AN INVESTIGATION OF QUALITY OF LIFE RELATED TO PROSTHESIS IN SYRIAN REFUGEE LOWER EXTREMITY AMPUTEES

Yıl 2020, Cilt: 31 Sayı: 3, 298 - 306, 17.12.2020

Nilüfer Kablan , Yaşar Tatar

https://doi.org/10.21653/tjpr.618199

Öz

Purpose: The use of prosthesis and an individual's perception of the prosthesis are associated with the quality of life. The study aimed to evaluate the quality of life related to prosthesis in Syrian refugees with lower extremity amputees. Methods: The study was conducted at three different prosthetic-orthotic centers managed by the Alliance of International Doctors. Seventy-six male (age=37.76±12.83 years) and 12 females (age=37.16±16.07 years) Syrian refugees with unilateral lower extremity (transtibial and transfemoral/knee disarticulation) amputation were evaluated. Demographic and amputation and prostheses-related characteristics were recorded. Quality of life related to the prosthesis was evaluated using the Prosthetic Evaluation Questionnaire (PEQ). Results: All PEQ scores of the transtibial and transfemoral/knee disarticulation amputees were similar (p>0.05). The PEQ-Appearance score of the single amputees was observed to be significantly lower than the married amputees (p=0.013). The PEQ-Ambulation score of participants using prosthesis over one year was significantly higher (p=0.038). The PEQ-Sound score of participants using prosthesis less than one year was found significantly higher (p=0.048). The PEQ-sound scores of chronic disease group were significantly higher than those of accident and war associated amputees (p=0.020). Conclusion: Quality of life of the refugee amputees regarding prosthesis and living with a prosthesis were similar regardless of the level of amputation. Expectations change with the increase in the duration of prosthesis use, and in single amputees, the expectation of cosmetic appearance becomes a concern.

Anahtar Kelimeler

Amputee, PEQ, Prosthesis, Syrian Civil War

Teşekkür

We would like to thank to Zehra Akpınar (PT) for contribution to data gather process.

SURİYELİ MÜLTECİ ALT EKSTREMİTE AMPUTELERİNDE PROTEZE BAĞLI YAŞAM KALİTESİNİN ARAŞTIRILMASI

Öz

Amaç: Protez kullanımı ve bireyin protez algısı yaşam kalitesi ile yakından ilişkilidir. Bu çalışmanın amacı, Suriyeli mülteci alt ekstremite amputelerinde proteze bağlı yaşam kalitesini araştırmaktı. Yöntem: Çalışma, Uluslararası Doktorlar Derneği tarafından yönetilen üç farklı protez-ortez merkezinde yapıldı. Tek taraf alt ekstremite amputasyonu (transtibial ve transfemoral/diz dezartikülasyonu) geçirmiş 76 erkek (yaş=37,76±12,83 yıl) ve 12 kadın (yaş=37,16±16,07 yıl) Suriyeli mülteci ampute dahil edildi. Demografik veriler, amputasyon ve protez ile ilgili özellikler kaydedildi. Proteze bağlı yaşam kalitesini değerlendirmek için Protez Değerlendirme Anketi (PDA) kullanıldı. Sonuçlar: Transtibial ve transfemoral/diz dezartikülasyonu olan amputelerin tüm PDA puanları benzer bulundu (p>0,05). Bekar olan bireylerin PDA-Görünüş puanının evlilere göre anlamlı derecede düşük olduğu gözlendi (p=0,013). Bir yıldan uzun süredir protez kullananlarda PDAAmbulasyon puanının anlamlı derecede yüksek olduğu bulundu (p=0,038). Bir yıldan kısa süredir protez kullananların ise, PDA-Ses puanı anlamlı derecede yüksekti (p=0,048). PDA-Ses puanı kronik hastalık nedenli amputasyonlarda, kaza ve savaş nedenli amputasyonlara göre anlamlı olarak daha yüksekti (p=0,020). Tartışma: Mülteci amputelerin, protezleri ve yaşam kalitesi ile ilgili algılarının, amputasyon seviyesinden bağımsız olarak, birbirine benzediği bulundu. Protez kullanım süresinin artışı ile beklentilerde değişim görülmekte ve bekar bireylerde görsellik beklentisi ön plana çıkmaktadır.

Anahtar Kelimeler

Ampute, PEQ, Protez, Suriye Sivil Savaşı

Kaynakça

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