Psychosocial Factors Influence Physical Activity after Dysvascular Amputation: A Convergent Mixed-Methods Study.
Psychosocial Factors Influence Physical Activity after Dysvascular Amputation: A Convergent Mixed-Methods Study.
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DOI：
10.1002/pmrj.12466
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发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Christiansen CL
中科院分区：
文献类型：
--
作者：
Miller MJ;Morris MA;Magnusson DM;Putnam K;Cook PF;Schenkman ML;Christiansen CL
身体功能是改善血管障碍下肢截肢（LLA）后残疾和身体活动的康复干预的共同目标；然而，社会心理因素对身体活动的影响尚不清楚。根据参与者的叙述，确定可能影响身体活动、身体功能和残疾的临床相关测量的社会心理因素。收敛的混合方法。一般社区。20名患有血管异常LLA的参与者被纳入研究，如果他们最近的LLA至少发生在1年前，他们可以使用义肢独立行走，年龄在45到88岁之间。不适用。定量数据包括身体活动（activPAL；步数/d）、身体功能（Timed Up-and-Go； TUG）和残疾（世界卫生组织残疾评估表2.0;WHODAS 2.0）。通过半结构化访谈收集定性数据。较高的步数/d与较好的TUG时间适度相关（r =−）。58, P < 0.01)，但与WHODAS 2.0评分无相关性（r = - 0.18; P < 0.10）。对访谈进行定性分析，采用归纳、团队为基础的现象学方法，确定了四个主题：(1)对假肢的感知，(2)行动时的恐惧，(3)LLA对生活活动的影响，以及(4)社会互动中的积极前景。混合方法分析采用迭代方法来解释和描述四个典型案例中的社会心理因素如何影响身体活动。血管异常LLA患者的身体活动源于对假体的感知、活动时的恐惧、LLA对生活活动的影响以及社会交往中的积极前景等因素的相互作用。这些主题的重叠性质表明，针对社会心理因素的干预可能与改善身体活动、身体功能和血管性LLA后的后续残疾有关。
Physical function is a common target of rehabilitation intervention to improve disability and physical activity after dysvascular lower-limb amputation (LLA); yet, the influence of psychosocial factors on physical activity is unclear. To identify psychosocial factors with potential to influence clinically relevant measures of physical activity, physical function, and disability in light of participants’ narratives. Convergent mixed-methods. General community. Twenty participants with dysvascular LLA were enrolled if their most recent LLA was at least 1 year prior, they were ambulating independently with a prosthesis, and were between 45 and 88 years old. Not applicable. Quantitative data included physical activity (activPAL; steps/d), physical function (Timed Up-and-Go; TUG), and disability (World Health Organization Disability Assessment Schedule 2.0; WHODAS 2.0). Qualitative data were collected via semistructured interviews. Higher steps/d was moderately correlated with better TUG time (r = −.58, P < .01), but was not correlated with WHODAS 2.0 score (r = −0.18; P > .10). Qualitative analysis of interviews, using an inductive, team-based, phenomenological approach, identified four themes: (1) perceptions of their prosthesis, (2) fear during mobility, (3) influence of LLA on life activities, and (4) positive outlook within social interactions. Mixed-methods analysis used an iterative approach to interpret and describe how psychosocial factors influence physical activity in four exemplar cases. Physical activity in people with dysvascular LLA results from an interaction among perceptions of their prosthesis, fear during mobility, influence of LLA on life activities, and positive outlook within social interactions. The overlapping nature of these themes suggests that interventions targeting psychosocial factors may be associated with improved physical activity, physical function, and subsequent disability after dysvascular LLA.
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影响因子：
11.7
作者：
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通讯作者：
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影响因子：
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DOI：
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影响因子：
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发表时间：
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影响因子：
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