Janbazan Medical and Engineering Research Center (JMERC), NO.17, Farrokh St., Moghaddas Ardebily Ave., Chamran Highway, Tehran, Iran.
Mil Med Res. 2018 Oct 26;5(1):36. doi: 10.1186/s40779-018-0183-4.
The aim of the study was to identify health concerns of veterans with high-level lower extremity amputations.
Through a cross-sectional study, general practitioners, an orthopedic specialist, psychologists, psychiatrists, physiotherapist and prosthetists examined 100 veterans using a short-form health-related quality of life questionnaire (SF-36) that assessed their ability to perform activities of daily living (ADL), instrumental activities of daily living (IADL) and life satisfaction (SWLS) after hip disarticulation or hemi-pelvectomy amputations. The assessment tool was designed to gather statistically useful information about their health needs.
The means of the Physical Component Summary (PCS), Mental Component Summary (MCS), SWLS, ADL and IADL were 48.58 ± 29.6, 33.33 ± 22.0, 19.30 ± 7.7, 48.10 ± 10.5 and 5.08 ± 1.8, respectively. Somatization, depression, and anxiety were the most prevalent disorders; among the veterans who were visited by psychiatrists, 11.6% had a history of hospitalization in a psychiatry section, and 53.2% had a psychiatric visit. Regardless of their injury in battle, 34% of veterans were hospitalized. Hearing problems were common, and about four-fifths of the participants suffered from at least one orthopedic condition. Neuroma (49%) was the most common stump-related complication during orthopedic evaluations, though the prevalence of phantom pain was 81% during the pain assessment. A total of 87% of the participants had a history of wearing a prosthesis, but only 29% wore a prosthesis at the time of the present study. The Canadian-type of prosthesis was uncomfortable and not useful (27%) and excessively heavy (10%) according to the amputees.
Understanding veterans' characteristics and special needs are important to make sure that enough facilities and services are afforded to them. These findings emphasize the importance of paying close attention to different dimensions of health in veterans and can help health providers identify health needs and make regular assessments.
本研究旨在确定下肢高位截肢退役军人的健康关注点。
通过一项横断面研究，全科医生、矫形专家、心理学家、精神科医生、理疗师和假肢技师使用简短的健康相关生活质量问卷（SF-36）对 100 名退役军人进行了检查，评估他们在髋关节离断或半骨盆切除术后进行日常生活活动（ADL）、工具性日常生活活动（IADL）和生活满意度（SWLS）的能力。该评估工具旨在收集有关其健康需求的具有统计学意义的信息。
生理成分综合评分（PCS）、心理成分综合评分（MCS）、SWLS、ADL 和 IADL 的平均值分别为 48.58±29.6、33.33±22.0、19.30±7.7、48.10±10.5 和 5.08±1.8。躯体化、抑郁和焦虑是最常见的障碍；在接受过精神科医生检查的退役军人中，11.6%有过精神科住院史，53.2%有过精神科就诊史。无论他们的伤是否在战斗中造成，34%的退役军人都曾住院治疗。听力问题很常见，约五分之四的参与者至少患有一种骨科疾病。神经瘤（49%）是骨科评估中最常见的残端相关并发症，而在疼痛评估中，幻痛的患病率为 81%。共有 87%的参与者有佩戴假肢的病史，但在本研究进行时，只有 29%的人佩戴了假肢。根据截肢者的反馈，加拿大式的假肢既不舒服也不实用（27%），而且太重（10%）。
了解退役军人的特点和特殊需求对于确保为他们提供足够的设施和服务非常重要。这些发现强调了关注退役军人健康不同维度的重要性，并有助于医疗保健提供者识别健康需求并进行定期评估。
