Issues of importance reported by persons with lower limb amputations and prostheses.
Issues of importance reported by persons with lower limb amputations and prostheses.
复制标题
下肢截肢和假肢患者报告的重要问题。
DOI：
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发表时间：
1999
影响因子：
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通讯作者：
B. Sangeorzan
中科院分区：
文献类型：
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作者：
M. Legro;G. Reiber;M. D. Aguila;Megan J. Ajax;D. Boone;J. Larsen;Douglas G. Smith;B. Sangeorzan
本文的目的是报告假肢相关的重要问题，由不同群体的人与下肢截肢（LLA）和假肢的生活。这些观点和主题验证了一些旧的假设，并挑战其他人，报告共同和不寻常的经验，并间接确定我们的受访者关于假肢的信息水平。从一级区域创伤中心和VA普吉特海湾卫生保健系统西雅图分部的计算机化名册中确定了LLA患者。入选标准规定，受访者必须：1）在赛姆水平（踝关节离断）或更高水平单侧截肢后一年或更长时间，2）每周至少使用假体5天，3）阅读英语，4）能够提供知情同意书。受访者完成了假体评价量表（PEQ）和标准表（SF）-36，一种健康状况测量。在114名同意参加的患者中，92名（85%为男性，平均年龄55岁）回答了问卷，并对假体的各种特征和质量的个人重要性进行了分级。自上次截肢以来的年数从1年到53年不等。四个感兴趣的主题被确定从开放式问题的回答与假肢生活。这些主题包括接受腔与残肢的配合、假肢的机械功能方面、其他非机械性质，以及在他人支持下适应假肢生活的建议。未来的研究建议调整方面的适合假肢与残肢。实施定期检查访问可以发现问题并消除不必要的痛苦。
The purpose of this paper is to report prosthesis-related issues of importance that were identified by a diverse group of persons living with lower limb amputations (LLA) and prostheses. These perceptions and themes validate some old assumptions and challenge others, report both common and unusual experiences, and indirectly identify the information level of our respondents concerning prostheses. Persons with LLA were identified from computerized rosters at a level one regional trauma center and at the VA Puget Sound Health Care System-Seattle, Division. Inclusion criteria specified that respondents were to: 1) be one or more years post-unilateral amputation at the Syme's level (ankle disarticulation) or higher, 2) use their prosthesis at least 5 days a week, 3) read English, and 4) be able to provide informed consent. Respondents completed the Prosthesis Evaluation Questionnaire-field version (PEQ) and the standard form (SF)-36, a health status measure. Of 114 persons who agreed to participate, 92 (85% male, mean age 55 years) responded to the questionnaire and graded the personal importance of various characteristics and qualities of their prosthesis. The number of years since their last amputation ranged from 1 to 53 years. Four Themes of Interest were identified from responses to open-ended questions about living with a prosthesis. These themes included the fit of the socket with the residual limb, aspects of the mechanical functioning of the prosthesis, other nonmechanical qualities, and advice about adaptation to life with a prosthesis with support from others. Future research is recommended to adjust aspects of the fit of the prosthesis with the residual limb. Implementing periodic check-up visits could uncover problems and eliminate unnecessary suffering.