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Prevalence of metabolic syndrome and health-related quality of life in war-related bilateral lower limb amputees.战争相关双侧下肢截肢者的代谢综合征患病率及健康相关生活质量
J Diabetes Metab Disord. 2017 Apr 5;16:17. doi: 10.1186/s40200-017-0298-2. eCollection 2017.
2
A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage.战伤截肢与保肢术后四年健康结局的比较
PLoS One. 2017 Jan 25;12(1):e0170569. doi: 10.1371/journal.pone.0170569. eCollection 2017.
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Major Lower Limb Amputations: Experience of a Tertiary Care Hospital in Sri Lanka.下肢大截肢手术:斯里兰卡一家三级护理医院的经验
J Coll Physicians Surg Pak. 2016 Jul;26(7):620-2.
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ASSESSMENT OF QUALITY OF LIFE IN PATIENTS AFTER LOWER LIMB AMPUTATION.下肢截肢术后患者生活质量评估
Med Pregl. 2015 Mar-Apr;68(3-4):103-8. doi: 10.2298/mpns1504103k.
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Health-related profiles of people with lower limb loss.下肢缺失者的健康相关概况。
Arch Phys Med Rehabil. 2015 Aug;96(8):1474-83. doi: 10.1016/j.apmr.2015.03.024. Epub 2015 Apr 25.
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An exploratory phenomenological study exploring the experiences of people with systemic disease who have undergone lower limb amputation and its impact on their psychological well-being.一项探索性现象学研究,探究患有全身性疾病且接受了下肢截肢手术的患者的经历及其对他们心理健康的影响。
Prosthet Orthot Int. 2016 Feb;40(1):44-50. doi: 10.1177/0309364614556838. Epub 2014 Nov 18.
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W is for wellbeing and the WHO definition of health.W代表幸福安康以及世界卫生组织对健康的定义。
Br J Gen Pract. 2014 Nov;64(628):582. doi: 10.3399/bjgp14X682381.
8
Goal pursuit and goal adjustment as predictors of disability and quality of life among individuals with a lower limb amputation: a prospective study.目标追求和目标调整对下肢截肢患者残疾和生活质量的预测:一项前瞻性研究。
Arch Phys Med Rehabil. 2014 Feb;95(2):244-52. doi: 10.1016/j.apmr.2013.08.011. Epub 2013 Aug 30.
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Factors associated with home discharge after rehabilitation among male veterans with lower extremity amputation.与下肢截肢男性退伍军人康复后出院回家相关的因素。
PM R. 2013 May;5(5):408-17. doi: 10.1016/j.pmrj.2012.09.578. Epub 2012 Nov 14.
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World Health Organization Quality-of-Life Scale (WHOQOL-BREF): Analyses of Their Item Response Theory Properties Based on the Graded Responses Model.世界卫生组织生活质量量表(WHOQOL-BREF):基于等级反应模型的项目反应理论特性分析
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某三级假肢康复中心下肢截肢者生活质量研究

A study on quality of life among lower limb amputees at a tertiary prosthetic rehabilitation center.

作者信息

Shankar Pooja, Grewal V S, Agrawal Sunil, Nair Sreeni V

机构信息

ADH, HQ MB Area, Jabalpur Cantonment, 482 001, India.

Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, 411 040, India.

出版信息

Med J Armed Forces India. 2020 Jan;76(1):89-94. doi: 10.1016/j.mjafi.2019.02.008. Epub 2019 Jun 3.

DOI:10.1016/j.mjafi.2019.02.008
PMID:32020975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6994729/
Abstract

BACKGROUND

Limb loss is one of the most physically and psychologically devastating events causing major disfigurement, rendering people less mobile, and at risk for loss of independence. This research aims to study the quality of life (QoL) among lower limb amputees (LLAs) at a tertiary prosthetic rehabilitation center.

METHODS

The present study is based on the self-perceived QoL of new LLAs reporting to a tertiary prosthetic rehabilitation center for prosthesis using World Health Organization Quality of Life-BREF scale.

RESULTS

35% of this study population were currently serving personnel of Indian Armed Forces, while 17.3% were dependents. 17.3% of the study participants were retired Indian Armed Forces personnel. 51.5% of study participants had undergone a lower limb amputation following trauma; 22.7% of the traumatic amputations had resulted from road traffic accidents, 16.7% from trauma sustained following railway accidents, and combat-related injuries accounted for 11.4% of traumatic lower limb amputations. Diabetic foot/gangrene was responsible for 32% of lower limb amputations in the current study. Overall QoL score of 78.76 (standard deviation [SD] = 15.03) was seen revealing highest mean score in environmental domain 26.59 (SD = 5.38), followed by physical domain, psychological domain, and lowest score being in social domain.

CONCLUSION

When judging the success or failure of lower limb amputation, the assessment of QoL outcome is paramount. A number of factors need to be taken into consideration to ensure holistic reintegration of the amputees back into the society.

摘要

背景

肢体缺失是最具身心破坏性的事件之一,会导致严重毁容,使人行动不便,并面临失去独立生活的风险。本研究旨在探讨一家三级假肢康复中心下肢截肢患者的生活质量(QoL)。

方法

本研究基于向一家三级假肢康复中心报到使用假肢的新下肢截肢患者的自我感知生活质量,采用世界卫生组织生活质量简表进行评估。

结果

本研究人群中35%为印度武装部队现役人员,17.3%为家属。17.3%的研究参与者为印度武装部队退休人员。51.5%的研究参与者在创伤后接受了下肢截肢;22.7%的创伤性截肢是由道路交通事故导致的,16.7%是由铁路事故后的创伤导致的,与战斗相关的损伤占创伤性下肢截肢的11.4%。糖尿病足/坏疽在本研究中导致了32%的下肢截肢。总体生活质量得分为78.76(标准差[SD]=15.03),其中环境领域得分最高,为26.59(SD=5.38),其次是身体领域、心理领域,社会领域得分最低。

结论

在判断下肢截肢的成败时,生活质量结果的评估至关重要。需要考虑多个因素,以确保截肢者全面重新融入社会。