海地截肢者心理社会和身体状况的性别差异
Gender Differences in Psychosocial and Physical Outcomes in Haitian Amputees.
作者信息
Wen Pey-Shan, Randolph Marilys G, Elbaum Leonard, De la Rosa Mario
机构信息
Pey-Shan Wen, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta;
Marilys G. Randolph, PhD, PT, is Retired; she was Associate Professor, Department of Physical Therapy, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami.
出版信息
Am J Occup Ther. 2018 May/Jun;72(3):7203205090p1-7203205090p8. doi: 10.5014/ajot.2018.022962.
OBJECTIVE
The purpose of this study was to investigate the gender differences in psychosocial and physical outcomes in users of lower-extremity prostheses who became amputees after the 2010 earthquake in Haiti.
METHOD
We enrolled 140 unilateral amputees in this cross-sectional study in Port-au-Prince, Haiti. Trained staff administered the assessments by reading the questions aloud to participants. Participants completed the Trinity Amputation and Prosthesis Experience Scales and Locomotor Capabilities Index about 2 yr after the earthquake.
RESULTS
We found no gender differences in psychosocial adjustment and physical outcomes, except for strenuous physical activities and phantom pain, and both genders reported difficulty in social adjustment. After controlling for strenuous physical activities and phantom pain, we found that men showed worse psychosocial adjustment than women.
CONCLUSION
Services for psychosocial adjustment are critical for traumatic amputees and should be incorporated into rehabilitation programs after a disaster. Interventions should consider gender roles in the indigenous culture.
目的
本研究旨在调查在2010年海地地震后成为截肢者的下肢假肢使用者在心理社会和身体方面的性别差异。
方法
我们在海地太子港的这项横断面研究中招募了140名单侧截肢者。训练有素的工作人员通过向参与者大声朗读问题来进行评估。参与者在地震后约2年完成了三位一体截肢与假肢体验量表和运动能力指数。
结果
除了剧烈体育活动和幻肢痛外，我们发现心理社会适应和身体方面没有性别差异，并且两性都报告了社会适应方面的困难。在控制了剧烈体育活动和幻肢痛后，我们发现男性的心理社会适应比女性差。
结论
心理社会适应服务对创伤性截肢者至关重要，应纳入灾后康复计划。干预措施应考虑当地文化中的性别角色。
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