Health-Related Quality of Life and Prosthetic Satisfaction in Below-Knee Amputees: A Cross-Sectional Study

Abstract

Background: Global patients are the focus of the bulk of studies looking at patient satisfaction and social integration. The major objective is to integrate those people into society because the prevalence of amputation is increasing in India as well. Also, these researchers include a variety of illnesses, such as renal tubular acidosis (RTA), diabetes, vascular disorders, spinal cord damage, and stroke, in their investigations. There are not many studies conducted in India that only consider urban populations. The purpose of the study was to examine factors influencing the quality of life (QOL) and post-acceptance and contentment with one’s body image in patients with unilateral knee amputations. Materials and Methods: A random sampling method was performed to select the subjects. The records of the participants of the study were retrieved from the Chandigarh Welfare Trust Prosthetic Camp, Chandigarh, India, to obtain information on relevant demographic data. Patients were given both questionnaires, that is, Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0) and Community Integration Questionnaire (CIQ), and told about everything, and then, patients gave scores to themselves according to the activities and satisfaction they had with the prosthetic use. Spearman’s correlation test (two-tailed) was used to find the correlation between QUEST 2.0 and CIQ. The correlation between QUEST 2.0 and integration into productive activities (IPA) was also analyzed. A significant level of P ≤ 0.01 was fixed. Result: The correlation between QUEST 2.0 and CIQ is significantly strong or good (r = 1.00, P < 0.001). Home integration and social integration had a high or strong correlation with the QUEST assistive device domain (r = 0.43, P < 0.001) and each other (r = 0.785, P < 0.001). QUEST and productive activities are moderately associated (r = 0.57, P < 0.001). The service sub-domain of QUEST 2.0’s home integration component showed a substantially positive connection (r = 0.38, P < 0.001). It demonstrates that social integration has an overall positive relationship (r = 0.59, P < 0.001) with other factors. Conclusion: In the social life of those who have lost or are missing limbs, prostheses have a social function. By hiding their usage, individuals were able to avoid social stigmatization, which facilitated their social integration and lessened the emotional issues associated with such a disability.

Keywords

• body image
• patient satisfaction
• personal satisfaction and amputation
• quality of life