CAJ | 학술논문

目的了解地震截肢伤员的生活质量(QOL)、身体意象、假肢满意度及其相互关系,找出存在的问题以利于进行针对性干预.方法选择五一二汶川地震下肢截肢伤员21例,采用健康状况调查简表(SF-36)评定QOL,采用截肢者身体意象评估表(ABIS)评估身体意象,选用自制假肢满意度问卷调查假肢满意程度.结果 SF-36总分为(41.90±15.00),ABIS得分为(64.58 ±10.60),假肢满意度得分为(59.52±11.06).ABIS得分女性高于男性(P＜0.05);SF-36评分与假肢满意程度呈正相关(P＜0.05),与身体意象评分呈负相关(P＜0.05);身体意象与SF-36总分及其中活力、精神健康项评分呈负相关(P＜0.05);假肢满意程度与患者教育程度呈正相关(P＜0.01),与SF-36总分及精神健康项评分呈正相关(P＜0.05).结论身体意象紊乱以及对假肢的满意度在一定程度上影响r地震截肢伤员的QOL,应加以干预,使其正确认识假肢和身体意象,提高QOL.
목적 료해지진절지상원적생활질량(QOL)、신체의상、가지만의도급기상호관계,조출존재적문제이리우진행침대성간예.방법 선택오일이문천지진하지절지상원21례,채용건강상황조사간표(SF-36)평정QOL,채용절지자신체의상평고표(ABIS)평고신체의상,선용자제가지만의도문권조사가지만의정도.결과 SF-36총분위(41.90±15.00),ABIS득분위(64.58 ±10.60),가지만의도득분위(59.52±11.06).ABIS득분녀성고우남성(P＜0.05);SF-36평분여가지만의정도정정상관(P＜0.05),여신체의상평분정부상관(P＜0.05);신체의상여SF-36총분급기중활력、정신건강항평분정부상관(P＜0.05);가지만의정도여환자교육정도정정상관(P＜0.01),여SF-36총분급정신건강항평분정정상관(P＜0.05).결론 신체의상문란이급대가지적만의도재일정정도상영향r지진절지상원적QOL,응가이간예,사기정학인식가지화신체의상,제고QOL.
Objective To explore body image(BI),prosthesis satisfaction and quality of life(QOL)of amputees from Wenchuan earthquake and the relationship among them to provide evidence for the intervention.Methods A total of 21 amputees accepted a survey regarding QOL,BI,and satisfaction with prosthesis.The scale of SF-36 was used to assess QOL.Amputees Bodily Image Scale(ABIS)was;used to assess BI.A self-design questionnaire wag used to evaluate the prosthesis satisfaction of amputees.Results The scores of SF-36,ABIS,and prosthesis satisfaction wag 41.90 ±15.00,64.58 ±10.60,and 59.52±11.06,respectively.The ABIS scores in women(65.07 ±12.10)were hisher than that in men(63.20 ±5.0)(P＜0.05).There was a positive correlation between score of QOL and prosthesis satisfaction,but a negative correlation between QOL and BI.The negative correlations were also observed between BI and Vitality,BI and mental health.Prosthesis satisfaction had positive correla tions with education level.QOL and mental health.Conclusion The body image disturbance(BID)and dissatis faction with prosthesis may cause negative influences on the amputees'quality of life.Relevant intervention should be provided of amputees handling their prostheses and body images correctly and raising QOL.