Table of Contents
ISRN Rehabilitation
Volume 2012, Article ID 179878, 9 pages
http://dx.doi.org/10.5402/2012/179878
Research Article

Coping with a Lower Limb Amputation due to Vascular Disease in the Hospital, Rehabilitation, and Home Setting

1Centre de Recherche de the Institut Universitaire de Gériatrie de Montréal, Montreal, QC, Canada H3W 1W5
2Research Center on Aging, Sherbrooke University, Sherbrooke, QC, Canada J1H 4C4
3Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada J1H 5N4

Received 25 September 2012; Accepted 10 October 2012

Academic Editors: E. Goldhammer and J. D. Kingsley

Copyright © 2012 Mélanie Couture et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 ( ) 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.