George O Enweluzo, Chinyere N Asoegwu, Adaugo G U Ohadugha, Obinna I Udechukwu
{"title":"尼日利亚拉各斯截肢患者的生活质量和截肢后的生活。","authors":"George O Enweluzo, Chinyere N Asoegwu, Adaugo G U Ohadugha, Obinna I Udechukwu","doi":"10.4103/jwas.jwas_28_23","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Amputation is a life-changing surgical procedure that can cause significant disruptions in the quality of life of an individual.</p><p><strong>Objectives: </strong>This study aimed to evaluate the quality of life of patients with limb amputations in Lagos.</p><p><strong>Materials and methods: </strong>This was a cross-sectional study carried out among amputees recruited from two tertiary institutions and roadsides in Lagos state. A structured interviewer-administered questionnaire was used to collect data on demography, medical history, and postamputation health status. Also, a short form (SF-12V2) health questionnaire was used to assess their quality of life.</p><p><strong>Results: </strong>Two hundred and fifty-four (254) subjects with extremity amputation, aged 18-75 years with a mean age of 47.82 ± 11.53 years were studied. The male-to-female ratio was 1.4:1. The commonest age group of the amputees was 45-60 years (52%). The commonest indication for amputation was diabetic gangrene (126 [49.6%]) and trauma (90 [35.4%]). Postamputation, 98 (38%) were employed, and 117 (75%) of those unemployed resorted to begging as a means of livelihood. While 57 (22.4%) used prostheses frequently, 68 (26%) did not want prostheses as they supposed that it negatively affected their begging business. Female amputees have a statistically significantly better quality of life than males in the physical (<i>r</i> = 0.03) and mental components (<i>r</i> = 0.04).</p><p><strong>Conclusions: </strong>A proper rehabilitation program, the use of prostheses, and adequate employment opportunities would improve the quality of life of amputees.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d0/0a/JWACS-13-71.PMC10395860.pdf","citationCount":"0","resultStr":"{\"title\":\"Quality of Life and Life after Amputation among Amputees in Lagos, Nigeria.\",\"authors\":\"George O Enweluzo, Chinyere N Asoegwu, Adaugo G U Ohadugha, Obinna I Udechukwu\",\"doi\":\"10.4103/jwas.jwas_28_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Amputation is a life-changing surgical procedure that can cause significant disruptions in the quality of life of an individual.</p><p><strong>Objectives: </strong>This study aimed to evaluate the quality of life of patients with limb amputations in Lagos.</p><p><strong>Materials and methods: </strong>This was a cross-sectional study carried out among amputees recruited from two tertiary institutions and roadsides in Lagos state. A structured interviewer-administered questionnaire was used to collect data on demography, medical history, and postamputation health status. Also, a short form (SF-12V2) health questionnaire was used to assess their quality of life.</p><p><strong>Results: </strong>Two hundred and fifty-four (254) subjects with extremity amputation, aged 18-75 years with a mean age of 47.82 ± 11.53 years were studied. The male-to-female ratio was 1.4:1. The commonest age group of the amputees was 45-60 years (52%). The commonest indication for amputation was diabetic gangrene (126 [49.6%]) and trauma (90 [35.4%]). Postamputation, 98 (38%) were employed, and 117 (75%) of those unemployed resorted to begging as a means of livelihood. While 57 (22.4%) used prostheses frequently, 68 (26%) did not want prostheses as they supposed that it negatively affected their begging business. Female amputees have a statistically significantly better quality of life than males in the physical (<i>r</i> = 0.03) and mental components (<i>r</i> = 0.04).</p><p><strong>Conclusions: </strong>A proper rehabilitation program, the use of prostheses, and adequate employment opportunities would improve the quality of life of amputees.</p>\",\"PeriodicalId\":73993,\"journal\":{\"name\":\"Journal of the West African College of Surgeons\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d0/0a/JWACS-13-71.PMC10395860.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the West African College of Surgeons\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jwas.jwas_28_23\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/6/27 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the West African College of Surgeons","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jwas.jwas_28_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/6/27 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Quality of Life and Life after Amputation among Amputees in Lagos, Nigeria.
Background: Amputation is a life-changing surgical procedure that can cause significant disruptions in the quality of life of an individual.
Objectives: This study aimed to evaluate the quality of life of patients with limb amputations in Lagos.
Materials and methods: This was a cross-sectional study carried out among amputees recruited from two tertiary institutions and roadsides in Lagos state. A structured interviewer-administered questionnaire was used to collect data on demography, medical history, and postamputation health status. Also, a short form (SF-12V2) health questionnaire was used to assess their quality of life.
Results: Two hundred and fifty-four (254) subjects with extremity amputation, aged 18-75 years with a mean age of 47.82 ± 11.53 years were studied. The male-to-female ratio was 1.4:1. The commonest age group of the amputees was 45-60 years (52%). The commonest indication for amputation was diabetic gangrene (126 [49.6%]) and trauma (90 [35.4%]). Postamputation, 98 (38%) were employed, and 117 (75%) of those unemployed resorted to begging as a means of livelihood. While 57 (22.4%) used prostheses frequently, 68 (26%) did not want prostheses as they supposed that it negatively affected their begging business. Female amputees have a statistically significantly better quality of life than males in the physical (r = 0.03) and mental components (r = 0.04).
Conclusions: A proper rehabilitation program, the use of prostheses, and adequate employment opportunities would improve the quality of life of amputees.