Research Department, Providence VA Medical Center, Providence, RI, USA.
Health Services, Policy and Practice, Brown University, Providence, RI, USA.
PM R. 2020 Nov;12(11):1086-1098. doi: 10.1002/pmrj.12351. Epub 2020 Apr 8.
A better understanding of women veterans with upper limb amputation is needed.
To compare prosthetic use and outcomes of female and male veterans with upper limb amputation.
Cross-sectional survey: Amputation characteristics, prosthesis use, and quality of life outcomes were compared by gender. Separate logistic regression models examined association of gender with prosthesis use and receipt of training to use a prosthesis. Separate linear regression models examined the relationship between gender and health-related quality of life (HRQoL) outcomes.
Participants were veterans with major upper limb amputation who received care at the Department of Veterans Affairs (VA) in 2010-2015, identified from VA data sources. A total of 808 individuals (755 men, 21 women) were surveyed by telephone.
Disabilities of the Arm, Shoulder and Hand (QuickDASH), VR-12 Physical Component Summary (PCS) and VR-12 Mental Component Summary (MCS), Trinity Amputation and Prosthetic Experience Scale satisfaction scale, Orthotics and Prosthetic User's Survey client satisfaction with devices scale.
Telephone survey of community dwelling participants.
Not applicable.
Survey response rate was 47.3% for men and 62.8% for women. Women were less likely to have ever used a prosthesis (adjusted odds ratio [aOR] = 0.26; confidence interval [CI] 0.08-0.88), have received training for an initial prosthesis (aOR: 0.24; CI 0.08-0.70), be current users (aOR = 0.34; CI 0.12-1.01), and have received training for a current prosthesis (aOR: 0.15; 0.03-0.87). A greater proportion of women used cosmetic and a smaller proportion used body-powered devices compared to men (P < .05). Device heaviness or fatigue was the most common reason for abandonment. There were no significant differences in outcome measures by gender.
Women were less likely than men to have ever used and currently use prostheses or to have received prosthetic training, more likely to use cosmetic devices, and less likely to use body-powered devices. Efforts to develop prostheses that are cosmetically acceptable, yet lightweight and functional, are needed.
需要更好地了解上肢截肢的女性退伍军人。
比较女性和男性上肢截肢退伍军人的假肢使用和结果。
横断面调查：按性别比较截肢特征、假肢使用和生活质量结果。单独的逻辑回归模型检查性别与假肢使用和接受假肢使用培训的关联。单独的线性回归模型检查性别与健康相关生活质量（HRQoL）结果之间的关系。
参与者为 2010-2015 年在退伍军人事务部（VA）接受治疗的上肢主要截肢退伍军人，从 VA 数据源中确定。共有 808 人（755 名男性，21 名女性）通过电话接受调查。
手臂、肩部和手部残疾（QuickDASH）、VR-12 生理成分综合评分（PCS）和 VR-12 心理成分综合评分（MCS）、三位一体截肢和义肢体验量表满意度量表、矫形器和义肢使用者调查患者对设备的满意度量表。
社区居住参与者的电话调查。
不适用。
男性的调查回复率为 47.3%，女性为 62.8%。女性使用假肢的可能性较小（调整后的优势比[aOR] = 0.26；置信区间[CI] 0.08-0.88），接受初始假肢培训的可能性较小（aOR：0.24；CI 0.08-0.70），当前使用者的可能性较小（aOR = 0.34；CI 0.12-1.01），并且接受当前假肢培训的可能性较小（aOR：0.15；0.03-0.87）。与男性相比，女性使用美容假肢的比例较高，使用身体动力假肢的比例较低（P<.05）。设备沉重或疲劳是放弃的最常见原因。在结果测量中，性别之间没有差异。
女性使用和当前使用假肢或接受假肢培训的可能性小于男性，更有可能使用美容设备，而不太可能使用身体动力设备。需要开发既美观又轻便且功能强大的假肢。
