The trinity amputation and prosthesis experience scales and quality of life in people with lower-limb amputation

The trinity amputation and prosthesis experience scales and quality of life in people with lower-limb amputation
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DOI:
10.1016/j.apmr.2003.07.009
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发表时间:
2004-05-01
影响因子:
4.3
通讯作者:
MacLachlan, M
MacLachlan, M
中科院分区:
医学1区
文献类型:
--
作者:
Gallagher, P;MacLachlan, M

文献摘要

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目的:对一组下肢截肢患者的生活质量(QOL)进行初步研究,并使用三一截肢和假肢体验量表(磁带)调查“假肢体验”的哪些方面与生活质量最密切相关。设计:横断面调查。单位:假肢装配中心。参与者:63名18岁以上单侧下肢截肢患者。干预措施:不适用。主要结果测量:磁带和世界卫生组织生活质量问卷-简要版本。结果:年龄、性别、截肢程度、截肢原因对生活质量领域评分(生理健康、心理、社会关系、环境)均无显著影响。然而,根据使用义肢的时间长短和义肢的使用程度,存在显著差异。逐步回归对生活质量的各个领域发现了不同的显著预测因子。结论:这些发现支持了磁带可用于评估该患者组生活质量的说法。进一步的研究是必要的,以了解量表及其项目对临床状态变化的敏感程度。
Objectives: To undertake preliminary research into quality of life (QOL) for a group of people with a lower-limb amputation and to investigate what aspects of the "prosthetic experience" are most strongly associated with QOL using the Trinity Amputation and Prosthesis Experience Scales (TAPES).Design: Cross-sectional survey.Setting: Prosthetic limb fitting center.Participants: Sixty-three people older than 18 years with unilateral lower-limb amputation.Interventions: Not applicable.Main Outcome Measures: The TAPES and the World Health Organization Quality of Life Questionnaire-Brief Version.Results: There were no significant differences in any of the QOL domain scores (physical health, psychological, social relationships, environmental) arising from age, gender, level of amputation, or cause of amputation. However, there were significant differences depending on the length of time living with the prosthesis and the degree of prosthetic use. Stepwise regression identified different significant predictors for each domain of QOL.Conclusions: These findings support the claim that the TAPES can be used to evaluate QOL for this patient group. Further research is warranted to learn how sensitive the scale and its items are to change in clinical status.