Consequences of non-vascular trans-femoral amputation:: a survey of quality of life, prosthetic use and problems
Consequences of non-vascular trans-femoral amputation:: a survey of quality of life, prosthetic use and problems
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DOI：
10.1080/03093640108726601
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发表时间：
2001-12-01
影响因子：
1.5
通讯作者：
Brånemark, R
中科院分区：
文献类型：
--
作者：
Hagberg, K;Brånemark, R
在一项旨在调查健康相关生活质量(HRQL)、假体使用和问题的邮寄调查中，研究了因非血管原因而单侧经股截肢的个体。使用了瑞典SF-36健康调查和为股骨截肢者设计的结构化问卷。研究对象97例(男60例，女37例)，年龄20~69岁，截肢后平均22年。创伤是截肢的原因，占55%，肿瘤占35%，其他原因占10%。92名(92名)受试者(95%)有义肢，80名(82%)每天使用义肢。SF-36测量的一般HRQL在所有维度上都显著低于瑞典年龄和性别匹配的常模。最常报告的导致生活质量下降的问题是假肢插座内的发热/出汗(72%)、插座引起的溃疡/皮肤刺激(62%)、无法在树林和田野中行走(61%)和无法快速行走(59%)。近一半的人受到残肢疼痛(51%)、幻肢疼痛(48%)、背部疼痛(47%)和另一条腿疼痛(46%)的困扰。四分之一的人认为自己的总体情况很差或非常差。由于非血管原因，经股截肢对生活质量有明显的影响，而且截肢和假体存在相当大的问题。需要努力改善这一预期寿命较长的群体的身体和心理健康。
Individuals with unilateral trans-femoral amputations due to non-vascular causes were studied in a mailed survey designed to investigate health-related quality of life (HRQL), prosthetic use and problems. The Swedish SF-36 Health Survey and a structured questionnaire designed for trans-femoral amputees were used. The series consisted of 97 subjects (60 men, 37 women), aged 20 to 69 years with a mean of 22 years since the amputation. Trauma was the cause of amputation in 55%, tumour in 35% and other causes in 10%. Ninety-two (92) subjects (95%) had a prosthesis and 80 (82%) used it daily. General HRQL was significantly lower than Swedish age- and gender-matched norms in all dimensions as measured by SF-36. Most frequently reported problems that had led to reduction in quality of life were heat/sweating in the prosthetic socket (72%), sores/skin irritation from the socket (62%), inability to walk in woods and fields (61%) and inability to walk quickly (59%). Close to half were troubled by stump pain (51%), phantom limb pain (48%), back, pain (47%) and pain in the other leg (46%). One fourth considered themselves to have a poor or extremely poor overall situation. Transfemoral amputation, due to non-vascular causes, has an evident impact on quality of life and there are considerable problems related to the amputation and the prosthesis. Efforts to improve the physical and the psychological well-being for this group, with a long life expectancy, are needed.