Onur ENGİN, BANU DİLEK, Hatice Merve GÖKMEN, EBRU ŞAHİN, RAMAZAN KIZIL, Ahmet KARAKAŞLI, ÖZLEM EL

Alt ekstremite ampüte hastalarda fonksiyonel kısıtlılık ve protez memnuniyeti

Amaç: Bu çalışmanın amacı; alt ekstremite ampute hastalarda fonksiyonel kısıtlılığı ve protez memnuniyetini değerlendirmek ve ilişkili faktörleri ortaya koymaktır. Gereç ve Yöntem: Çalışmaya alt ekstremite ampütasyonu geçirmiş olan 43 hasta alındı. Hastaların demografik ve klinik özellikleri kaydedildi. Hastaların fonksiyonel kısıtlılığını değerlendirmek amacıyla Groningen Aktivite Kısıtlılık Skalası (GARS) kullanıldı. Hasta memnuniyetini belirlemek için ise Protez Memnuniyet Anketi uygulandı. Bulgular: Hastaların yaş ortalaması 43,2 ± 12,4 idi. 28 hastanın diz altı, 12 hastanın diz üstü, 3 hastanın ise diz dezartikülasyon seviyesinde ampütasyonu vardı. 21(%48) hastanın fonksiyonel seviyesi K4, 19 (%44) hastanın fonksiyonel seviyesi K3’tü. Toplam 28 hastaya aktif vakumlu, 10 hastaya mikroişlemcili, 5 hastaya hidrolik protez reçete edilmişti. Hastaların başlangıç GARS medyan puanı 21 (18 – 64). Hastaların kontrol GARS medyan puanı 19 (18 – 60) dur. Hastaların Protez Memnuniyet Anketi’ne göre değerlendirilen memnuniyet ortalaması ise %82,9 (minimum: 37, maksimum: 100) dur. Hastaların memnuniyetleri veya fonksiyonel düzeyleri ile yaş ve amputasyon seviyesi arasında anlamlı ilişki saptanmadı. Daha önce modüler protez kullanmakta olup yeni modüler protez reçete edilen 28 hastanın fonksiyonelliğinde istatistiksel olarak anlamlı düzelme saptandı. Sonuç: Alt ekstremite ampütasyonlarında protez uygulamaları fonksiyonel kısıtlılığı azaltan ve hasta memnuniyetinin yüksek olduğu uygulamalardır.

Anahtar Kelimeler:

ampütasyon, protez, hasta memnuniyeti

FUNCTIONAL RESTRICTION AND SATISFACTION WITH PROSTHESIS IN LOWER LIMB AMPUTEE PATIENTS

Objective: The aim of this study is to evaluate functional restriction and satisfaction with prosthesis in lower limb amputee patients and to determine the related factors. Material and Method: Forty three lower limb amputee patients were recruited to study. Demographic and clinic features of the patients were recorded. Groningen Activity Restriction Scale (GARS) was used to evaluate the functional restriction of the patients. To determine the patient satisfaction with prosthesis, Satisfaction with Prosthesis Questionnaire was administered. Results: Mean age of the patiens was 43,2 ± 12,4 years. Twenty eight of the patients had below-knee, 12 had above knee amputation and 3 patients had knee dysarticulation. Twenty-one (48%) patients had K4, 19 (33%) patients had K3 functional level. Modular active vacuumed prosthesis for 28 patients, modular prothesis with microprocessor for 10 patients, hydrolic prosthesis for 5 patients has been prescribed. The baseline GARS median score was 21(18-64). Control GARS median score was 19 (18 – 60). The mean satisfaction with prothesis which is evaluated with Satisfaction with Prosthesis Questionnaire was %82.9 (min: 37, max: 100). There was no correlation between patients’ satisfaction with prosthesis or functional level with age and amputation level. Twenty eight patients who had modular prosthesis before and prescribed new modular prosthesis had significant improvement of functionality. Conclusion: Prosthesis applications in lower extremity amputation decreases functional restriction and results in high patient satisfaction.

Keywords:

amputation, prosthesis, patient satisfaction,

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