Calabrese Laura, Maffoni Marina, Torlaschi Valeria, Pierobon Antonia
Istituti Clinici Scientifici Maugeri IRCCS, Psychology Unit of Montescano Institute, 27040 Montescano, Italy.
Healthcare (Basel). 2023 Jun 5;11(11):1661. doi: 10.3390/healthcare11111661.
This systematic review aims to investigate Quality of Life (QoL)/Health Related Quality of Life (HRQoL) and psychological adjustment in non-traumatic lower limb amputees (LLA).
PubMed, Scopus, and Web of Science databases were used for the literature search. Studies were read and analysed using the (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) PRISMA statement procedure.
The literature search retrieved 1268 studies, of which 52 were included in the systematic review. Overall, psychological adjustment, especially depression with or without anxiety symptoms, influences the QoL/HRQoL in this clinical population. Other factors influencing QoL/HRQoL include subjective characteristics, physical aspects, the cause and level of the amputation, relational aspects, social support, and the doctor-patient relationship. In addition, the patient's emotional-motivational status, depression and/or anxiety symptoms, and acceptance play a key role in the subsequent rehabilitation process.
In LLA patients, psychological adjustment is a complex and multifaceted process, and QoL/HRQoL may be influenced by various factors. Shedding light on these issues may provide useful suggestions for promoting clinical and rehabilitative interventions that may be tailored and effective in this clinical population.
本系统评价旨在调查非创伤性下肢截肢患者的生活质量（QoL）/健康相关生活质量（HRQoL）及心理调适情况。
使用PubMed、Scopus和Web of Science数据库进行文献检索。采用系统评价和Meta分析的首选报告项目（PRISMA）声明程序对研究进行阅读和分析。
文献检索共获得1268项研究，其中52项纳入系统评价。总体而言，心理调适，尤其是伴有或不伴有焦虑症状的抑郁，会影响该临床人群的QoL/HRQoL。影响QoL/HRQoL的其他因素包括主观特征、身体方面、截肢原因和水平、人际关系方面、社会支持以及医患关系。此外，患者的情绪动机状态、抑郁和/或焦虑症状以及接受程度在后续康复过程中起关键作用。
在下肢截肢患者中，心理调适是一个复杂且多方面的过程，QoL/HRQoL可能受到多种因素影响。阐明这些问题可能为促进临床和康复干预提供有用建议，这些干预措施可能针对该临床人群进行定制且有效。
