测试插座对股骨和胫骨截肢患者疼痛、假体满意度和功能的影响。

Effects of Test Socket on Pain, Prosthesis Satisfaction, and Functionality in Patients with Transfemoral and Transtibial Amputations.

机构信息

Department of Prosthetics and Orthotics, Dicle University Medical School, Diyarbakir, Turkey.

Department of Physical Therapy and Rehabilitation, Sadi Konuk Research Hospital, Istanbul, Turkey.

出版信息

Med Sci Monit. 2018 Jun 13;24:4031-4037. doi: 10.12659/MSM.910858.

Abstract

BACKGROUND The aim of this retrospective study was to investigate the frequency of admissions, reason for admissions, and test socket satisfaction in patients who received a lower-limb prosthesis with or without a test socket in our unit. MATERIAL AND METHODS A total of 88 patients (54 men, 34 women) were included in the study. Patients were divided into 2 groups: the group with test socket (Group I, 44 patients) and the group without test socket (Group II, 44 patients). Variables related to the functional status, frequency of complaints, and test socket satisfaction were investigated in the 2 groups. The Trinity Amputation and Prosthesis Experience Scales (TAPES) and Beck Depression Inventory (BDI) were used to assess the level of patient satisfaction with their prosthesis. The VAS (Visual Analogue Scale) was used to assess pain at rest and during walking. RESULTS We found that the TAPES values were more significant in Group 1 in both transtibial and transfemoral amputations (P<0.05). However, prosthesis delivery time was more significant in Group 2 in both transtibial and transfemoral amputations (P<0.001) whereas the frequency of admissions within 3 months was more significant in Group 1 in both transtibial and transfemoral amputations (P<0.001). There was no statistically significant difference between the 2 groups in terms of other parameters (P>0.05). CONCLUSIONS Although the use of a test socket increases the cost of prosthesis units, we showed that patients with transtibial and transfemoral amputations have fewer complaints related to prosthesis increases patient functionality, and that it reduces pain and increases patient satisfaction with the prosthesis.

摘要

背景

本回顾性研究旨在调查本单位使用和不使用测试插座的下肢假体患者的住院频率、住院原因和测试插座满意度。

材料与方法

共纳入 88 例患者(54 例男性,34 例女性)。患者分为两组:有测试插座组(I 组,44 例)和无测试插座组(II 组,44 例)。对两组患者的功能状态、投诉频率和测试插座满意度相关的变量进行了调查。使用三位一体截肢和假体体验量表(TAPES)和贝克抑郁量表(BDI)评估患者对假体的满意度。使用视觉模拟量表(VAS)评估静息和行走时的疼痛。

结果

我们发现,在胫骨和股骨截肢患者中,I 组的 TAPES 值更显著(P<0.05)。然而,在胫骨和股骨截肢患者中,II 组的假体交付时间更显著(P<0.001),而在胫骨和股骨截肢患者中,I 组的 3 个月内住院频率更显著(P<0.001)。两组在其他参数方面无统计学差异(P>0.05)。

结论

虽然使用测试插座会增加假体单位的成本,但我们发现胫骨和股骨截肢患者的假体相关投诉较少,这增加了患者的功能,降低了疼痛,并提高了患者对假体的满意度。

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