Life Accomplishment, Social Functioning and Participation of South-Eastern Nigerians with Lower Limb Amputation

C. Akosile, C. Okonkwo, F. Maruf, E. Okoye
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Abstract

Purpose: For a better understanding of the possible impact of impairments and disabilities on the life of individuals with lower limb amputation,it is important to explore the levels of Life Accomplishment (LA), Social Functioning and Participation (SFP) among them.The present study, set in South-Eastern Nigeria, aimed to study these levels and the influence of selected clinical and demographic variables on these constructs. Method: This cross-sectional survey involved 60 individuals with lower limb amputation (46 unilateral, 14 bilateral) recruited from all the five South-Eastern Nigerian States. The Social Functioning Questionnaire (SFQ), Participation Scale and Life Habit Questionnaire were used for measuring levels of social functioning, social participation and life accomplishment, respectively. Data was analysed using descriptive statistics of frequency count, percentages, mean and standard deviation. Mann-Whitney U and Kruskal-Wallis tests were used to test the hypotheses. Alpha level was set at 0.05. Results: Most of the participants (51.7%-58.3%) had low levels of social functioning across SFQ domains. Most of them (61.7%) had severe participation restrictions, and they all had reduced life accomplishments. Participants with bilateral amputation had poorer levels of social functioning (P Conclusion and Implications: Low social functioning, severe participation restrictions, and reduced life accomplishments were prevalent among individuals with lower limb amputation, particularly amongthose with bilateral and above-knee amputations. There is a need to routinely evaluate the studied constructs among individuals with lower limb amputation. The provision of prosthetic aids may help to improve their levels of life accomplishment, social functioning and participation.
尼日利亚东南部下肢截肢者的生活素养、社会功能与参与
目的:为了更好地了解损伤和残疾对下肢截肢患者生活可能产生的影响,有必要探讨其中的生活成就(LA)、社会功能和参与(SFP)水平。本研究在尼日利亚东南部进行,旨在研究这些水平以及选定的临床和人口变量对这些结构的影响。方法:这项横断面调查包括来自尼日利亚东南部五个州的60名下肢截肢患者(46名单侧,14名双侧)。采用社会功能问卷、社会参与量表和生活习惯问卷分别测量社会功能水平、社会参与水平和生活成就水平。使用频率计数、百分比、平均值和标准差的描述性统计对数据进行分析。使用Mann-Whitney U和Kruskal-Wallis检验来检验这些假设。α水平设为0.05。结果:大多数参与者(51.7% ~ 58.3%)在SFQ领域的社会功能水平较低。他们中的大多数人(61.7%)有严重的参与限制,他们的生活成就都有所减少。结论和含义:社会功能低下、严重的参与限制和生活成就降低在下肢截肢者中普遍存在,特别是在双侧和膝盖以上截肢者中。有必要在下肢截肢患者中对所研究的结构进行常规评估。提供假体辅助可能有助于提高他们的生活成就、社会功能和参与水平。
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