Abstract：
UNASSIGNED: Lower limb loss can result in an altered body image, leading to changes in self-esteem, mental health and quality of life. This scoping review explored how body image has been evaluated among people with lower limb loss.
UNASSIGNED: Five databases (Embase, Medline, PsychINFO, CINHAL, and Nursing and Allied Health Database) were searched from inception until March 19, 2023. Inclusion criteria: 1) people with lower limb loss; 2) evaluated a body image outcome or theme; and 3) a qualitative, quantitative or mixed methods design.
UNASSIGNED: Twenty-four quantitative (n = 19 cross-sectional, n = 3 intervention cohort and n = 2 prospective cohort), 2 qualitative and 1 mixed methods design studies were included. The definition of body image varied across studies, with 59% of studies not reporting a conceptual or theoretical definition. People with lower limb loss perceived a more negative body image compared to control groups. In prospective cohort studies, changes in body image over time were inconclusive.
UNASSIGNED: People with lower limb loss report a negative body image when compared to other populations. Definitions and understanding of body image changed overtime and varied among studies which may impact introducing interventions to promote positive body image during rehabilitation and beyond in this population.
People with lower limb loss experience altered body image following limb amputation, at the initiation, during and after prosthetic rehabilitation, and re-integrating into the community.Clinicians are encouraged to use this study’s proposed lower limb loss-specific definition of body image.The proposed definition incorporates common terminology used in past research in the field and amputee-specific situations when referring to altered body image among this patient population.To better support the psychological adjustment of people with lower limb loss in rehabilitation programs and beyond, clinicians and researchers should evaluate body image at multiple time points (e.g., admission and discharge to rehabilitation, follow-up) using an outcome measure that asks about both with and without a prosthesis on the residual limb.
UNASSIGNED: Five databases (Embase, Medline, PsychINFO, CINHAL, and Nursing and Allied Health Database) were searched from inception until March 19, 2023. Inclusion criteria: 1) people with lower limb loss; 2) evaluated a body image outcome or theme; and 3) a qualitative, quantitative or mixed methods design.
UNASSIGNED: Twenty-four quantitative (n = 19 cross-sectional, n = 3 intervention cohort and n = 2 prospective cohort), 2 qualitative and 1 mixed methods design studies were included. The definition of body image varied across studies, with 59% of studies not reporting a conceptual or theoretical definition. People with lower limb loss perceived a more negative body image compared to control groups. In prospective cohort studies, changes in body image over time were inconclusive.
UNASSIGNED: People with lower limb loss report a negative body image when compared to other populations. Definitions and understanding of body image changed overtime and varied among studies which may impact introducing interventions to promote positive body image during rehabilitation and beyond in this population.
People with lower limb loss experience altered body image following limb amputation, at the initiation, during and after prosthetic rehabilitation, and re-integrating into the community.Clinicians are encouraged to use this study’s proposed lower limb loss-specific definition of body image.The proposed definition incorporates common terminology used in past research in the field and amputee-specific situations when referring to altered body image among this patient population.To better support the psychological adjustment of people with lower limb loss in rehabilitation programs and beyond, clinicians and researchers should evaluate body image at multiple time points (e.g., admission and discharge to rehabilitation, follow-up) using an outcome measure that asks about both with and without a prosthesis on the residual limb.
摘要：
■下肢丧失会导致身体形象改变，导致自尊的变化，心理健康和生活质量。这项范围审查探讨了如何在下肢丧失的人群中评估身体形象。
■五个数据库(Embase，Medline,心理信息,CINHAL,和护理和联合健康数据库)从开始到2023年3月19日进行搜索。纳入标准：1）下肢缺失的人；2）评估身体形象结果或主题；3）定性，定量或混合方法设计。
■二十四定量（n=19横截面，n=3个干预队列和n=2个前瞻性队列），包括2项定性和1项混合方法设计研究。身体形象的定义因研究而异，59%的研究没有报告概念或理论定义。与对照组相比，下肢丧失的人感觉到更负面的身体形象。在前瞻性队列研究中，随着时间的推移，身体形象的变化是不确定的。
■与其他人群相比，下肢缺失的人报告了负面的身体形象。对身体形象的定义和理解随着时间的推移而变化，并且在研究中也各不相同，这可能会影响在该人群的康复及以后引入干预措施以促进积极的身体形象。
下肢缺失的人在截肢后身体形象发生改变，在启动时，在假肢康复期间和之后，重新融入社区。鼓励临床医生使用这项研究提出的下肢丧失特定的身体图像定义。所提出的定义结合了过去在该领域的研究中使用的常用术语以及在该患者人群中提及身体图像改变时截肢者的具体情况。为了更好地支持康复计划及以后下肢失联者的心理调整，临床医生和研究人员应在多个时间点评估身体图像(例如，入院和出院接受康复治疗，随访）使用结果测量，询问残肢上是否有假体。
■五个数据库(Embase，Medline,心理信息,CINHAL,和护理和联合健康数据库)从开始到2023年3月19日进行搜索。纳入标准：1）下肢缺失的人；2）评估身体形象结果或主题；3）定性，定量或混合方法设计。
■二十四定量（n=19横截面，n=3个干预队列和n=2个前瞻性队列），包括2项定性和1项混合方法设计研究。身体形象的定义因研究而异，59%的研究没有报告概念或理论定义。与对照组相比，下肢丧失的人感觉到更负面的身体形象。在前瞻性队列研究中，随着时间的推移，身体形象的变化是不确定的。
■与其他人群相比，下肢缺失的人报告了负面的身体形象。对身体形象的定义和理解随着时间的推移而变化，并且在研究中也各不相同，这可能会影响在该人群的康复及以后引入干预措施以促进积极的身体形象。
下肢缺失的人在截肢后身体形象发生改变，在启动时，在假肢康复期间和之后，重新融入社区。鼓励临床医生使用这项研究提出的下肢丧失特定的身体图像定义。所提出的定义结合了过去在该领域的研究中使用的常用术语以及在该患者人群中提及身体图像改变时截肢者的具体情况。为了更好地支持康复计划及以后下肢失联者的心理调整，临床医生和研究人员应在多个时间点评估身体图像(例如，入院和出院接受康复治疗，随访）使用结果测量，询问残肢上是否有假体。
