucill, A., et al. (2014). Patient perspectives on information needs for amputation secondary to vascular surgery: What, when, why, and how much? Journal of Vascular Nursing, 32(3), 88-98.
22. Peroni, F., Cornaggia, C., Cerri, C., & Perin, C. (2017). Distortion of Body Image Following Lower Limb Amputation: Implications for Comprehensive Rehabilitation. Current Advances in Neurology and Neurological Disorders, 1, 5-10.
23. Pirowska, A., Wloch, T., Nowobilski, R., Plaszewski, M., Hocini, A., & Ménager, D. (2014). Phantom phenomena and body scheme after limb amputation: a literature review. Neurologia i neurochirurgia polska, 48(1), 52-59.
24. Safaz, I., Yilmaz, B., Goktepe, A. S., & Yazicioglu, K. (2010). Turkish version of the amputee body image scale and relationship with quality of life. Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 20(1), 79-83.
25. Shields, C., Thorp, H., Hendry, G., & Jayakaran, P. (2015). Health-related quality of life in persons with dysvascular and traumatic lower limb amputation—a systematic review. Physiotherapy, 101, e673.
26. Sinha, R., & Van Den Heuvel, W. J. (2011). A systematic literature review of quality of life in lower limb amputees. Disabil Rehabil, 33(11), 883-899.
27. Thompson, J. K., Heinberg, L. J., Altabe, M., & Tantleff-Dunn, S. (1999). Exacting beauty: Theory, assessment, and treatment of body image disturbance: American Psychological Association.
28. Tylka, T. L., & Wood-Barcalow, N. L. (2015). What is and what is not positive body image? Conceptual foundations and construct definition. Body Image, 14, 118-129.
29. Ülker Tümlü, G., & Recepoğlu, E. (2013). Üniversite Akademik Personelinin Psikolojik Dayanıklılık ve Yaşam Doyumu Arasındaki İlişki. Journal of Higher Education & Science/Yüksekögretim ve Bilim Dergisi, 3(3), 205-213.
30. Wetterhahn, K. A., Hanson, C., & Levy, C. E. (2002). Effect of participation in physical activity on body image of amputees. Am J Phys Med Rehabil, 81(3), 194-201.
31. World Health Organization. (2001). International Classification of Functioning, Disability and Health: ICF: World Health Organization. Zidarov, D., Swaine, B., & Gauthier-Gagnon, C. (2009). Life habits and prosthetic profile of persons with lower-limb amputation during rehabilitation and at 3-month follow-up. Arch Phys Med Rehabil, 90(11), 1953-1959.