Dominsiano Lotto Charles Paul, Visagie Surona
Division of Disability and Rehabilitation Studies, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Afr J Disabil. 2025 Jul 16;14:1671. doi: 10.4102/ajod.v14i0.1671. eCollection 2025.
Prosthetic rehabilitation modifies functional limitations and psychological challenges caused by amputations, as it helps to restore mobility and body image. A physical rehabilitation centre in Juba, South Sudan, has been providing prosthetic rehabilitation since 2009 in this conflict torn part of the world.
To determine the quality of life (QoL) of persons with unilateral transfemoral or transtibial amputations who have received prosthetic rehabilitation in Juba, South Sudan.
A cross-sectional survey was conducted with 40 participants, identified through consecutive sampling. Data were collected through face-to-face interviews using the World Health Organization Quality of Life Brief Version (WHOQOL-BREF)questionnaire. Descriptive analysis was conducted, and relationships between QoL and participants' demographic and medical information were explored through the -test and analysis of variance (normally distributed data) and the Mann-Whitney and Kruskal-Wallace tests (skewed data).
Mean domain scores were physical (74.28%), psychological (72.59%), social (71.40%) and environmental (58.81%). Overall QoL and overall health satisfaction had mean scores of 4.1/5 and 3.975/5. Marital status (0.049) and occupation (0.022) played a significant role in psychological QoL. No other demographic or medical variable had a significant effect on overall or domain QoL scores. Women were significantly more satisfied with their health than men (0.046).
Overall, participants had high QoL scores. This might be because of prosthetic rehabilitation. Lower scores in the environmental domain might be because of poverty and the continuous danger of armed conflict.
Even when using basic components, prosthetic rehabilitation can significantly improve QoL after lower limb amputation.
假肢康复可改善截肢造成的功能限制和心理挑战，因为它有助于恢复行动能力和身体形象。自2009年以来，南苏丹朱巴的一家物理康复中心一直在这个饱受冲突蹂躏的地区提供假肢康复服务。
确定在南苏丹朱巴接受假肢康复的单侧股骨或胫骨截肢者的生活质量（QoL）。
采用连续抽样法确定40名参与者，进行横断面调查。通过使用世界卫生组织生活质量简表（WHOQOL-BREF）问卷进行面对面访谈收集数据。进行描述性分析，并通过t检验和方差分析（正态分布数据）以及Mann-Whitney检验和Kruskal-Wallace检验（偏态数据）探索生活质量与参与者的人口统计学和医学信息之间的关系。
各领域平均得分分别为身体领域（74.28%）、心理领域（72.59%）、社会领域（71.40%）和环境领域（58.81%）。总体生活质量和总体健康满意度的平均得分分别为4.1/5和3.975/5。婚姻状况（0.049）和职业（0.022）在心理生活质量方面发挥了重要作用。没有其他人口统计学或医学变量对总体或领域生活质量得分有显著影响。女性对自身健康的满意度明显高于男性（0.046）。
总体而言，参与者的生活质量得分较高。这可能是因为假肢康复。环境领域得分较低可能是由于贫困和武装冲突的持续危险。
即使使用基本组件，假肢康复也能显著改善下肢截肢后的生活质量。
