Desmond Deirdre, Gallagher Pamela, Henderson-Slater David, Chatfield Rob
Department of Psychology, National University of Ireland, Maynooth, Co. Kildare, Ireland.
Prosthet Orthot Int. 2008 Jun;32(2):244-52. doi: 10.1080/03093640802067046.
The aim of this study was to investigate associations between post-amputation phantom and residual limb pain and prosthesis satisfaction, activity restriction and psychosocial adjustment to amputation among lower limb prosthesis users. Eighty-nine people with a lower limb amputation completed a postal survey. Characteristics of phantom and residual limb pain, prosthesis satisfaction, activity restriction and psychosocial adjustment to amputation were assessed using the Trinity Amputation and Prosthesis Experience Scales (TAPES). Comparisons of those who experienced residual and/or phantom limb pain in the preceding assessment with those who did not revealed significant differences in prosthesis satisfaction, psychosocial adjustment but not in activity restriction. Overall, it is important for clinicians to ascertain the type and level of pain that the person is experiencing and to separate the experiences of the pain from the experiences of the prosthetic limb.
本研究的目的是调查下肢假肢使用者截肢后幻肢与残肢疼痛、假肢满意度、活动受限以及截肢后心理社会适应之间的关联。八十九名下肢截肢者完成了一项邮寄调查。使用三位一体截肢与假肢体验量表（TAPES）评估幻肢与残肢疼痛、假肢满意度、活动受限以及截肢后心理社会适应的特征。将在前次评估中经历残肢和/或幻肢疼痛的人与未经历者进行比较，结果显示在假肢满意度、心理社会适应方面存在显著差异，但在活动受限方面无显著差异。总体而言，临床医生确定患者所经历疼痛的类型和程度，并将疼痛体验与假肢体验区分开来非常重要。
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