Li Ling, Reinhardt Jan D, Zhang Xia, Pennycott Andrew, Zhao Zhengen, Zeng Xianmen, Li Jianan
Department of Rehabilitation Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
J Rehabil Med. 2015 May;47(5):466-71. doi: 10.2340/16501977-1951.
To examine the development and determinants of long-term outcomes for earthquake victims with amputations, including physical function, pain, quality of life and life satisfaction.
Prospective cohort study with 2-3 measurement points.
A total of 72 people who underwent amputations following the 2008 Sichuan Earthquake and resided in Mianzhu County, Sichuan Province, China were enrolled in the study. Of these, 27 people were lost to follow-up.
Data on pain (visual analogue scale) and physical function (Barthel Index) were collected at 3 measurement points (2009, 2010 and 2012), and data on quality of life (Medical Outcomes Short-Form 36) and life satisfaction (Life Satisfaction Questionnaire-11) were collected at 2 measurement points (2010 and 2012). Data were analysed with mixed effects regression.
Pain severity declined significantly and physical function increased by 2012. Quality of life and life satisfaction remained relatively stable between 2010 and 2012, while quality of life was significantly lower than reference values from the general population. Illiteracy and lower extremity amputations were associated with lower quality of life and life satisfaction in several domains.
While amputees' functioning and pain were improved over time, quality of life and life satisfaction did not change. Illiterate earthquake survivors and those with lower extremity amputations are at particular risk of low quality of life and life satisfaction, and may require additional attention in future earthquake rehabilitation programs.
研究截肢地震受害者的长期预后情况，包括身体功能、疼痛、生活质量和生活满意度，并分析其影响因素。
前瞻性队列研究，共设2至3个测量点。
选取2008年四川地震后接受截肢手术、居住在中国四川省绵竹市的72人作为研究对象。其中27人失访。
在3个测量点（2009年、2010年和2012年）收集疼痛（视觉模拟评分）和身体功能（Barthel指数）数据，在2个测量点（2010年和2012年）收集生活质量（医学结局简表36）和生活满意度（生活满意度问卷-11）数据。采用混合效应回归分析数据。
到2012年，疼痛严重程度显著下降，身体功能有所改善。2010年至2012年期间，生活质量和生活满意度相对稳定，但生活质量显著低于一般人群的参考值。文盲以及下肢截肢与生活质量和生活满意度在多个领域较低相关。
虽然截肢者的功能和疼痛随时间有所改善，但生活质量和生活满意度并未改变。文盲地震幸存者和下肢截肢者生活质量和生活满意度较低的风险尤其高，在未来的地震康复项目中可能需要给予额外关注。
