Ganjparvar Zohreh, Mousavi Batool, Masumi Mehdi, Soroush Mohammadreza, Montazeri Ali
Janbazan Medical and Engineering Research Center, Tehran, Iran.
Iranian Institute for Health Sciences Research, Tehran, Iran.
Iran J Med Sci. 2016 Jul;41(4):257-64.
Providing care to a disable relative at home exposes the caregiver to a potentially higher risk of physical and mental problems. We measured health-related quality of life (HRQOL) and its determinants among the caregivers of the Iranian survivors of the Iran-Iraq war (1980-1988) with bilateral lower-limb amputation.
Data were collected from 464 individuals comprising war-related bilateral lower-limb amputees (n=232) and their caregivers (n=232) in January 2015 in Shiraz, Iran. The 36-Item Short-Form Health Survey (SF-36) questionnaire was used to evaluate the caregivers' QOL. Logistic regression analysis was performed to determine the most significant contributing factors.
The mean age of the caregivers and the amputees was 39.4±6.2 and 42.5±6.2 years, respectively. The mean duration of disability was 22.8±3.9 years in the amputees. Most of the caregivers were reported to be in their first marriage. The highest and lowest mean scores of the SF-36 domains in the sample population were observed for physical function (76.65±21.97) and bodily pain (53.54±24.95). QOL in the caregivers was significantly lower than that in a sample of the general Iranian female population (P<0.05). History of hospitalization during the preceding year of the study (OR: 2.23, 95% CI: 1.08 to 4.57, P=0.02) and mental health problems (OR: 1.79, 95% CI: 1.02 to 3.15, P=0.04) in the amputees constituted the most important predicting factors in the caregivers' QOL.
The caregivers of the bilateral lower-limb amputees in the current study suffered from a poor QOL. Hospitalization and mental problems were the most significant contributing factors vis-à-vis the caregivers' HRQOL. Health care and services should, therefore, be provided to both amputees and their caregivers.
在家照顾残疾亲属会使照料者面临更高的身心问题风险。我们对伊朗-伊拉克战争（1980 - 1988年）双侧下肢截肢幸存者的照料者的健康相关生活质量（HRQOL）及其决定因素进行了测量。
2015年1月在伊朗设拉子，从464名个体收集数据，包括与战争相关的双侧下肢截肢者（n = 232）及其照料者（n = 232）。使用36项简短健康调查（SF - 36）问卷评估照料者的生活质量。进行逻辑回归分析以确定最重要的影响因素。
照料者和截肢者的平均年龄分别为39.4±6.2岁和42.5±6.2岁。截肢者的平均残疾持续时间为22.8±3.9年。据报告，大多数照料者为初婚。样本人群中SF - 36各领域的最高和最低平均得分分别为身体功能（76.65±21.97）和身体疼痛（53.54±24.95）。照料者的生活质量显著低于伊朗普通女性样本（P<0.05）。研究前一年截肢者的住院史（比值比：2.23，95%置信区间：1.08至4.57，P = 0.02）和心理健康问题（比值比：1.79，95%置信区间：1.02至3.15，P = 0.04）是照料者生活质量最重要的预测因素。
本研究中双侧下肢截肢者的照料者生活质量较差。住院和心理问题是影响照料者健康相关生活质量的最重要因素。因此，应向截肢者及其照料者提供医疗保健和服务。
