QUALITY-OF-LIFE FOLLOWING LOWER-LIMB AMPUTATION FOR PERIPHERAL ARTERIAL-DISEASE

被引：221

作者：

PELL, JP

DONNAN, PT

FOWKES, FGR

RUCKLEY, CV

机构：

[1] Wolfson Unit for the Prevention of Peripheral Vascular Diseases, Department of Public Health Sciences, University of Edinburgh, Edinburgh, EH8 9AG, Teviot Place

来源：

EUROPEAN JOURNAL OF VASCULAR SURGERY | 1993年 / 7卷 / 04期

关键词：

QUALITY OF LIFE; AMPUTATION; PERIPHERAL ARTERIAL DISEASE;

D O I：

10.1016/S0950-821X(05)80265-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Lower limb amputations for peripheral arterial disease are performed predominantly on an elderly population with poor social support and concomitant medical problems. The effect of amputations on the quality of life of this population has not been properly assessed. The quality of life of 149 amputees from one hospital was evaluated using the Nottingham Health Profile and compared to that of a control group matched for age and sex. One hundred and thirty (87%) amputees and 115 (77%) controls responded to the questionnaire. Amputees reported significantly more problems with mobility, social isolation, lethargy, pain, sleep and emotional disturbance than controls (p < 0.001). However, mobility was the only significant independent factor after matched logistic regression analysis (p < 0.001). The differences in social isolation and emotional distress lost their significance after adjustment for mobility. The overall quality of life following lower limb amputation for peripheral arterial disease is poor, but much of this is secondary to restricted mobility. Rehabilitation following amputation should therefore focus on attempts to improve mobility. © 1993 Grune & Stratton Ltd.

引用

页码：448 / 451

页数：4

共 26 条

[1]

DHSS, Amputation Statistics for England, Wales and N. Ireland, (1989)

[2]

Criqui, Peripheral arterial disease and subsequent cardiovascular mortality: a strong and consistent association, Circulation, 82, pp. 2246-2247, (1990)

[3]

Davey Smith, Shipley, Rose, Intermittent claudication, heart disease risk factors and mortality: The Whitehall Study, Circulation, 82, pp. 1925-1931, (1990)

[4]

Weiss, Gorton, Read, Neal, Outcomes of lower extremity amputations, J Am Ger Soc, 38, pp. 877-883, (1990)

[5]

Ernst, Rutkow, Cleveland, Folse, Johnson, Stanley, Report of the Joint Society for Vascular Surgery - International Society for Cardiovascular Surgery Committee on Vascular Surgical Manpower, J Vasc Surg, 6, pp. 611-621, (1987)

[6]

Tunis, Bass, Steinberg, The use of angioplasty, bypass surgery and amputation in the management of peripheral vascular disease, New Engl J Med, 325, pp. 556-562, (1991)

[7]

Gregory-Dean, Amputations: Statistics and trends, Ann R Coll Surg Engl, 73, pp. 137-142, (1991)

[8]

Dormandy, Thomas, What is the natural history of a critically ischaemic patient with and without his leg?, Limb Salvage and Amputation for Vascular Disease, pp. 11-28, (1988)

[9]

Weaver, Marshall, A functional and social review of lower-limb amputees, Br J Surg, 60, pp. 732-737, (1973)

[10]

Finch, MacDougal, Tibbs, Morris, Amputation for vascular disease: the experience of a peripheral vascular unit, Br J Surg, 67, pp. 233-237, (1980)

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