BACKGROUND: Patient satisfaction is an important measurement in healthcare for administrators, clinicians and patients. OBJECTIVES: This study investigated the role of gait deviation in patient satisfaction following lower-limb amputation and prosthesis prescription. STUDY DESIGN: A cross-sectional study was done. METHODS: Twenty community-based unilateral lower-limb amputees, 12 transtibial and 8 transfemoral, were recruited from support groups. Participants completed the prosthesis evaluation questionnaire (PEQ) with embedded satisfaction-related questions, the timed-up-and-go test and the six-minute walk test, and also underwent quantitative three-dimensional analysis. Kinematic deviation was summarized using the gait profile score (GPS). Results: Satisfaction levels were generally high (median 80 + /100). Sociodemographic variables did not correlate significantly with any of the satisfaction measures (-0.35 = r = 0.54). Satisfaction correlated strongly with the PEQ scales, particularly ambulation, prosthetic utility, frustration, perceived response and social burden (r >/= 0.70). By contrast, the relationships between satisfaction and performance-based outcome measures were not significant (-0.45 = r = 0.43), and the GPS did not correlate with any satisfaction measures (-0.23 = r = 0.15). Conclusions: In this study of high functioning amputees, gait deviation was unimportant to the amputee, while self-reported functional ability and attitudes toward the prosthesis were the strongest correlates of satisfaction following lower-limb amputation. CLINICAL RELEVANCE: For the high functioning individuals with lower-limb amputation in this study, gait deviation was not a significant correlate of patient satisfaction. Results suggest that improving self-perceived functional ability and attitudes toward the prosthesis, rather than minimizing gait deviation, will improve patient satisfaction.
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机译:背景:患者满意度是医疗保健中针对管理员,临床医生和患者的一项重要指标。目的:本研究调查了下肢截肢和假体处方后步态偏离在患者满意度中的作用。研究设计:进行了横断面研究。方法:从支持组中招募了二十名基于社区的单侧下肢截肢者,分别是12个胫骨和8个经股骨。参加者完成了假体评估问卷(PEQ),其中包含与满意度相关的问题,定时行走测试和六分钟步行测试,并进行了定量的三维分析。使用步态轮廓评分(GPS)总结运动学偏差。结果:满意度普遍较高(中位数为80 + / 100)。社会人口统计学变量与任何满意度测评均无显着相关性(-0.35 = r = 0.54)。满意度与PEQ量表密切相关,尤其是步行,假肢使用,沮丧,感知的反应和社会负担(r> / = 0.70)。相比之下,满意度和基于绩效的结果指标之间的关系并不显着(-0.45 = r = 0.43),GPS与任何满意度指标均不相关(-0.23 = r = 0.15) )。结论:在这项对高功能截肢者的研究中,步态偏差对截肢者并不重要,而自我报告的功能能力和对假肢的态度是下肢截肢后满意度的最强关联。临床相关性:对于这项研究中功能较高的下肢截肢患者,步态偏差与患者满意度之间无显着相关性。结果表明,提高自我感知的功能能力和对假体的态度,而不是最小化步态偏差,将提高患者满意度。
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