Rahimi Abolfazl, Mousavi Batool, Soroush Mohammadreza, Masumi Mehdi, Montazeri Ali
Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
Department of Community and Preventive Medicine, Janbazan Medical and Engineering Research Center (JMERC), Tehran, IR Iran.
Trauma Mon. 2012 Summer;17(2):282-6. doi: 10.5812/traumamon.5135. Epub 2012 Jul 31.
Amputation and pain may have considerable impact on health-related quality of life.
The purpose of this study was to assess the impact of pain on health-related quality of life in a population of war related bilateral lower limb amputees.
The Veterans and Martyrs Affairs Foundation (VMAF) database documented 578 patients with bilateral lower limb amputation; 335 consented to the study (response rate = 58%). The majority of participants in the sample were males (96.7%). Types of pain were investigated using a questionnaire. Health-related quality of life (HRQOL) was investigated using the sf-36 questionnaire.
About two third of amputees reported phantom pain 66.7% (n = 223) and vertebral column pain 60.9% (n = 204). The most common type of pain was lumbosacral pain 52.8 % (n = 177) followed by neck 18.2 % (n = 61) and thoracic pain 9.6% (n = 32). Back pain affected on vitality, social function, mental health and mental component scale in our cases (P < 0.05). Neck pain affected all components of health-related quality of life (P < 0.05). Thoracic pain affected quality of life significantly (P < 0.05). The results obtained from logistic regression analysis indicated that none of the three spinal column pains including neck, thoracic and lumbosacral pain resulted in poor physical or mental component scales.
This study revealed that bilateral lower limb amputees suffer from different types of pain and poor health-related quality of life. Therefore, the assessment and management of all types of pain are necessary to improve quality of life in veterans.
截肢和疼痛可能对与健康相关的生活质量产生重大影响。
本研究旨在评估疼痛对战争相关双侧下肢截肢患者群体与健康相关生活质量的影响。
退伍军人和烈士事务基金会（VMAF）数据库记录了578例双侧下肢截肢患者；335例同意参与研究（应答率=58%）。样本中的大多数参与者为男性（96.7%）。使用问卷调查疼痛类型。使用sf-36问卷调查与健康相关的生活质量（HRQOL）。
约三分之二的截肢患者报告有幻肢痛（66.7%，n = 223）和脊柱疼痛（60.9%，n = 204）。最常见的疼痛类型是腰骶部疼痛（52.8%，n = 177），其次是颈部疼痛（18.2%，n = 61）和胸部疼痛（9.6%，n = 32）。在我们的病例中，背痛影响活力、社会功能、心理健康和心理成分量表（P < 0.05）。颈部疼痛影响与健康相关生活质量的所有方面（P < 0.05）。胸部疼痛显著影响生活质量（P < 0.05）。逻辑回归分析结果表明，包括颈部、胸部和腰骶部疼痛在内的三种脊柱疼痛均未导致身体或心理成分量表不佳。
本研究表明，双侧下肢截肢患者患有不同类型的疼痛且与健康相关的生活质量较差。因此，评估和管理所有类型的疼痛对于改善退伍军人的生活质量是必要的。
