Ibrahima F National Center for the Rehabilitation of Persons with Disabilities Cardinal Paul Emile Leger (CNRPH-CPEL) Satisfaction of patients with amputated lower limb wearing external prostheses (original) (raw)
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SATISFACTION OF PATIENTS WITH AMPUTATED LOWER LIMB WEARING EXTERNAL PROSTHESES
Objective: To describe the level of satisfaction of patients with amputated lower limb wearing external prostheses in the town of Yaoundé. patients over 5 years of age were included in the study. The data collection was carried out using a data sheet derived from SAT-PRO. Results: Seventy seven patients with prostheses were recruited. Their mean age was 46.02 years and they were predominantly males. The prevalence of amputated patient with prosthesis was 39.44%. The main etiology of the amputation was traumatic and the trans-tibial amputations were the most common, followed by trans-femoral amputations. Thirty-nine percent of these patients were physically dissatisfied and 11% very dissatisfied. The rate of dissatisfaction was related to the patient's weight, displacement constraints, pain and sores generated by wearing the prosthesis, the look of the prosthesis and its cost. Psychologically, 26% of the patients were dissatisfied and 17% were very dissatisfied. Dissatisfaction here was related to low self-esteem and poor acceptance of the prosthesis. Socially, nearly 17% were dissatisfied. The prosthesis however favored a better social (family and friendly) acceptance of the handicap. This encouraged a return to routine activities, although some had marital problems and others lost their jobs. Overall, 75.3% of patients were satisfied, and up to 24.7% of patients were dissatisfied. Conclusion: The satisfaction of patients, with an amputated lower limb, with respect to their prosthesis was not optimal in the sense that some criteria like the appearance of the prosthesis, patient's weight, displacement constraints, price, and quality of the prosthesis still needed to be improved. Nevertheless, patients were mostly satisfied. Introduction An external prosthesis is an external orthopedic appliance designed to replace an absent limb or limb segment [1]. The current context is marked by the rising frequency of road traffic accidents and vascular pathologies as major causes of amputation in developing countries [2]. Consequently, external prostheses provide a means of compensating for losses incurred during amputation [3]. It is therefore important to know the level of satisfaction of patients with external prosthesis. The satisfaction of a patient being defined as his/her opinion resulting from the difference between his/her perception of the prosthesis and his/her expectations [4]. Satisfaction encompasses the patient's experience and because of its subjective nature, it needs to be subdivided in order to be accurately measured [3]. The aim of this work was to describe the level of satisfaction of lower limb amputee patients wearing external prostheses in Yaoundé by evaluating the physical, psychological and social aspects of satisfaction.
Prosthesis satisfaction in lower limb amputees
Medicine, 2018
Background: Factors influencing patient satisfaction with a transtibial prosthesis have been studied fragmentarily. The aims of this systematic review were to review the literature regarding factors of influence on patient satisfaction with a transtibial prosthesis, to report satisfaction scores, to present an overview of questionnaires used to assess satisfaction and examine how these questionnaires operationalize satisfaction. Methods: A literature search was performed in PubMed, Embase, PsycInfo, CINAHL, Cochrane, and Web of Knowledge databases up to February 2018 to identify relevant studies. Results: Twelve of 1832 studies met the inclusion criteria. Sample sizes ranged from 14 to 581 participants, mean age ranged from 18 to 70 years, and time since amputation ranged from 3 to 39 years. Seven questionnaires assessed different aspects of satisfaction. Patient satisfaction was influenced by appearance, properties, fit, and use of the prosthesis, as well as aspects of the residual limb. These influencing factors were not relevant for all amputee patients and were related to gender, etiology, liner use, and level of amputation. No single factor was found to significantly influence satisfaction or dissatisfaction. Significant associations were found between satisfaction and gender, etiology, liner use, and level of amputation. Conclusion: Relevance of certain factors for satisfaction was related to specific amputee patient groups. Questionnaires assessing satisfaction use different operationalizations, making comparisons between studies difficult.
REHABILITATION SATISFACTION IN PATIENTS WITH LOWER LIMB PROSTHESIS.
Rational: The loss of a limb is a shocking experience. Persons with a new amputation face a complex set of tasks to return to an adaptive mobility status. The type and quality of the prosthesis affect the patient\'s physical and mental ability of adaptation. Limb loss can be a result of vascular disease, trauma, or congenital anomalies. But in Afghanistan the main cause is ongoing conflicts and war. Factors such as appearance, frustration, and pain can all be affected by the loss of a limb. The purpose of this research study is to measure the rehabilitation satisfaction in persons with lower limb amputation in ICRC Orthopedic program at the north part of Afghanistan which covers about 7,966,576 population in 9 Northern provinces. Objective: To investigate patients? satisfaction with their lower-limb prosthesis and related service delivery at ICRC rehabilitation center in the north part of Afghanistan. Methods: A cross sectional (Observational) study was designed. A sample size of 36 patient in a period of a month searched for this study. Time Frame: The study took 16 weeks from the start to the preparation of the first draft for analysis of the findings. Results: This study of patient satisfaction with prosthesis medical devices provided an indication of patient satisfaction with Prosthetic Medical Device (PMD) in areas such as the weight, fit, durability, pain, abrasiveness, and comfort. It discovered that the weight and manageable of PMD gave the greatest patient satisfaction. Similarly, it revealed that the pain and abrasiveness of the PMD were characteristics that provided lower patient satisfaction, and therefore, are areas to improve in terms of the quality management of PMD by the health care facility. Recommendation: Psychosocial disorders are the main consequence of amputations which requires special attention and support besides the usual rehabilitation program. Employment and self-employment are other aspects of disabled peoples problem which requires special attention of the government and organizations who are working in this field. The pain and abrasiveness is the main characteristics with lower satisfaction that can be improved by special attention of the service providers.
Pakistan Armed Forces Medical Journal, 2018
Objective: To assess quality of life and the influencing factors as perceived by lower limb prosthesis users.Study Design: Cross sectional study.Place and Duration of Study: Artificial Limb Centre, Fauji Foundation Hospital Rawalpindi, 11 months (Jan toNov 2014).Material and Methods: A sample of 50 patients with lower limb amputations and using lower limb prosthesiswere recruited by applying inclusion criteria. Responses were recorded on demographic variables, reasons foramputation, time of provision of prosthesis, employment status etc. by the investigator on a structured pretestedquestionnaire after their consent. A p-value of <0.05 was taken as significant. Quality of life was interpreted on 5point Likert scale. Data was analyzed in SPSS version 21.Result: Majority of respondents i.e. 17 (34%) were in 51-60 years age group with mean age 46 ± 14 years while 33(66%) were males and 27 (54%) illiterate, 33 (66%) could afford a prosthesis. Trauma 28 (56%) was the mostprevalent caus...
Quality of Life of Nigerians with Unilateral Lower Limb Amputation
Disability, CBR & …, 2013
Method: Forty-seven individuals with lower limb amputation participated in this study. Participants' age, gender, marital status, occupation, time since amputation, level of amputation, affected limb and use of prosthesis were recorded. Quality of life was then measured using the WHO QOL-BREF. Data were analysed using mean and standard deviation, Mann-Whitney U test and Kruskal-Wallis test at 0.05 alpha levels.
Satisfaction rates amongst elderly amputees provided with a static prosthetic foot
Disability and Rehabilitation, 2011
Aim. Persons in Israel losing a lower limb owing to disease and have an ambulatory potential are provided with an artificial limb financed by the Ministry of Health. The choice of foot provided depends upon the physicians' assessment of the amputees' ambulatory potential. The present study investigates the patients' satisfaction with the provided limb. Method. A telephone survey was carried out and patients were asked to reply to a number of relevant questions. Results. The less disabled patients', who received their prosthesis early, were the most satisfied. Increasing patient disability correlated with less prosthetic usage and hence greater dis-satisfaction. Conclusions. Solid ankle cushion heel (SACH) feet, which are cheap, are adequate for amputees with limited walking ability. Just over 10% of the patients who received an artificial limb could not continue using it and further studies should be conducted to investigate whether any predictive features can be found in order to minimise the financial waste.
Prosthesis Users And Quality of Life Pak Armed Forces Med
2018
Objective: To assess quality of life and the influencing factors as perceived by lower limb prosthesis users. Study Design: Cross sectional study. Place and Duration of Study: Artificial Limb Centre, Fauji Foundation Hospital Rawalpindi, 11 months (Jan to Nov 2014). Material and Methods: A sample of 50 patients with lower limb amputations and using lower limb prosthesis were recruited by applying inclusion criteria. Responses were recorded on demographic variables, reasons for amputation, time of provision of prosthesis, employment status etc. by the investigator on a structured pretested questionnaire after their consent. A p-value of <0.05 was taken as significant. Quality of life was interpreted on 5 point Likert scale. Data was analyzed in SPSS version 21. Result: Majority of respondents i.e. 17 (34%) were in 51-60 years age group with mean age 46 ± 14 years while 33 (66%) were males and 27 (54%) illiterate, 33 (66%) could afford a prosthesis. Trauma 28 (56%) was the most pre...
GULHANE MEDICAL JOURNAL, 2019
The prosthetic experience of combat-injured patients has received little attention in the current literature. The purpose of current study was to evaluate the frequency of prosthesis use, the level of satisfaction and quality of life in patients with traumatic LLA and to determine which factors led to rejection of the prosthesis. Thus, it is hoped that the results of the study will guide future research and development efforts of lower limb prostheses. Methods This study was planned as a prospective study. A total of 56 patients were referred to the authors' department, which is a tertiary prosthetic rehabilitation center in Turkey, for the fitting of a prosthesis following traumatic amputation of the lower limb. Of the total 56, 10 patients had toe(s) amputation, 9 patients had non-traumatic LLA, and 7 patients could not be traced.