Deans Sarah A, McFadyen Angus K, Rowe Philip J
University of Strathclyde, Glasgow, UK.
Prosthet Orthot Int. 2008 Jun;32(2):186-200. doi: 10.1080/03093640802016514.
This cross-sectional descriptive study was initiated to investigate the relationship between physical activity and perceived quality of life in a lower-limb amputee population. The objective was to show which aspects of physical activity were most strongly linked to quality-of-life factors in this special patient group. The outcome measurements were two questionnaires: a section of the Trinity Amputation and Prosthetic Experience Scales (TAPES) and the World Health Organization Quality-of-Life Scale (WHOQOL-Bref). The former measures activity restriction and has Athletic, Functional, and Social subscales. The latter includes Physical, Psychological, Social, and Environmental domains, and measures the individual's perception of their quality of life. The two questionnaires were sent by post to 75 male and female participants with either trans-tibial or trans-femoral amputation who were receiving prosthetic care from a Glasgow-based rehabilitation and mobility centre and who met the inclusion criteria. All participants were over 18 years of age (mean age 66 years). In total, 25 participants returned the questionnaires-a response rate of 33%. According to analysis, 8 of the 12 relationships found were statistically significant. There was a very strong correlation between scores on the social elements of each questionnaire. The correlations between scores on the functional and athletic elements of the TAPES questionnaire and scores on the social element of the WHOQOL-Bref questionnaire were less strong. Our findings support the need for greater acknowledgement by healthcare professionals involved in the care of those with amputation about the importance of the patient's social relationships with friends and family. Education about the importance of increasing and maintaining a level of physical activity conducive to health benefits should be implemented within a supportive sociable environment for the patient with lower-limb amputation.
这项横断面描述性研究旨在调查下肢截肢人群的身体活动与感知生活质量之间的关系。目的是表明身体活动的哪些方面与这个特殊患者群体的生活质量因素联系最为紧密。结局测量采用两份问卷：《三位一体截肢与假肢体验量表》（TAPES）的一个部分以及世界卫生组织生活质量量表（WHOQOL-Bref）。前者测量活动受限情况，有运动、功能和社会三个子量表。后者包括身体、心理、社会和环境四个领域，测量个体对其生活质量的感知。两份问卷通过邮寄方式发送给75名接受格拉斯哥一家康复与行动中心假肢护理且符合纳入标准的男性和女性参与者，他们均为经胫截肢或经股截肢者。所有参与者年龄均超过18岁（平均年龄66岁）。总共有25名参与者返回了问卷，回复率为33%。根据分析，所发现的12种关系中有8种具有统计学意义。两份问卷社会要素得分之间存在非常强的相关性。TAPES问卷功能和运动要素得分与WHOQOL-Bref问卷社会要素得分之间的相关性则没那么强。我们的研究结果支持参与截肢患者护理的医护人员需要更多地认识到患者与朋友和家人的社会关系的重要性。对于下肢截肢患者，应在支持性的社交环境中开展关于增加和维持有助于健康的身体活动水平的重要性的教育。
