Cairns Nicola, Murray Kevin, Corney Jonathan, McFadyen Angus
Department of Design, Manufacture and Engineering Management, University of Strathclyde, Glasgow, UK National Centre for Prosthetics and Orthotics, Department of Biomedical Engineering, University of Strathclyde, Glasgow, UK
National Centre for Prosthetics and Orthotics, Department of Biomedical Engineering, University of Strathclyde, Glasgow, UK.
Prosthet Orthot Int. 2014 Dec;38(6):467-73. doi: 10.1177/0309364613512149. Epub 2013 Dec 10.
Amputee satisfaction with cosmesis and the importance they place on cosmesis design have not been published in the literature.
To investigate the current satisfaction levels of amputees in the United Kingdom with their cosmesis and the importance placed on attributes of cosmesis design to inform future cosmesis redesign.
Cross-sectional questionnaire study.
Questionnaires were administered to lower limb amputees in the United Kingdom. Satisfaction scores and the overall importance ranking of cosmesis features were calculated. Statistically significant relationships between two demographic, satisfaction or importance variables were tested using Fisher's exact tests (one-tailed) at a significance level p = 0.05.
Between 49% and 64% of respondents reported neutral or dissatisfied opinions with the cosmesis features (greater than 50% for five of the nine features). The three most important features identified were shape matching the cosmesis to the sound limb, free prosthetic joint movement underneath the cosmesis and natural fit of clothing over the cosmesis.
The results indicate that current cosmesis satisfaction levels of amputees in the United Kingdom are below what the medical device industry and clinical community would desire. The most important cosmesis features identified by the sample can be used to direct future cosmesis design research.
The findings will enable the medical device industry to improve cosmesis design in the areas that are important to amputees. The findings also counter anecdotal opinions held by clinicians, providing an opportunity for them to evaluate any preconceptions they harbour and how this might influence their clinical work.
截肢者对假肢外观的满意度以及他们对假肢外观设计的重视程度在文献中尚未发表。
调查英国截肢者对其假肢外观的当前满意度水平以及对假肢外观设计属性的重视程度，以为未来的假肢外观重新设计提供参考。
横断面问卷调查研究。
对英国的下肢截肢者进行问卷调查。计算满意度得分和假肢外观特征的总体重要性排名。使用费舍尔精确检验（单尾）在显著性水平p = 0.05下测试两个人口统计学、满意度或重要性变量之间的统计学显著关系。
49%至64%的受访者对假肢外观特征表示中立或不满意的意见（九个特征中的五个特征超过50%）。确定的三个最重要特征是假肢形状与健全肢体匹配、假肢下方假肢关节自由活动以及衣服在假肢上自然贴合。
结果表明，英国截肢者目前对假肢外观的满意度低于医疗器械行业和临床界的期望。样本确定的最重要的假肢外观特征可用于指导未来的假肢外观设计研究。
这些发现将使医疗器械行业能够在对截肢者重要的领域改进假肢外观设计。这些发现也反驳了临床医生持有的传闻性观点，为他们提供了一个机会来评估他们所怀有的任何先入之见以及这可能如何影响他们的临床工作。
