Quality of Life Associated Factors in a North African Sample of Lower Limbs Amputees
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective To study factors associated to the quality of life in a North African sample of lower limbs amputees. Methods We conducted a prospective study in the Department Physical Medicine and Rehabilitation, University Hospital of Monastit, Tunisia. A consecutive sample of patients with amputations of the lower limbs was included. The evaluated parameters were quality of life using the Short-Form quality-of-life questionnaire (SF-36), pain using a visual analog scale, function using, the perimeter of walking (PW), the Special Interest Group of the Amputee Medicine (SIGAM) and the Locomotion Capacities Index of the Prosthetic Profile of the Amputee (LCI), and psychological status thanks to the Hospital Anxiety and Depression scale. In the study, the patients were evaluated at the first consultation (T0) and again at 12 months (T1). Results We included 85 patients (age, 59.3±16.7 years) with a sex ratio of 3. The patient quality of life was positively correlated to distal type of amputation, traumatic origin, better LCI (p≤0.001, r=0.349), SIGAM (p=0.046) and PW. A negative correlation was noted with age (p=0.012, r=-0.483) and higher psychological scores (p=0.002, r=-0.321). Conclusion In our sample of North African lower limbs amputees the age and the functional status were the most important predictors of the quality of life.
Abstract
Objective To study factors associated to the quality of life in a North African sample of lower limbs amputees. Methods We conducted a prospective study in the Department Physical Medicine and Rehabilitation, University Hospital of Monastit, Tunisia. A consecutive sample of patients with amputations of the lower limbs was included. The evaluated parameters were quality of life using the Short-Form quality-of-life questionnaire (SF-36), pain using a visual analog scale, function using, the perimeter of walking (PW), the Special Interest Group of the Amputee Medicine (SIGAM) and the Locomotion Capacities Index of the Prosthetic Profile of the Amputee (LCI), and psychological status thanks to the Hospital Anxiety and Depression scale. In the study, the patients were evaluated at the first consultation (T0) and again at 12 months (T1). Results We included 85 patients (age, 59.3±16.7 years) with a sex ratio of 3. The patient quality of life was positively correlated to distal type of amputation, traumatic origin, better LCI (p≤0.001, r=0.349), SIGAM (p=0.046) and PW. A negative correlation was noted with age (p=0.012, r=-0.483) and higher psychological scores (p=0.002, r=-0.321). Conclusion In our sample of North African lower limbs amputees the age and the functional status were the most important predictors of the quality of life.
참고문헌 (20)
- Biemer E, "Definitions and classifications in replantation surgery", Br J Plast Surg, 33, pp.164~168 (1980)
- Ustun TB, "The International Classification of Functioning, Disability and Health : a new tool for understanding disability and health", Disabil Rehabil, 25, pp.565~571 (2003)
- Geertzen JH, "Moving beyond disability", Prosthet Orthot Int, 32, pp.276~281 (2008)
- Desmond DM, "Coping strategies as predictors of psychosocial adaptation in a sample of elderly veterans with acquired lower limb amputations", Soc Sci Med, 62, pp.208~216 (2006)
- Streppel KR, "Functional status and prosthesis use in amputees, measured with the Prosthetic Profile of the Amputee(PPA)and the short version of the Sickness Impact Profile(SIP68)", Int J Rehabil Res, 24, pp.251~256 (2001)
- Ackerley SJ, "Assessment of quality of life and participation within an outpatient rehabilitation setting", Disabil Rehabil, 31, pp.906~913 (2009)
- Schoppen T, "Functional outcome after a lower limb amputation", pp.59~74 (2002), Northern Centre for Healthcare Research
- Asano M, "Predictors of quality of life among individuals who have a lower limb amputation", Prosthet Orthot Int, 32, pp.231~243 (2008)
- van der Schans CP, "Phantom pain and health-related quality of life in lower limb amputees", J Pain Symptom Manage, 24, pp.429~436 (2002)
- Demet K, "Health related quality of life and related factors in 539 persons with amputation of upper and lower limb", Disabil Rehabil, 25, pp.480~486 (2003)
- Ware JE Jr, "The MOS 36-item shortform health survey (SF-36). I. Conceptual framework and item selection", Med Care, 30, pp.473~483 (1992)
- Gauthier-Gagnon C, "Prosthetic profile of the amputee questionnaire : validity and reliability", Arch Phys Med Rehabil, 75, pp.1309~1314 (1994)
- Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)
- Sinha R, "Factors affecting quality of life in lower limb amputees", Prosthet Orthot Int, 35, pp.90~96 (2011)
- Bouaziz MA, "Epidemiological and clinical characteristics, functional and quality of life of patients with major lower limb amputees in central Tunisia", master’s, pp.2014
- Abdelgadir M, "Health related quality of life and sense of coherence in Sudanese diabetic subjects with lower limb amputation", Tohoku J Exp Med, 217, pp.45~50 (2009)
- Sinha R, "Influence of adjustments to amputation and artificial limb on quality of life in patients following lower limb amputation", Int J Rehabil Res, 37, pp.74~79 (2014)
- Ben Romdhane H, "Prevalence of diabetes in Northern African countries : the case of Tunisia", BMC Public Health, 14, pp.86~ (2014)
- Meatherall BL, "Disability and quality of life in Canadian aboriginal and non-aboriginal diabetic lower-extremity amputees", Arch Phys Med Rehabil, 86, pp.1594~1602 (2005)
- Zidarov D, "Life habits and prosthetic profile of persons with lower-limb amputation during rehabilitation and at 3-month followup", Arch Phys Med Rehabil, 90, pp.1953~1959 (2009)