Wurdeman Shane R, Stevens Phillip M, Campbell James H
1 Department of Clinical and Scientific Affairs, Hanger Clinic, Austin, TX, USA.
2 School of Allied Health Sciences, Baylor College of Medicine, Houston, TX, USA.
Prosthet Orthot Int. 2018 Oct;42(5):498-503. doi: 10.1177/0309364617736089. Epub 2017 Oct 8.
While rehabilitation professionals are historically trained to place emphasis on the restoration of mobility following lower limb amputation, changes in healthcare dynamics are placing an increased emphasis on the limb loss patient's quality of life and general satisfaction. Thus, the relationship between these constructs and mobility in the patient with lower limb loss warrants further investigation.
To determine the relationship between mobility of the patient with lower limb loss and both (1) general satisfaction and (2) quality of life.
Retrospective chart analysis.
A retrospective chart review of the Prosthetic Limb Users Survey of Mobility and the Prosthesis Evaluation Questionnaire-Well-Being subsection. Pearson correlations were used to test relationships.
Data from 509 patients with a lower limb prosthesis were included. Mobility was found to be positively correlated with quality of life ( r = 0.511, p < 0.001, 95% confidence interval (0.443, 0.569)) and general satisfaction ( r = 0.475, p < 0.001, 95% confidence interval (0.403, 0.542)), as well as their arithmetic mean (i.e. Prosthesis Evaluation Questionnaire-Well-Being) ( r = 0.533, p < 0.001, 95% confidence interval (0.466, 0.592)).
This study provides evidence of a strong positive correlation between mobility and both quality of life and general satisfaction. Thus, in the holistic care of a patient with lower limb loss, maximizing mobility would correlate with greater quality of life and general satisfaction. Clinical relevance There is growing emphasis on the quality of life and general satisfaction experienced by patients undergoing prosthetic rehabilitation. The results of this study underscore the importance of providing prosthetic rehabilitation that maximizes the patient's mobility, noting that these individuals also report greater quality of life and general satisfaction.
虽然康复专业人员历来接受的培训是强调下肢截肢后恢复活动能力，但医疗保健动态的变化越来越强调肢体缺失患者的生活质量和总体满意度。因此，这些因素与下肢缺失患者活动能力之间的关系值得进一步研究。
确定下肢缺失患者的活动能力与（1）总体满意度和（2）生活质量之间的关系。
回顾性图表分析。
对假肢使用者活动能力调查和假肢评估问卷-幸福感子部分进行回顾性图表审查。采用Pearson相关性分析来检验关系。
纳入了509名下肢假肢患者的数据。发现活动能力与生活质量（r = 0.511，p < 0.001，95%置信区间(0.443, 0.569)）、总体满意度（r = 0.475，p < 0.001，95%置信区间(0.403, 0.542)）以及它们的算术平均值（即假肢评估问卷-幸福感）（r = 0.533，p < 0.001，95%置信区间(0.466, 0.592)）呈正相关。
本研究提供了活动能力与生活质量和总体满意度之间存在强正相关的证据。因此，在下肢缺失患者的整体护理中，最大限度地提高活动能力将与更高的生活质量和总体满意度相关。临床意义 越来越强调接受假肢康复治疗的患者的生活质量和总体满意度。本研究结果强调了提供能最大限度提高患者活动能力的假肢康复治疗的重要性，指出这些患者也报告了更高的生活质量和总体满意度。
