Kvalitet života pacijenata sa transtibijalnom amputacijom i različiti periodi nošenja proteze
Različiti periodi nošenja proteze i kvalitet života
Sažetak
Uvod. Istraživanje pacijenata sa amputacijom donjih ekstremiteta (LLA) odražava se na sve veće naglašavanje na kvalitet života (KoL) i njegovu sve veću upotrebu kao mere ishoda. Cilj ovog istraživanja bio je da pokaže koji aspekti kvaliteta života su povezani sa trajanjem nošenja proteze kod pacijenata sa transtibijalnom amputacijom (TTA). Metode. Uzorak studije obuhvatao je 40 pacijenata koji su koristili protezu 1-3 godine (grupa A), 4-7 godina (grupa B) i >8 godina (grupa C). Svi pacijenti su kompletirali Triniti skalu za amputaciju i iskustvo sa protezom-revidirana (TAPES-R). Rezultati. Period nošenja proteza bio je značajno različit između grupa: grupa A (2,2 ± 0,7 godina), grupa B (5,5 ± 1,3 godine) i grupa C (22,9 ± 13,6 godina), p<0,001. Pacijenti u grupi B bili su značajno (p<0,05) stariji u odnosu na pacijente u grupi C, imali su značajno (p<0,05) nižu stopu zaposlenosti i značajno (p<0,05) duže trajanje dijabetes melitusa. Pacijenti u grupi C su imali značajno (p = 0,005) nižu stopu dijabetes melitusa. TAPES-R je pokazao da je socijalno prilagođavanje značajno niže (p < 0,05) kod pacijenata u grupi C u poređenju sa pacijentima u grupi A, (3,14 ± 0,46 prema 3,55 ± 0,41). Zaključak. Iako su pacijenti sa TTA pokazali dobar kvalitet života, grupa sa dugom istorijom nošenja proteze značajno se razlikovala u socijalnom prilagođavanju u poređenju sa pacijentima sa kratkim periodom nošenja proteze. Starost i etiologija amputacije značajno su se razlikovali među grupama.
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