title: The perception of trauma patients from social support in adjustment to lower-limb amputation: a qualitative study.
abstract: BACKGROUND
  The effect of amputation on an individual's psychological condition as well as family and social relationships is undeniable because physical disability not just affects the psycho-social adjustment, but also the mental health. When compared to normal people, such people are mostly experiencing social isolation. On the other hand, social support is known as the most powerful force to cope with stressful situations and it allows patients to withstand problems. The present study aims to explain understanding the trauma of patients and the experience of support sources during the process of adaptation to a lower limb amputation.
  
  
  METHODS
  The present study was conducted using qualitative content analysis. Participants included 20 patients with lower limb amputation due to trauma. Sampling was purposive initially and continued until data saturation. Unstructured interviews were used as the main method of data collection. Collected data were analyzed using qualitative content analysis and constant comparison methods.
  
  
  RESULTS
  The main theme extracted from the data was support sources. The classes include "supportive family", "gaining friends' support", "gaining morale from peers", and "assurance and satisfaction with the workplace."
  
  
  CONCLUSIONS
  Given the high number of physical, mental and social problems in trauma patients, identifying and strengthening support sources can be effective in their adaptation with the disease and improvement of the quality of their life.
authors.affiliation: Department of Child and Family Health, School of Nursing and Midwifery, Student's Research Committee, Tabriz University of Medical Sciences, Tehran, Iran.
authors.forename: Sousan
authors.initials: S
authors.lastname: Valizadeh
authors.affiliation: Department of Medical Surgical Nursing, School of Nursing and Midwifery, Student's Research Committee, Tabriz University of Medical Sciences, Tehran, Iran.
authors.forename: Behrouz
authors.initials: B
authors.lastname: Dadkhah
authors.affiliation: Department of Nursing, Faculty of Medicine, Tarbiat Modarres University, Tehran, Iran.
authors.forename: Eissa
authors.initials: E
authors.lastname: Mohammadi
authors.affiliation: Department of Medical Surgical Nursing, School of Nursing and Midwifery, Student's Research Committee, Tabriz University of Medical Sciences, Tehran, Iran.
authors.forename: Hadi
authors.initials: H
authors.lastname: Hassankhani
keywords: Adjustment; Amputation; Qualitative study; Social support