Quality of life of patients with lower limb amputation with prostheses

MATOS, Denise Regina; NAVES, Juliana Fákir; ARAUJO, Tereza Cristina Cavalcanti Ferreira de

doi:10.1590/1982-0275202037e190047

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Brasil

Estudos de Psicologia (Campinas)

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Health Psychology • Estud. psicol. 37 • 2020 • https://doi.org/10.1590/1982-0275202037e190047 copy

Quality of life of patients with lower limb amputation with prostheses

Qualidade de vida em pacientes com amputação de membros inferiores e em uso de próteses

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Quality of life is often acknowledged as an important outcome of rehabilitation programs for people with amputation. Despite the importance of the subject, the number of studies focusing on the multiplicity of factors influencing this matter is still limited. These assessments are increasingly needed to demonstrate changes related to intervention over time. In order to evaluate the quality of life of patients with lower limb amputation and wearing prostheses, a study was conducted with 49 patients followed in a rehabilitation hospital in the Midwest region of Brazil. A generic instrument (Medical Outcomes Study 36-Item Short-Form Health Survey) for quality of life assessment and Trinity Amputation and Prosthesis Experience Scale-Revised that is specific for people with amputation were used in addition to a functional assessment measure. The results showed that the time since amputation, male gender and below-knee amputations were predictors of a better perception of quality of life and better adjustment to amputation.

Keywords
Amputation; Quality of life; Prosthesis; Rehabilitation

Characteristics		Participants (n = 49)
Characteristics		n	%
Average age (36.4 years of age / SD 11.1)
	18 to 29 years	17	34.7
	30 to 39	12	24.5
	40 to 49	14	28.6
	Above 50	6	12.2
Gender
	Female	20	40.8
	Male	29	59.2
Marital Status
	Married	21	42.9
	Single	25	51.0
	Widowed / separated	3	06.1
Occupation
	Yes	36	73.5
	No	13	26.5
Education
	High School	29	59.2
	University Education	20	40.8
Amputation cause
	Tumors	16	32.7
	Accidents	20	40.8
	Congenital	9	18.4
	Other	4	08.1
Laterality
	Left	29	59.2
	Right	16	32.7
	Bilateral	4	08.1
Amputation type
	Above the knee	34	69.4
	Below the knee	15	30.6

SF 36	General Adj.		Social Adj.		Limitation Adj.		ARS		Aesthetic Satisf.		Funct. Satisf.
SF 36	rho	p-value	rho	p- value	rho	p-value	rho	p-value	rho	p-value	rho	p-value
Funct. Cap.	0.20	0.175	-0.05	0.723	0.32	0.023	-0.52	0	0.24	0.103	0.21	0.152
Physical Asp.	0.25	0.085	-0.03	0.829	0.23	0.120	-0.21	0.155	0.17	0.260	0.04	0.792
Pain	0.24	0.092	0.12	0.399	0.10	0.484	-0.14	0.355	0.25	0.081	0.15	0.318
Gen. Health	-0.02	0.912	-0.11	0.470	0.06	0.664	-0.28	0.054	0.14	0.356	0.01	0.931
Vitality	-0.06	0.665	0.06	0.665	0.16	0.289	-0.27	0.063	0.32	0.029	0.06	0.699
Social Asp.	0.12	0.413	0.09	0.530	0.18	0.222	-0.21	0.154	0.19	0.195	0.09	0.550
Emot. Asp.	0.34	0.017	0.04	0.813	0.22	0.138	-0.31	0.033	0.30	0.041	0.23	0.111
Mental Health	0.07	0.650	0.16	0.281	0.23	0.119	-0.51	0	0.31	0.035	0.32	0.029
LCI	0.09	0.552	-0.14	0.356	0.22	0.156	0	0.995	-0.10	0.504	0.01	0.960

Programa de Pós-Graduação em Psicologia, Pontifícia Universidade Católica de Campinas Núcleo de Editoração SBI - Campus II, Av. John Boyd Dunlop, s/n. Prédio de Odontologia, 13060-900 Campinas - São Paulo Brasil, Tel./Fax: +55 19 3343-7223 - Campinas - SP - Brazil
E-mail: psychologicalstudies@puc-campinas.edu.br

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[1] Contributors

D.R. MATOS was responsible for the conception and design of the study, data collection and interpretation,discussion of results, review and final approval of the article. J.F. NAVES participated in the collection, analysis andinterpretation of data and revision of the text. T.C.C.F. ARAUJO is the study advisor, responsible for the final review ofthe article.