Patients’ Experiences after Lower Limb Amputation: Qualitative Research

Abstract

Objectives To reveal patients’ experiences after lower limb amputation focusing on their psychological, physical, and social challenges and adaptations. Materials and Methods A qualitative research methodology was utilized. Data were collected through semi-structured interviews conducted with 15 patients aged 45-75 years undergoing rehabilitation at the Physical Medicine and Rehabilitation Department. Participants had undergone their first prosthetic fitting following a unilateral lower limb amputation. Results Before the amputation, patients were insufficiently informed about their chronic diseases and complications, despite undergoing vascular surgeries and suffering from circulatory disorders, non-healing wounds, gangrene, and severe pain. Emotional states prior to the procedure ranged from joy and relief to anxiety, anger, and unwillingness to live. Post-amputation, patients faced significant challenges, including phantom and postoperative pain, complex wound healing, restricted mobility, and physical dependence. They sought to regain lost independence but faced difficulties using prosthetics, wheelchairs, and performing daily activities like cooking and dressing. Environmental barriers such as inaccessible inpatient facilities, high thresholds, stairs, and small public spaces further hindered recovery. Socially, patients experienced stigmatization, a reduced circle of friends, and societal exclusion. However, emotional, and physical support from family and friends was critical. A lack of respectful communication and empathy from medical staff was noted, particularly in hospitals and rehabilitation settings. Conclusions Lower limb amputation profoundly impacts patients’ lives. Effective rehabilitation strategies must address not only physical recovery but also psychological and social reintegration. Increased emphasis on emotional support and adaptive infrastructure is vital to improving patients’ quality of life