الفهرس 
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Abstract
Limb loss is much more common than many people realize, and the numbers are growing. Globally, there are more than 1 million annual limb amputation- one every 30 seconds (McDonald et al., 2021). Losing a body part is a massive change in anyone’s life. Whether the amputation is due to a serious illness or a sudden traumatic injury, the emotional effects of limb loss are significant. Physical and mental recovery can be complicated and take a long time. Losing a limb may mean a change in self-perception as well as a change in how people treat. May lose some degree of independence, and career choices may change. May experience the same sense of loss as if they had lost a loved one (Xiuqun & Yuru, 2019).
A prosthesis is used to provide an individual who has an amputated limb with the opportunity to perform functional tasks, particularly walking, which may not be possible without the limb (Safari, 2020). When an extremity is amputated or lost, a prosthetic device, or prosthesis, can play an important role in rehabilitation. For many people, an artificial limb can improve mobility and the ability to manage daily activities, as well as provide the means to stay independent (Du Plessis & Berteanu, 2020).
Self-care it is very important to perform daily activities by one’s own to be more confident. This will help to heal faster with self-care, though it affects the ability to do. Minimizing fatigue and anxiety and doing activities at a Constance pace in a good environment will help to create positive attitudes. Nurses will encourage and educate patients to do daily activities such as bathing, feeding, toileting, and dressing. They educate amputees on how to use prosthetic devices and how to transfer. Similarly, most importantly, recognition of signs and symptoms and any complications must be reported (Lahn, 2019).
Aim of the study:
Aim of the Study: -
The aim of this study was to evaluate the effect of a self-care program for adults with lower limb prosthesis through:
Assessing adults with lower limb prosthesis’ knowledge regarding prosthesis limbs
Assessing adults with lower limb prosthesis ’ reported self-care practices
Assessing level of adjustment of adults with lower limb prosthesis toward prosthesis.
Designing and implementing a self-care program for adults with lower limb prosthesis according to their needs.
Evaluating the effect of the self-care program on adults with lower limb prosthesis’ knowledge, self-care practices and level of adjustment towards prosthesis.
Research Hypothesis:
Self-care program has a positive effect on the adults with lower limb prosthesis’ knowledge, self-care practices and level of adjustment.
Research design:
A quasi-experimental design was adopted to conduct the study.
Setting:
This study was carried out at the Physical Medicine and Rehabilitation and Rheumatology Center affiliated with the Armed Forces, which is located in the Al Agoza district of Egypt’s Al-Giza Governorate.
Sample: -
A purposive sample was used for choosing the study sample. The total number of the study sample were 81 of adult with lower limb prosthesis.
Inclusion criteria:
Adults with lower limbs prosthesis:
• Their age from 20 to ≤60 years old
• Wearing prosthesis limb from 6 months to 1 year
Tools of data collection:
Two tools were used for data collection (Pre/post self- care program):
First tool
• Structured Interviewing Questionnaire, which was designed by the researchers based on the recent literature review and experts’ opinions. It is composed of four parts:
Part 1: It was designed to evaluate the socio-demographic features of adults with lower limb prosthesis.
Part 2: Included past and present medical history for adults with lower limb prosthesis.
Part 3: Adults with lower limb prostheses’ knowledge regarding lower limb prosthesis
Part 4: Adults with lower limb prosthesis’ reported practice regarding residual limb and prosthesis care
Second Tool:
The Trinity Amputation and Prosthesis Experience Scales (TAPES): a tool used to evaluate prosthesis-wearing adults’ adjustment levels, which includes psychosocial adjustment, activity limitation, and satisfaction with prosthesis.
The results of the study sample could be summarized as follows:
There was a highly statistically significant difference between pre and post-program related to adults with lower limb prosthesis’ total knowledge about prosthesis. where less than a quarter had a satisfactory level in pre- program and improved to majority of them in post- program.
There was a highly statistically significant difference between pre- and post-program related to adults with lower limb prosthesis’ total reported practice regarding residual limb and prosthesis care. where only 13.6% of them had total adequate reported practice in pre-program and improved to all of them in post-program.
There was insignificant difference between pre and post-program related total level of adjustment for adults with lower limb prosthesis. where less than half of them had moderate level of adjustment in pre-program and improved in post- program to be more than three-fifths.
In conclusion, the intervention program reported remarkable improvements in knowledge and practice among adults with lower limb prosthesis and slight improvements in adjustment.