A prosthesis user perspective on interactions with their prosthetist during lower-limb prosthetic socket fitting.

IF 1.4 4区 医学 Q4 ORTHOPEDICS
Lucy Armitage, Shruti Turner, Belinda Ford, Kirsty A McDonald, Darrel Sparke, Lauren Kark
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引用次数: 0

Abstract

Background: Successful prosthetic socket fitting contributes to prosthesis user satisfaction and facilitates rehabilitation, but is often challenging to achieve and maintain. There is a lack of information available that explores firsthand experiences of prosthetic users throughout socket fitting sessions and, in particular, their preferences regarding information exchange between them and their prosthetist.

Objectives: Assess satisfaction with prosthetic service, confidence in clinical judgement, and confidence providing feedback to prosthetists, examine experiences of prosthesis users in providing feedback to prosthetists and identify the types of information that prosthesis users want to communicate to their prosthetist, as well receive before, during, and after the socket fitting process.

Study design: Mixed-method (quantitative and qualitative) survey.

Methods: A questionnaire was designed and administered in consultation with Amputees NSW (an amputee community support group) and distributed through their membership database. Quantitative items with discrete or scale-based responses were analyzed using descriptive, nonparametric methods and described satisfaction and confidence during prosthetic fitting. A thematic analysis was performed on qualitative responses to explore prosthesis user experiences of information exchange before, during, and after socket fitting.

Results: There were 24 survey responses. Ninety-six percentage of respondents were satisfied with their prosthetic service and were confident in their prosthetists' clinical judgement as well as ensuring socket comfort for their client. Most prosthesis users felt comfortable to provide feedback to their prosthetist (median =100 [interquartile range = 20], where 0 = not at all confident and 100 = completely confident). Experiences in providing input on comfort and fitting fell under 4 interrelated themes: collaboration, frustrations with process, impacts of poor fit, and prosthetic fit. Experiences with exchanging information with their prosthetist before, during, and after socket fitting fell under a further 4 themes: process-based information and provision options, taking history and treatment planning, collaboration and communication, and functional concerns.

Conclusions: Prosthesis users' confidence to provide feedback and satisfaction with prosthetic services could be helped by ensuring a responsive working relationship, facilitating information exchange between the prosthetist and prosthesis user, as well as improved prosthesis user education on the socket fit process.

在下肢义肢窝安装过程中,义肢使用者与义肢医师互动的视角。
背景:成功的义肢窝安装有助于义肢使用者满意度和促进康复,但实现和维护往往具有挑战性。在整个套孔装配过程中,缺乏探索义肢使用者第一手经验的可用信息,特别是他们与义肢医师之间信息交换的偏好。目的:评估对义肢服务的满意度、对临床判断的信心、对向义肢专家提供反馈的信心,检查义肢使用者向义肢专家提供反馈的经验,确定义肢使用者希望与义肢专家交流的信息类型,以及在义肢安装过程之前、期间和之后接收的信息类型。研究设计:混合方法(定量和定性)调查。方法:在与截肢者NSW(一个截肢者社区支持团体)协商后设计并实施问卷调查,并通过其会员数据库分发。定量项目离散或基于量表的反应进行分析,使用描述性,非参数的方法和描述满意度和置信度在假肢装配。对定性反应进行专题分析,探讨假体用户在套孔装配之前、期间和之后的信息交流体验。结果:共有24份问卷回复。百分之九十六的受访者对他们的义肢服务感到满意,并且对他们的义肢医师的临床判断以及为他们的客户确保窝口舒适有信心。大多数义肢使用者对向义肢医师提供反馈感到舒适(中位数=100[四分位间距= 20],其中0 =完全不自信,100 =完全自信)。提供舒适和合身的输入的经验分为4个相互关联的主题:协作、过程中的挫折、不合适的影响和假肢合身。在套孔安装之前、期间和之后与义肢医生交流信息的经验属于另外4个主题:基于过程的信息和提供选项、记录历史和治疗计划、协作和沟通以及功能问题。结论:通过建立积极响应的工作关系,促进义肢医师和义肢使用者之间的信息交流,以及加强义肢使用者对假体配合过程的教育,可以提高义肢使用者对义肢服务反馈的信心和满意度。
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来源期刊
CiteScore
2.30
自引率
13.30%
发文量
208
审稿时长
6-12 weeks
期刊介绍: Prosthetics and Orthotics International is an international, multidisciplinary journal for all professionals who have an interest in the medical, clinical, rehabilitation, technical, educational and research aspects of prosthetics, orthotics and rehabilitation engineering, as well as their related topics.
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