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The Psychosocial Impact of Lower Limb Amputation on Patients and Caregivers

Introduction The impact of amputation on patients' social and psychological well-being has been demonstrated. However, the experiences and requirements of amputees during the adjustment phase vary between amputees. Methods This study aimed to assess how amputation affects psychosocial life and...

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Autores principales: Alessa, Mohammed, Alkhalaf, Hassan A, Alwabari, Salsabeel S, Alwabari, Noor J, Alkhalaf, Hussain, Alwayel, Zahraa, Almoaibed, Fatimah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731396/
https://www.ncbi.nlm.nih.gov/pubmed/36505108
http://dx.doi.org/10.7759/cureus.31248
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author Alessa, Mohammed
Alkhalaf, Hassan A
Alwabari, Salsabeel S
Alwabari, Noor J
Alkhalaf, Hussain
Alwayel, Zahraa
Almoaibed, Fatimah
author_facet Alessa, Mohammed
Alkhalaf, Hassan A
Alwabari, Salsabeel S
Alwabari, Noor J
Alkhalaf, Hussain
Alwayel, Zahraa
Almoaibed, Fatimah
author_sort Alessa, Mohammed
collection PubMed
description Introduction The impact of amputation on patients' social and psychological well-being has been demonstrated. However, the experiences and requirements of amputees during the adjustment phase vary between amputees. Methods This study aimed to assess how amputation affects psychosocial life and the quality of life (QOL) in the amputees, the psychosocial processes involved in adjusting to amputation and a prosthesis, and the burden of amputees on caregivers in Saudi Arabia. A cross-sectional study was placed from November 2021 to February 2022, and it included all amputees and caregivers available at the time of the study. Result A total of 239 amputees and 219 caregivers were included in the study. The average level of the physical component score (PCS) was 63.5% ± 14.6% and 57.3% ± 12.9% for the mental component score (MCS). There is a significant positive correlation between psychological adjustment total and satisfaction with prosthesis with PCS and MCS dimension of QOL. Considering the QOL, PCS mean score was significantly higher among prosthetics users than among non-users (68.2 ± 15.5 vs. 59.9 ± 12.8, respectively; P=.001). Also, the MCS score was significantly higher among prosthetics users than among non-users (59.5 ± 12.4 vs. 55.5 ± 13.0, respectively; P=.001). A total of 15.1% of caregivers experienced a high burden, while 23.3% had a mild to moderate burden, but 61.6% had no or little burden.  Conclusion Our finding shows there are correlations between psychological adjustment total and satisfaction with prosthesis with PCS and MCS dimension of QOL. The findings emphasize the importance of psychological and social support to be considered in caregivers’ health assessments. Also, the physical health of the caregivers should be fundamental in their lives as it minifies the caregiver burden. Further studies should be considered with a larger sample of amputees and longitudinal studies to evaluate the adaptation changes over time, caregiving burden, and family functioning.
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spelling pubmed-97313962022-12-09 The Psychosocial Impact of Lower Limb Amputation on Patients and Caregivers Alessa, Mohammed Alkhalaf, Hassan A Alwabari, Salsabeel S Alwabari, Noor J Alkhalaf, Hussain Alwayel, Zahraa Almoaibed, Fatimah Cureus Physical Medicine & Rehabilitation Introduction The impact of amputation on patients' social and psychological well-being has been demonstrated. However, the experiences and requirements of amputees during the adjustment phase vary between amputees. Methods This study aimed to assess how amputation affects psychosocial life and the quality of life (QOL) in the amputees, the psychosocial processes involved in adjusting to amputation and a prosthesis, and the burden of amputees on caregivers in Saudi Arabia. A cross-sectional study was placed from November 2021 to February 2022, and it included all amputees and caregivers available at the time of the study. Result A total of 239 amputees and 219 caregivers were included in the study. The average level of the physical component score (PCS) was 63.5% ± 14.6% and 57.3% ± 12.9% for the mental component score (MCS). There is a significant positive correlation between psychological adjustment total and satisfaction with prosthesis with PCS and MCS dimension of QOL. Considering the QOL, PCS mean score was significantly higher among prosthetics users than among non-users (68.2 ± 15.5 vs. 59.9 ± 12.8, respectively; P=.001). Also, the MCS score was significantly higher among prosthetics users than among non-users (59.5 ± 12.4 vs. 55.5 ± 13.0, respectively; P=.001). A total of 15.1% of caregivers experienced a high burden, while 23.3% had a mild to moderate burden, but 61.6% had no or little burden.  Conclusion Our finding shows there are correlations between psychological adjustment total and satisfaction with prosthesis with PCS and MCS dimension of QOL. The findings emphasize the importance of psychological and social support to be considered in caregivers’ health assessments. Also, the physical health of the caregivers should be fundamental in their lives as it minifies the caregiver burden. Further studies should be considered with a larger sample of amputees and longitudinal studies to evaluate the adaptation changes over time, caregiving burden, and family functioning. Cureus 2022-11-08 /pmc/articles/PMC9731396/ /pubmed/36505108 http://dx.doi.org/10.7759/cureus.31248 Text en Copyright © 2022, Alessa et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Physical Medicine & Rehabilitation
Alessa, Mohammed
Alkhalaf, Hassan A
Alwabari, Salsabeel S
Alwabari, Noor J
Alkhalaf, Hussain
Alwayel, Zahraa
Almoaibed, Fatimah
The Psychosocial Impact of Lower Limb Amputation on Patients and Caregivers
title The Psychosocial Impact of Lower Limb Amputation on Patients and Caregivers
title_full The Psychosocial Impact of Lower Limb Amputation on Patients and Caregivers
title_fullStr The Psychosocial Impact of Lower Limb Amputation on Patients and Caregivers
title_full_unstemmed The Psychosocial Impact of Lower Limb Amputation on Patients and Caregivers
title_short The Psychosocial Impact of Lower Limb Amputation on Patients and Caregivers
title_sort psychosocial impact of lower limb amputation on patients and caregivers
topic Physical Medicine & Rehabilitation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731396/
https://www.ncbi.nlm.nih.gov/pubmed/36505108
http://dx.doi.org/10.7759/cureus.31248
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