使用非微处理器控制与微处理器控制的假肢膝关节的下肢截肢患者的自我效能感及特定自我报告结果
Perceived self-efficacy and specific self-reported outcomes in persons with lower-limb amputation using a non-microprocessor-controlled versus a microprocessor-controlled prosthetic knee.
作者信息
Möller Saffran, Hagberg Kerstin, Samulesson Kersti, Ramstrand Nerrolyn
机构信息
a School of Health and Welfare , Jönköping University, Jönköping , Sweden.
b Department of Prosthetics and Orthotics , Sahlgrenska University Hospital , Gothenburg , Sweden.
出版信息
Disabil Rehabil Assist Technol. 2018 Apr;13(3):220-225. doi: 10.1080/17483107.2017.1306590. Epub 2017 Apr 1.
PURPOSE
To measure self-efficacy in a group of individuals who have undergone a lower-limb amputation and investigate the relationship between self-efficacy and prosthetic-specific outcomes including prosthetic use, mobility, amputation-related problems and global health. A second purpose was to examine if differences exist in outcomes based upon the type of prosthetic knee unit being used.
METHOD
Cross-sectional study using the General Self-Efficacy (GSE) Scale and the Questionnaire for Persons with a Transfemoral Amputation (Q-TFA). Forty-two individuals participated in the study. Twenty-three used a non-microprocessor-controlled prosthetic knee joint (non-MPK) and 19 used a microprocessor-controlled prosthetic knee joint (MPK).
RESULTS
The study sample had quite high GSE scores (32/40). GSE scores were significantly correlated to the Q-TFA prosthetic use, mobility and problem scores. High GSE scores were related to higher levels of prosthetic use, mobility, global scores and negatively related to problem score. No significant difference was observed between individuals using a non-MPK versus MPK joints.
CONCLUSIONS
Individuals with high self-efficacy used their prosthesis to a higher degree and high self-efficacy was related to higher level of mobility, global scores and fewer problems related to the amputation in individuals who have undergone a lower-limb amputation and were using a non-MPK or MPK knee. Implications for rehabilitation Perceived self-efficacy has has been shown to be related to quality of life, prosthetic mobility and capability as well as social activities in daily life. Prosthetic rehabilitation is primary focusing on physical improvement rather than psychological interventions. More attention should be directed towards the relationship between self-efficacy and prosthetic related outcomes during prosthetic rehabilitation after a lower-limb amputation.
目的
测量一组下肢截肢患者的自我效能感，并调查自我效能感与假肢特定结果之间的关系，这些结果包括假肢使用情况、活动能力、截肢相关问题和整体健康状况。第二个目的是研究基于所使用的假肢膝关节类型，在结果上是否存在差异。
方法
采用一般自我效能感（GSE）量表和经股截肢者问卷（Q-TFA）进行横断面研究。42名个体参与了该研究。23人使用非微处理器控制的假肢膝关节（非MPK），19人使用微处理器控制的假肢膝关节（MPK）。
结果
研究样本的GSE得分相当高（32/40）。GSE得分与Q-TFA的假肢使用、活动能力和问题得分显著相关。高GSE得分与更高水平的假肢使用、活动能力、整体得分相关，与问题得分呈负相关。使用非MPK和MPK关节的个体之间未观察到显著差异。
结论
自我效能感高的个体更高程度地使用假肢，并且高自我效能感与下肢截肢且使用非MPK或MPK膝关节的个体的更高活动水平、整体得分以及更少的截肢相关问题有关。对康复的启示 自我效能感已被证明与生活质量、假肢活动能力和功能以及日常生活中的社交活动有关。假肢康复主要侧重于身体改善而非心理干预。在下肢截肢后的假肢康复过程中，应更多地关注自我效能感与假肢相关结果之间的关系。
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