Institute of Clinical Medicine, Department of Public Health, University of Turku FI-20014, Finland.
Aging Clin Exp Res. 2010 Oct-Dec;22(5-6):395-405. doi: 10.1007/BF03337735. Epub 2009 Dec 1.
The purpose of this study was to assess the quality of life (QoL) of peripheral arterial disease (PAD) amputees.
Fifty-nine PAD patients (mean age 75.2, SD 10.7, range 39-96, 47% men) who had undergone their first major lower leg amputation (LEA) on average 2.7 years earlier (in 1998-2002) were interviewed, and 118 age- and gender-matched controls completed a postal questionnaire. Outcomes were assessed with 15D Health-Related QoL instrument, Rand-36 Physical Functioning- and General Health subscales, Geriatric Depression Scale, 6-item Brief Social Support Questionnaire, and Self-reported Life Satisfaction score.
The amputees had more diseases than their controls. HRQoL was lower among amputees than among controls. Half the amputees lived in institutional care, 25% had a Mini-Mental Examination score <18, and 22% had unilateral belowknee amputations only. The amputees had a similar self-assessed sense of their general state of health, life satisfaction and perceived social support as controls. Amputees who were institutionalized and those who did not use prostheses had more symptoms of depression than those who lived at home or used prostheses.
Home-dwelling amputees had a relatively good QoL, whereas institutionalization was associated with depressive symptoms. In rehabilitation programs, not only physical disability assessment but also QoL should be considered.
本研究旨在评估外周动脉疾病（PAD）截肢患者的生活质量（QoL）。
59 名 PAD 患者（平均年龄 75.2 ± 10.7 岁，范围 39-96 岁，47%为男性）在平均 2.7 年前（1998-2002 年）接受了首次主要小腿截肢（LEA），并对其进行了访谈，118 名年龄和性别匹配的对照者完成了邮寄问卷调查。采用 15D 健康相关 QoL 量表、Rand-36 身体功能和一般健康子量表、老年抑郁量表、6 项简短社会支持问卷和自我报告的生活满意度评分评估结果。
截肢者的疾病比对照组多。与对照组相比，截肢者的 HRQoL 较低。一半的截肢者住在机构护理中，25%的人迷你精神检查得分<18，22%的人只有单侧膝下截肢。截肢者对自己的一般健康状况、生活满意度和感知社会支持的自我评估与对照组相似。住在机构里的和没有使用假肢的截肢者比住在家里或使用假肢的截肢者有更多的抑郁症状。
居家的截肢者生活质量相对较好，而住院则与抑郁症状相关。在康复计划中，不仅要评估身体残疾，还要考虑生活质量。
