Warrior Research Center, School of Kinesiology, Auburn University, Auburn, AL.
Department of Educational Foundations, Leadership, and Technology, Auburn University, Auburn, AL.
Prosthet Orthot Int. 2024 Aug 1;48(4):422-430. doi: 10.1097/PXR.0000000000000285. Epub 2023 Oct 20.
The aim of this study was to characterize the relationship between prosthetic device and service satisfaction, health-related quality of life (HRQOL), and functional movement in a diverse population of lower limb prosthesis users.
An online survey was conducted on individuals with lower limb amputation between September and October 2021. Sample validated questionnaires assessing demographic and clinical features, satisfaction, functional outcomes, and quality of life were analyzed using path analysis.
Participants were 1736 individuals with lower limb amputation. Overall, 44% of participants reported dissatisfaction with prosthetic device, whereas 37% were dissatisfied with prosthetic service. Low functional mobility was reported by 58% of participants and 61% reported low HRQOL. Lower extremity functional status (β = 0.55), HRQOL (β = 0.08), Activities-specific Balance Scale (β = 0.22), and modified fall efficacy scale (β = -0.07) are significantly associated with prosthetic device satisfaction ( P < 0.0005, R 2 = 0.47). Satisfaction with provider service was significantly associated with lower extremity functional status (β = 0.44) and balance confidence (β = 0.18) ( P < 0.0005, R 2 = 0.34).
Civilians, veterans, and service members reported low functional mobility, low quality of life, and moderate levels of dissatisfaction with their lower extremity prosthetic device and provider service. Improvements in mobility, balance, quality of life, and fall efficacy may enhance device satisfaction. Functional mobility and balance improvements may increase ratings of provider service. This study provides feedback that may improve clinical decisions on lower limb prosthesis patient care.
本研究旨在描述下肢假体使用者的假体装置与服务满意度、健康相关生活质量（HRQOL）和功能运动之间的关系。
2021 年 9 月至 10 月期间，我们对下肢截肢者进行了在线调查。使用路径分析对评估人口统计学和临床特征、满意度、功能结果和生活质量的样本验证问卷进行了分析。
参与者为 1736 名下肢截肢者。总体而言，44%的参与者对假体装置不满意，而 37%的参与者对假体服务不满意。58%的参与者报告功能移动性较低，61%的参与者报告 HRQOL 较低。下肢功能状态（β=0.55）、HRQOL（β=0.08）、特定活动平衡量表（β=0.22）和改良跌倒效能量表（β=-0.07）与假体装置满意度显著相关（P<0.0005，R2=0.47）。对服务提供者的满意度与下肢功能状态（β=0.44）和平衡信心（β=0.18）显著相关（P<0.0005，R2=0.34）。
平民、退伍军人和现役军人报告称其下肢假体的功能移动性、生活质量较低，对下肢假体装置和提供者服务的满意度较低。提高移动性、平衡、生活质量和跌倒效能可能会提高对装置的满意度。功能移动性和平衡的改善可能会提高对提供者服务的评价。本研究提供了反馈，可能会改善下肢假体患者护理的临床决策。
