Pienaar Elzbeth, Visagie Surona
1 Western Cape Rehabilitation Centre, Western Cape Department of Health, Cape Town, South Africa.
2 Centre for Rehabilitation Studies, Stellenbosch University, Cape Town, South Africa.
Prosthet Orthot Int. 2019 Jun;43(3):276-283. doi: 10.1177/0309364619825891. Epub 2019 Feb 7.
Due to limitations in provision of prosthetic care in South Africa, a screening tool to select transfemoral prosthetic candidates has been implemented.
To describe prosthetic services, use and mobility of people with transfemoral amputation, identified as prosthetic candidates through the Guidelines for Screening of Prosthetic Candidates: Lower Limb, and to identify variables that might influence prosthetic use and mobility.
Cross-sectional survey.
The study population included all adults who received their first prosthesis from the Orthotic and Prosthetic Centre in the Western Cape between 1 June 2011 and 31 December 2014. Data were collected, with an adapted version of the Prosthetic Profile of the Amputee, from 43 participants, through telephonic interviews. Descriptive and inferential analysis, with the chi-square test, was done.
The majority of participants were older than 50 years (77%). Most participants (35; 81%) used their prosthesis; however, only 42% (18) used it daily. A significant association ( p = 0.000) was found between prosthetic rehabilitation and self-reported prosthetic walking distance. Less than half of participants received prosthetic rehabilitation and only 10 (30%) could walk 500 steps and more without resting.
Participants used their prosthetic leg, but experienced limitations in frequency of wear and mobility.
Current findings showed that participants' prosthetic mobility was curtailed. In less-resourced settings, carefully selecting prosthetic candidates may be necessary to provide access to services. Prosthetic provision is advised to be followed up with prosthetic rehabilitation for favourable mobility outcomes.
由于南非假肢护理服务存在局限性，已实施一种筛选工具来挑选适合经股截肢者的假肢使用者。
描述经股截肢者的假肢服务、使用情况和活动能力，这些截肢者是通过《假肢候选者筛查指南：下肢》被确定为假肢使用者候选人的，并确定可能影响假肢使用和活动能力的变量。
横断面调查。
研究人群包括2011年6月1日至2014年12月31日期间在西开普省矫形与假肢中心首次接受假肢的所有成年人。通过电话访谈，使用截肢者假肢概况的改编版，收集了43名参与者的数据。进行了描述性和推断性分析，并采用了卡方检验。
大多数参与者年龄超过50岁（77%）。大多数参与者（35人；81%）使用了假肢；然而，只有42%（18人）每天使用。在假肢康复与自我报告的假肢行走距离之间发现了显著关联（p = 0.000）。不到一半的参与者接受了假肢康复，只有10人（30%）能够不休息地行走500步及以上。
参与者使用了假肢腿，但在佩戴频率和活动能力方面存在限制。
目前的研究结果表明参与者的假肢活动能力受到限制。在资源较少的环境中，可能需要仔细挑选假肢使用者候选人，以提供服务。建议在提供假肢后进行假肢康复，以获得良好的活动能力结果。
