Migaou Houda, Kalai Amine, Hassine Yafa Haj, Jellad Anis, Boudokhane Soumaya, Frih Zohra Ben Salah
Department of Physical Medicine and Rehabilitation, University Hospital of Monastir and Faculty of Medicine of Monastir, Monastir, Tunisia.
Ann Rehabil Med. 2019 Jun;43(3):321-327. doi: 10.5535/arm.2019.43.3.321. Epub 2019 Jun 28.
To study factors associated to the quality of life in a North African sample of lower limbs amputees.
We conducted a prospective study in the Department Physical Medicine and Rehabilitation, University Hospital of Monastit, Tunisia. A consecutive sample of patients with amputations of the lower limbs was included. The evaluated parameters were quality of life using the Short-Form quality-of-life questionnaire (SF-36), pain using a visual analog scale, function using, the perimeter of walking (PW), the Special Interest Group of the Amputee Medicine (SIGAM) and the Locomotion Capacities Index of the Prosthetic Profile of the Amputee (LCI), and psychological status thanks to the Hospital Anxiety and Depression scale. In the study, the patients were evaluated at the first consultation (T0) and again at 12 months (T1).
We included 85 patients (age, 59.3±16.7 years) with a sex ratio of 3. The patient quality of life was positively correlated to distal type of amputation, traumatic origin, better LCI (p≤0.001, r=0.349), SIGAM (p=0.046) and PW. A negative correlation was noted with age (p=0.012, r=-0.483) and higher psychological scores (p=0.002, r=-0.321).
In our sample of North African lower limbs amputees the age and the functional status were the most important predictors of the quality of life.
研究北非下肢截肢者样本中与生活质量相关的因素。
我们在突尼斯莫纳斯提尔大学医院物理医学与康复科进行了一项前瞻性研究。纳入了连续的下肢截肢患者样本。评估参数包括使用简短生活质量问卷（SF-36）的生活质量、使用视觉模拟量表的疼痛程度、使用步行周长（PW）、截肢医学特殊兴趣小组（SIGAM）和截肢者假肢轮廓运动能力指数（LCI）评估的功能，以及通过医院焦虑和抑郁量表评估的心理状态。在研究中，患者在首次就诊时（T0）进行评估，并在12个月时（T1）再次评估。
我们纳入了85名患者（年龄，59.3±16.7岁），性别比为3。患者的生活质量与截肢的远端类型、创伤性病因、更好的LCI（p≤0.001，r = 0.349）、SIGAM（p = 0.046）和PW呈正相关。与年龄（p = 0.012，r = -0.483）和更高的心理评分（p = 0.002，r = -0.321）呈负相关。
在我们的北非下肢截肢者样本中，年龄和功能状态是生活质量最重要的预测因素。
