Experiences and needs of patients with lower limb amputation in Saudi Arabia: a qualitative study

Abstract

Background: The effect of amputation on the social and psychological well-being of patients has been established. However, the experiences and needs of amputees for the process of adjustment varies among individuals and cultures. Aims: This study aimed to explore the experiences and needs of lower limb amputees for social and psychological adjustment in Saudi Arabia, according to their own perspective. Methods: Thirteen patients with lower limb amputation (mean age 47 years) were recruited from a large rehabilitation centre in Saudi Arabia for participation in interviews. A focus group discussion with 6 amputees was followed by individual, semistructured interviews with 8 amputees (which included 1 from the focus group) between November 2017 and March 2018. Results: Patients’ needs and reactions prior to and after amputation were controlled by the surrounding support system. Hopelessness and depression, body image distress, religious attitude, and family and community support all contributed to shape the overall patient experience, including psychological and physical adjustment. Conclusions: Facilitating the re-integration of patients with lower limb amputation patients into their communities, as well as providing the required support system, is crucial to ensure a healthy adjustment process for amputees.