装有假肢的旅行者,一个被忽视的群体。从旅行保健从业人员需要了解的角度出发。

IF 2.4 Q3 INFECTIOUS DISEASES
Irmgard L Bauer, Vikranth H Nagaraja
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引用次数: 0

摘要

背景:众所周知,旅行对不同年龄、不同能力的人都有好处,但装有假肢的旅行者至今仍被排除在外。由于外伤、血管疾病、癌症或感染导致的肢体缺失,需要安装假肢来保持外观和功能。失去肢体这一改变生活的事件,以及接受身体形象改变所带来的巨大心理调整,都会影响康复和自我管理,以及参与体育和旅行等社会活动。旅行的挑战不仅在于将在家中遇到的实际障碍转移到另一个地方,熟悉的应对策略也可能需要做出意想不到的调整。在介绍了有关肢体缺失和假肢的背景信息后,本文旨在回顾有关为携带假肢的旅行者提供健康建议的文献:方法:使用围绕旅行和假肢的不同关键词组合,在所有主要数据库中搜索同行评审文献。对相关期刊进行了逐一检索,并联系了部分作者和大学院系。未获得任何基于证据的结果。然后转而搜索灰色文献,包括相关组织、专业机构、政府网站、制造商、航空公司、假肢/物理治疗诊所、体育组织的文件,以直接接触截肢者,包括退伍军人和运动员:整理出的假肢使用者旅行建议清单涉及:(1) 旅行准备;(2) 包装(特别是考虑到假肢的机械和/或电气要求);(3) 乘飞机旅行是最常见的旅行方式;(4) 机场和机场安检导航,旅行保健从业人员可在等待循证指南时使用这些建议:结论:这是第一篇关于在任何领域(包括旅行医学)携带假肢旅行的论文。因此,旅行医疗从业人员还没有为这一被忽视的人群提供高质量医疗服务所需的循证指南。本文对临床实践提出了初步建议,对教育中需要更新的内容提出了建议,并对急需开展的研究提出了建议,以便用证据来取代目前的提示和窍门,使携带假肢的旅行者不再 "束手无策"。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Travellers with prosthetic limbs, a neglected population. A perspective on what travel health practitioners need to know.

Background: The benefits of travel for the wellbeing of people of all ages and abilities are well known, though travellers with prostheses have so far been excluded. Limb loss, due to trauma, vascular disease, cancer, or infections requires a prosthesis for cosmesis and functionality. The life-changing event of losing a limb and the considerable psychological adjustment to accept an altered body image influence rehabilitation and self-management as well as the participation in social activities, such as sport and travel. The challenge of travel lies not only in transferring practical impediments encountered at home to another location; familiar coping strategies may require unexpected adjustments. After presenting background information on limb loss and prostheses, the purpose of this paper was to review literature on health advice for travellers with prosthetic limbs.

Method: All major data bases were searched for peer-reviewed literature using a variation of keyword combinations around travel and prosthetics. Relevant journals were searched individually, and selected authors and university departments contacted. No evidence-based results were obtained. The search then moved to grey literature including documents from relevant organisations, professional bodies, government websites, manufacturers, airlines, prosthetic/physiotherapy clinics, sport organisations to approaching amputees, including veterans and athletes, directly.

Result: The list of collated travel advice for people with artificial limbs relates to (1) trip preparation, (2) packing (especially considering the mechanical and/or electrical requirements of the prosthesis), (3) travelling by plane as the most covered mode of travel, and (4) navigating airports and airport security, which may be used by travel health practitioners while awaiting evidence-based guidelines.

Conclusion: This is the first paper on travel with a prosthetic limb in any field, including travel medicine. Therefore, travel health practitioners have no evidence-based guidelines at their disposal required for high-quality care for this neglected population. Preliminary recommendations for clinical practice, advice for required updates in education, and suggestions for urgently needed research are provided to replace current hints and tips with evidence so that travellers with prostheses are no longer 'out on a limb'.

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来源期刊
CiteScore
5.20
自引率
0.00%
发文量
25
审稿时长
17 weeks
期刊介绍: Tropical Diseases, Travel Medicine and Vaccines is an open access journal that considers basic, translational and applied research, as well as reviews and commentary, related to the prevention and management of healthcare and diseases in international travelers. Given the changes in demographic trends of travelers globally, as well as the epidemiological transitions which many countries are experiencing, the journal considers non-infectious problems including chronic disease among target populations of interest as well as infectious diseases.
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