一个心理社会调整措施,用于上肢截肢的人
L J Resnik1,2, P Ni3, M L Borgia1
1Research Department, Providence VA Medical Center, Providence, USA.
Canadian prosthetics & orthotics journal
|August 24, 2023
概括
一项新措施评估了所有个体的上肢截肢 (ULA) 后的心理社会调整,无论使用假肢. 这个工具有助于识别对心理治疗和支持小组等干预措施的需求.
科学领域:
- 康复心理学 康复心理学
- 临床心理学 临床心理学
- 健康心理学 心理健康心理学
背景情况:
- 上肢截肢 (ULA) 后的心理社会调整测量对于识别需要干预的个体至关重要.
- 现有的措施仅限于假肢使用者,不包括大量患者群体.
研究的目的:
- 为患有ULA的个体开发一种新的心理社会调整措施,不论是否使用假肢,都适用.
- 创建一个在心理测量上健全的工具来评估截肢者的适应挑战.
主要方法:
- 修改了现有的调查项目,并为非假肢用户创建了新的调查项目.
- 进行认知面试和试点测试,以改进项目.
- 对727名患有重大ULA的个人进行了电话调查,随后进行了因子和拉什分析.
主要成果:
- 探索性和确认性因子分析显示出一个双因素结构.
- 拉什的分析支持了7项的限制调整子表和9项的工作和独立性子表.
- 该测量表现出良好的可靠性 (克朗巴赫α:0.82-0.90) 和中等到良好的测试-重新测试可靠性 (ICC:0.63-0.80).
结论:
- 成功开发了截肢心理社会调整 (PAA) 措施.
- 该PAA测量表现出良好的结构有效性和可靠的评分.
- 这个新工具为各种ULA群体提供了全面的评估,促进了有针对性的支持.
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