肢体丧失的年轻人的生活质量:系统性审查
Marina Maciver1, Diane Dixon2, Daniel Powell1
1Health Psychology Group, University of Aberdeen Institute of Applied Health Sciences, Aberdeen, Scotland, UK.
Disability and rehabilitation
|October 22, 2023
概括
本综述确定了影响年轻截肢者的生活质量 (QoL) 的关键因素,包括身体,心理和假肢相关因素. 了解这些预测因素对于改善该人群的QOL结果至关重要.
科学领域:
- 康复医学 康复医学 康复医学
- 假肢和整形手术
- 心理学 心理学 心理学
背景情况:
- 截肢严重影响生活质量 (QoL),尤其对年轻人来说.
- 现有的研究主要集中在老年截肢者身上,这使得对年轻截肢者的QoL理解有差距.
- 识别预测QOL的因素对于年轻截肢者进行有针对性的干预至关重要.
研究的目的:
- 系统地审查和确定预测年轻截肢者的生活质量 (QoL) 的因素.
- 综合当前关于儿童和年轻成年截肢患者群体的QoL决定因素的证据.
- 为未来的研究和临床实践提供信息,旨在提高年轻人肢体丧失的QOL.
主要方法:
- 在包括MEDLINE,CINAHL,EMBASE,PsycINFO和Web of Science在内的主要数据库中进行全面的文献搜索.
- 系统的选和独立的评估由两个审稿人确定的文章.
- 来自18项纳入研究的提取数据的叙述综合.
主要成果:
- 在年轻的截肢者中确定了一系列 QoL 的预测因素,包括人口统计学,临床和心理社会因素.
- 关键预测因素包括性别,年龄,截肢原因和程度,幻肢疼痛,假肢使用和类型,身体功能和心理健康状况 (抑郁,焦虑,身体形象).
- 审查的研究中证据的质量普遍较低,这凸显了对更强大的研究的需求.
结论:
- 无论是可修改的还是不可修改的因素都会影响年轻截肢者的QoL.
- 未来的研究应该优先研究可修改的预测因素,以制定有效的改善QoL的策略.
- 针对身体功能,假肢使用和心理健康的干预措施有可能提高年轻截肢者的生活质量.
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