Department of Physical Therapy, University of Nevada, Las Vegas, Las Vegas, NV, USA.
Department of Epidemiology and Biostatistics, University of Nevada, Las Vegas, Las Vegas, NV, USA.
Prosthet Orthot Int. 2022 Aug 1;46(4):e335-e340. doi: 10.1097/PXR.0000000000000113. Epub 2022 Mar 22.
Making a prosthesis for an individual with limb loss is a highly personalized process. A currently unexplored area is whether there are tangible benefits in greater patient engagement during the cosmetic designing of their prostheses. We examined the current clinical practice of engaging patients in prosthetic cosmetic designing and identified factors associated with patient outcomes.
One hundred and four prosthetists and 28 prosthesis users were surveyed in this cross-sectional study. The questionnaires covered aspects of prosthetic prescription and fabrication, users' perceived level of engagement, and self-reported outcomes. Regression analyses were used to examine the associations between patients' perceived levels of engagement during the design process, satisfaction, and other outcomes.
Seventy-five percent of the prosthesis users reported being offered at least one cosmetic option during the making of their prostheses, which corroborated with 82.7% of the prosthetists reporting that they typically engage their patients in this aspect of their practices. Patients who were offered at least one cosmetic design option reported significantly greater satisfaction ( P = 0.027) than those who were not offered such an option. Patients' level of satisfaction regarding the look of their prostheses was significantly correlated with their perception that their prostheses empower them in daily activities (r = 0.415, P = 0.028).
Engaging patients in the cosmetic designing of their prostheses is a widely accepted practice. Patients who are more satisfied with the look of their prostheses perceived higher levels of empowerment. Prosthetic practitioners should consider the potential outcome benefits of higher level engagement for users of prosthetic devices.
为肢体缺失的个体制作假肢是一个高度个性化的过程。目前尚未探索的一个领域是，在假肢的美容设计过程中让患者更多地参与是否会带来切实的好处。我们研究了目前让患者参与假肢美容设计的临床实践，并确定了与患者结果相关的因素。
在这项横断面研究中，对 104 名假肢技师和 28 名假肢使用者进行了调查。问卷涵盖了假肢处方和制作的各个方面、使用者感知的参与程度以及自我报告的结果。回归分析用于检查患者在设计过程中的感知参与程度、满意度和其他结果之间的关联。
75%的假肢使用者报告在制作假肢时至少提供了一种美容选择，这与 82.7%的假肢技师报告他们通常在这方面参与患者的实践相吻合。与未提供此类选择的患者相比，提供至少一种美容设计选择的患者报告的满意度显著更高（P=0.027）。患者对假肢外观的满意度与他们认为假肢在日常活动中赋予他们力量的程度呈显著正相关（r=0.415，P=0.028）。
让患者参与假肢的美容设计是一种广泛接受的做法。对假肢外观更满意的患者认为自己的假肢赋予了更高的力量。假肢从业者应该考虑让患者更多地参与对假肢使用者的潜在结果益处。
