Main Article Content
Background: Lower limb amputation is a major loss, leading to disability and a significant health burden. Although amputees are provided with prostheses to return to daily life. It is undeniable that this affects many aspects, including quality of life.
Objectives: To determine the level of quality of life (QOL) and factors associated with QOL in persons with lower limb prostheses (LLP).
Methods: Analytic cross-sectional study with 315 people who visited public health services in southern Thailand. The sample was selected using the cluster sampling method. Data were collected using questionnaires, the World Health Organization of Quality of Life – Brief – Thai (WHOQOL-BREF-THAI) version. The data were analyzed using descriptive statistics. Multiple logistic regression analysis was used to analyze factors associated with QOL of people with LLP.
Results: The result showed that zthe QOL of people with LLP was rated at a good level (64.76%; M±SD=101.31±14.12). The factors significantly associated with the QOL of people with LLP were female (Adjusted OR [ORadj] = 0.33, 95%CI: 0.17-0.70), merchant or self-employed (ORadj = 9.09, 95%CI: 2.24-36.76), leg amputation due to accident (ORadj = 7.36, 95%CI: 3.13-17.30), stump problem (ORadj = 0.22, 95%CI: 0.92 - 0.53), sufficient income (ORadj = 6.91, 95%CI: 3.28-14.57), family relationship (ORadj = 3.20, 95%CI: 1.01-10.11), and need for support in daily living (ORadj = 0.34, 95%CI: 1.14-0.79).
Conclusions: The QOL of people with LLP was assessed at a good level. Factors such as gender, occupation, cause of amputation, stump problem, income, family relationship and activity of daily living were associated with the QOL of people with LLP.
Wanchai A, Chaisa P, Srinon R. Nursing care of patients with amputation.Chiangrai Medical Journal. 2017;2(9):139-46. (in Thai).
Guy’s and St Thomas’ NHS Foundation Trust. Rehabilitation after your lower limb amputation [Internet]. 2018 [cited 2019 Jan 10]; Available from https://www.guy sandstthomas.nhs.uk/resources/patientinfor rmation/therapies/rehabilitation-after-your-leg-amputation.pdf.
Sahu A, Sagar R, Sarkar S, Sagar S. Psychological effects of amputation: a review of studies from India. Ind Psychiatry J. 2016;25(1):4-10. doi: 10.4103/0972-6748.196041.
Gailey R, Allen K, Castles J, Kucharik J, Roeder M. Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use. J Rehabil Res Dev. 2008;45(1):15-29. doi: 10.1682/jrrd.2006.11.0147.
Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeye R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008;89(3):422-9. doi: 10.1016/j.apmr.2007.11.005.
Social Statistics, Division National Statistical Office. The 2017 disability survey. Bangkok: Text and Journal Publication; 2020. (in Thai).
Yesuwan T, Uppayothin P, Jivacate T. Thai lower limb amputees: stigma process and adaptation. ASEAN Journal of Rehabilitation Medicine. 2012;22(2): 51-7. (in Thai).
Sakthong P. Health related quality of life. Bangkok. Chulalongkorn University Press; 2011. (in Thai).
Kaewdoung S, Woradet S, Chaimay B. Quality of life among individuals with lower limb prosthesis: literature review. UBRE Journal for Public Health Research. 2020;9(2):20-31. (in Thai).
Kamonsawat N. Quality of life of trans-femoral and trans-tibial amputees after receiving Prosthesis at prosthetic and orthotic unit, Rayong hospital. The Journal of Prapokklao Hospital Clinical Education center. 2014;31(1):18-29. (in Thai).
Mahatnirandkul S, Tantipiwattanasakul W, Pumpaisanchai W. The world health organization quality of life indicators, Thai version (WHOQOL-BREF-THAI) [Internet]. 2002 [sited 2018 Sep 24]; Available from https://www.dmh.go.th/ test/whoqol.
Asano M, Rushton P, Miller WC, Death BA. Predictors of quality of life among individuals who have a lower limb amputation. Prosthet Orthot Int. 2008;32(2):23-43. doi: 10.1080/ 03093640802024955.
Sirasaporn P, Manimmanakorn N, Pusiripinyo E. Quality of life of trans-femoral and trans-tibial amputees after receiving prosthesis. ASEAN Journal of Rehabilitation Medicine. 2010;20(1):4-9. (in Thai).
Dajpratham P, Tantiniramai S, Lukkanapichonchut P. Health related quality of life among the Thai people with unilateral lower limb amputation. J Med Assoc Thai. 2011;94(2):250-5.
Angsuwathana S. Menopause. [Internet]. 2020 [sited 2020 Apr 10]; Available from https://www.si.mahidol.acth/sidoctor/e-pl/ articledetail.asp?id=166.
Demet K, Martinet N, Guillemin F, Paysant J, Andre JM. Health related quality of life and related factors in 539
persons with amputation of upper and lower limb. Disabil Rehabil. 2003;25(9): 480-6. doi: 10.1080/0963828031000090434.
Knežević A, Salamon T, Milankov M, Ninković S, Jeremić Knežević M, Tomašević Todorović S. Assessment of quality of life in patients after lower limb amputation. Med Pregl. 2015;68(3-4):103-8. doi: 10.2298/mpns1504103k.
Phutrakhul P. The quality of life of the people with impairment arsing from community employment and Career promotion. Humanities & Social Science. 2018;35(3):198-215. (in Thai).
Steinberg N, Gottlieb A, Siev-Ner I, Plotnik M. Fall incidence and associated risk factor among people with a lower limb amputation during various stages of recovery : a systematic review. Disabil Rehabil. 2019;41(15):1778-87. doi: 10.10 80/09638288.2018.1449258.
Sinha R, van den Heuvel WJ, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthet Orthot Int. 2011;35(1):90-6. doi: 10.1177/03 09364610397087.
Krainetee M, Dhammasaccakkarn W, Sangkharat U. Family: the social key institutions and roles of holistic human development. Parichart journal, Thaksin University. 2020;33(1):1-16. (in Thai).
Sotthiyapai S, Damsangsawat N, Sirathatnararojana T. Family Counseling Model. The Southern College Network Journal of Nursing and Public Health. 2017;(4)3:282-90. (in Thai).