Shankar Pooja, Grewal V S, Agrawal Sunil, Nair Sreeni V
ADH, HQ MB Area, Jabalpur Cantonment, 482 001, India.
Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, 411 040, India.
Med J Armed Forces India. 2020 Jan;76(1):89-94. doi: 10.1016/j.mjafi.2019.02.008. Epub 2019 Jun 3.
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.
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.
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.
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.
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)。
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。
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。
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。