Division of Plastic and Reconstructive Surgery, Department of Surgery, School of Medicine, Washington University, St. Louis, MO, USA.
J Hand Surg Eur Vol. 2022 May;47(5):461-468. doi: 10.1177/17531934211044642. Epub 2021 Sep 9.
The purpose of this study was to quantify the stigma associated with digital amputation and examine factors associated with it. One hundred and sixty-four digital amputees completed the Neurological Quality of Life-Stigma questionnaire and a battery of Patient-Reported Outcome Measurement Information System instruments. Multivariable analysis examined factors associated with stigma experience. The mean observed stigma score of 47 (SD 8, range 36-64) was similar to the mean value of the normal population. Younger age, a worker's compensation claim and depression were each independently associated with a more severe experience of stigma after digital amputation. Socioeconomic variables, anatomical details and mechanism of injury were not independently associated with stigma. Digital amputation is not highly stigmatizing overall. Surgeons should consider referring at-risk patients to a mental health provider for support during the coping and adjustment process after amputation. III.
本研究旨在量化与数字截肢相关的耻辱感，并探讨与之相关的因素。164 名数字截肢患者完成了神经生活质量 - 耻辱感问卷和一系列患者报告的结果测量信息系统工具。多变量分析检查了与耻辱感体验相关的因素。观察到的平均耻辱感得分为 47（SD8，范围 36-64），与正常人群的平均值相似。年轻、工人赔偿要求和抑郁是数字截肢后耻辱感更严重的独立相关因素。社会经济变量、解剖细节和损伤机制与耻辱感无关。总体而言，数字截肢的耻辱感并不高。外科医生应该考虑在截肢后的应对和调整过程中，将有风险的患者转介给心理健康提供者以获得支持。
