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The Post-Amputation Rehabilitation Experience of People Living in Rural Settings

Published online by Cambridge University Press:  27 August 2015

Amanda Young
Affiliation:
Monash University, Australia
Gregory Murphy*
Affiliation:
La Trobe University, Australia
Sandra Kippen
Affiliation:
La Trobe University, Australia
Peter Foreman
Affiliation:
La Trobe University, Australia
*
School of Public Health La Trobe University, Bundoora VIC 3083, Australia. Email: [email protected]
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Abstract

This paper reports the results from a qualitative study aimed at identifying the factors influencing the rehabilitation experience of people living with an amputation in a rural setting. Following the conduct of an initial focus group, 24 rural-based individuals responded to an invitation to participate in the study's in-depth interviews. Fourteen of those interviewed lived in a ‘regional’ setting (the regional group) and the other ten lived in more remote locations (the ‘distant’ group). Consistent with this population's demography, the sample was comprised mainly of older people (mean age of 66.8 years) who had suffered their amputation as a result of vascular disease. While the groups differed with respect to two aspects of their rehabilitation experience (with the distant group reporting more problems with accommodation and access to health services), many common themes emerged from the interviews, including an overall positive acceptance of the surgical intervention, the call for increased post-operative counselling services, and an endorsement of the usefulness of peer-support (and more generally of social support) services. Results are discussed in terms of their implications for service delivery and endorsement is made of the suggestion that rural health planning be more community-focussed.

Type
Articles
Copyright
Copyright © Cambridge University Press 2001

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References

Adams, R., & Benjamin, M. (1988). Innovative approaches to mental health service delivery in rural areas. Journal of Rural Community Psychology, 9, 4150.Google Scholar
Cogswell, B. (1968). Self-socialisation: Readjustment of paraplegics in the community. Journal of Rehabilitation, 34, 1113.Google ScholarPubMed
Delahunty, R., & Traschel, L. (1995). Effects of short-term group treatment on rehabilitation outcomes of adults with amputations. International Journal of Rehabilitation and Health, 1, 6173.CrossRefGoogle Scholar
Dempsey, K. (1990). Smalltown: A study of social inequality and cohesion and belonging. Melbourne: Oxford University Press.Google Scholar
Flax, J., Wagenfield, M., Ivens, F., & Weiss, R. (1979). Mental health and rural America: An overview and annotated bibliography. Washington, DC: National Institute of Mental Health.CrossRefGoogle Scholar
Grayson, R. (1995). Community based vocational rehabilitation opportunities for people with a severe disability in rural communities. Paper presented at the 3rd National Rural Health Conference, Mount Beauty.Google Scholar
Grbich, C. (1999) Qualitative Research in Health: An Introduction. St Leonards, NSW: Allen & Unwin.Google Scholar
Insel, P., & Moos, R. (1974). Health and social environment. Lexington, MA: D.C. Health.Google Scholar
Kirk, R. E, & Pears, R. (1979). Development of rural health services: Problems illustrated by a nonprofit, privately-based approach. Medical Care, 17(2), 175–82.CrossRefGoogle ScholarPubMed
Lam, C. S., Chan, F., Parker, H. J., & Carter, H. S. (1987). Employment patterns and vocational and psychological service needs of rural rehabilitation clients in the United States. International Journal of Rehabilitation Research, 10(1), 6992.CrossRefGoogle Scholar
Miles, M., & Huberman, A. (1984) Qualitative Data Analysis: A Sourcebook of New Methods. London: Sage.Google Scholar
Murphy, G., & Young, A. (1998). Contradictory effects of social support in rehabilitation. Australian Journal of Primary Health — interchange, 4(1), 1827.CrossRefGoogle Scholar
Noreau, L., & Shepard, R. (1995). Spinal cord injury, exercise and quality of life. Sports Medicine, 20, 226250.CrossRefGoogle ScholarPubMed
Phillimore, P., & Reading, R. (1992). A rural advantage? Urban-rural health differences in northern England. Journal of Public Health Medicine, 14(3), 290–9.Google ScholarPubMed
Rybarczyk, B., Nyenhuis, D., Nicholas, J., Cash, S., & Kaiser, J. (1995). Body image, perceived social stigma, and the prediction of psychosocial adjustment to leg amputation. Rehabilitation Psychology, 40, 95110.CrossRefGoogle Scholar
Seekins, T. W. (1995). Rural Rehabilitation. In Orto, A. E. Dell & Marinelli, R. P. (Eds.), Encyclopedia of Disability and Rehabilitation (pp. 643651). New York: Simon & Schuster and Prentice Hall International.Google Scholar
Strong, K., Trickett, P., Titulaer, I., & Bhatia, K. (1998). Health in rural and remote Australia. Canberra: AGPS.Google Scholar
Thompson, D., & Haran, D. (1984). Living with amputation: what it means for patients and their helpers. International Journal of Rehabilitation Research, 7, 283292.CrossRefGoogle ScholarPubMed
Weiss, G., Gorton, T., Read, R., & Neil, L. (1990). Outcomes of lower extremity amputations. Journal of the American Geriatric Society, 38, 877883.CrossRefGoogle ScholarPubMed
Wright, B. (1983). Physical disability: A psychosocial approach. New York: Harper & Row.CrossRefGoogle Scholar
Wakerman, J., & Field, P. (1998). Remote area health service delivery in central Australia: Primary health care and participatory management. Australian Journal of Rural Health, 6(1), 2731.CrossRefGoogle ScholarPubMed