Psychological correlates of traumatic experiences and coping strategies of post amputation: A case study of Mulago Specialized National Hospital, Kampala, Uganada

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Psychological correlates of traumatic experiences and coping strategies of post amputation: A case study of Mulago Specialized National Hospital, Kampala, Uganada


JournalStudent’s Journal of health research Africa
Article typeJournal research article – Clinical research
Publication date – Dec – 2020
Authors – SULAIMAN MAHMOOD KAKOOZA, ZAITUNE NANYUNJA, KIZITOMUWONGEb, FRANK PIO KIYINGI
KeywordsAgreeableness, Amputees, Conscientiousness, Extraversion
Open access – Yes
SpecialityTrauma and orthopaedic surgery, Trauma surgery
World region Eastern Africa
Country: Uganda
Language – English
Submitted to the One Surgery Index on January 2, 2021 at 11:01 pm
Abstract:

Background: The study assessed the effect of psychological correlates of traumatic experiences on coping strategies of post-amputation basing on evidence from Mulago specialized national hospital, Kampala-Uganda. It specifically analyzed the personality styles that enhance coping among amputees, assessed the psychological consequences among amputees, and examined the psychological interventions among amputees. Methodology: The study adopted a hospital-based prospective post-treatment design employing a quantitative research approach. The quantitative data were collected using questionnaires from 72 patients who were admitted for amputations and attending weekly amputee clinics and those using prostheses and orthosises. The data was processed at both the descriptive and inferential levels using SPSS version 20.0. Results: The study found extraversion as a statistically positive correlate with the confrontational form of coping style (r = 0.279, p = 0.031 < 0.05). It found a significantly positive correlate that enhanced planful problem solving (r =0.278, p =0.032< 0.05) and positive reappraisal (r = 0.301, p = 0.019 < 0.05) compared to conscientiousness as a negative correlate of coping styles particularly self-control (r =-0.326, p = 0.011< 0.05) and escape avoidance (r =-0.263, p =0.043 < 0.05). Results showed abnormal depression (46.7%), suffering abnormal anxiety (45.0%) alongside demonstrating symptoms of at least 2 Post-Traumatic Stress Disorders (46.7%) as the psychological consequences. The psychological interventions study found included specialized physician services (60.0%), primary care provision (45.0%) and financial assistance (46.7 among others Conclusion and discussion: Personality styles of extraversion, agreeableness, and conscientiousness are crucial in the coping styles among amputees and therefore need to be well established and aligned with supporting initiatives. The administrative staff of specialized units needs to put in place workable measures like avoiding unfair self-blame and inculcating a belief that they are still worth as to help amputees to improve their self-esteem thereby minimizing adverse psychological consequences.

OSI Number – 20841

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