Curtin University, GPO box U1987, Perth, Western Australia, 6845, Australia.
Health Qual Life Outcomes. 2012 Sep 28;10:121. doi: 10.1186/1477-7525-10-121.
The purpose of this exploratory study is to pilot a biopsychosocial instrument called the Perceived Impact of Problem Profile (PIPP) on a cohort of landmine/Unexploded Ordnance (UXO) victims with lower limb disability versus a cohort of persons with similar disability due to other trauma or medical causes. The aim is to provide greater understanding of the psychosocial impact of landmine/UXO injury to inform victim assistance a interventions within Lao PDR.
This study employs a mixed methods design, which involved piloting the PIPP instrument through an interviewer administered questionnaire and demographic questionnaire. Fifty one participants were interviewed in both urban and rural locations within Lao PDR.
An analysis of the data reveals significant differences in perceived impact for pain, anxiety and how recently the injury/illness occurred. Both groups complained of high levels of anxiety and depression; landmine/UXO victims who complained of anxiety and depression reported a much greater impact on life satisfaction and mood.
The perceived impact of the disability is greatest on psychosocial factors for both cohorts, but especially in landmine/UXO victims emphasising the need to focus on improving psychosocial interventions for landmine/UXO victims within Victim assistance programmes in Lao PDR.
本探索性研究的目的是在下肢残疾的地雷/未爆炸弹药（UXO）受害者队列和因其他创伤或医疗原因导致类似残疾的队列中，试用一种名为“感知问题影响概况”（PIPP）的身心社会仪器，以更好地了解地雷/UXO 伤害对受害者援助和干预的心理社会影响。
本研究采用混合方法设计，通过访谈者管理的问卷和人口统计问卷对 PIPP 仪器进行了试点。在老挝的城市和农村地区，对 51 名参与者进行了访谈。
数据分析显示，在疼痛、焦虑和受伤/患病时间方面，两组参与者的感知影响存在显著差异。两组参与者都抱怨有较高水平的焦虑和抑郁；报告焦虑和抑郁的地雷/UXO 受害者表示，对生活满意度和情绪的影响更大。
对于两个队列来说，残疾的感知影响在心理社会因素方面最大，但对于地雷/UXO 受害者来说尤为明显，这强调了在老挝受害者援助计划中，需要专注于改善地雷/UXO 受害者的心理社会干预措施。
