Türkiye’de Yaşayan Suriyeli Mülteci Transtibial ve Transfemoral Amputelerde Protez Memnuniyetinin Değerlendirilmesi: Çok Merkezli Çalışma

Yıl 2021, , 431 - 436, 30.09.2021

Nilüfer Kablan , Fatmagül Varol , Yaşar Tatar

https://doi.org/10.34087/cbusbed.841388

Öz

Amaç: Bu çalışma uluslararası bir sivil toplum örgütü aracılığıyla Türkiye’de protez hizmeti verilen Suriye savaşı mağduru transtibial ve transfemoral amputelerin protez memnuniyetlerini değerlendirmek amacıyla yapılmıştır.
Yöntem: Araştırma Mart, 2019- Eylül,2020 tarihleri arasında xxxx Derneği Protez merkezlerinden protez hizmeti alan Suriye Savaşı mağduru unilateral transtibial (n=55) ve transfemoral (n=57) amputeler üzerinde gerçekleştirilmiştir. Protezle ilişkili memnuniyet değerlendirilmesi Orthotics Prostetics Users Survey- Cihaz Memnuniyeti Modülü (OPUS-CMM) ile yapılmıştır. Verilerin analizinde tanımlayıcı istatistiksel teknikler (ortalama ve standart sapma), ikili karşılaştırmalarda Bağımsız t Test, çoklu karşılaştırmalarda Kruskal Wallis Test kullanılmıştır.
Bulgular: Amputelerin cinsiyet, amputasyon seviyesi, amputasyon yılı, amputasyon nedeni, protez kullanım süresi ve süspansiyon tipine göre oluşturan alt gruplardaki OPUS-CMM puanlarının benzer olduğu görülmüştür (p>0,05).
Sonuç: Çalışılan bu gruplarda amputasyon seviyesi, cinsiyet, amputasyon yılı, protez kulllanım süresi ile süspansiyon tipinin protez memnuniyetini belirleyici bir etken olmadığı tespit edilmiştir.

Anahtar Kelimeler

Ampute, Orthotics Prostetics Users Survey, Protez, Suriye Savaşı

Destekleyen Kurum

-

Proje Numarası

04.01.2019 tarih ve 09.2019.003 protokol numaralı etik kurul

Teşekkür

Data toplama sürecine katkılarından dolayı Fizyoterapist Zehra Akpınar’a teşekkür ederiz.

Evaluation of Prosthesis Satisfaction in Syrian Refugee Transtibial and Transfemoral Amputees Living in Turkey: A Multicenter Study

Öz

Objective: This study was conducted to evaluate the prosthesis satisfaction of transtibial and transfemoral amputees who were victims of the Syrian war, and to determine the factors affecting prosthesis satisfaction, through an international non-governmental organization.
Materials and Methods: The research was carried out on unilateral transtibial (n=55) and transfemoral (n=56) amputees who were victims of the Syrian War, and who received prosthesis service from xxxx Association Prosthetic Centers between March, 2019- September, 2020. Prosthesis-related satisfaction was evaluated with the Orthotics Prostetics Users Survey-Device Satisfaction Module (OPUS-CMM). Descriptive statistical techniques (mean and standard deviation), Independent t-Test for pairwise comparisons, Kruskal Wallis Test for multiple comparisons were used in the analysis of the data.
Results: OPUS-CMM scores of amputees were found to be similar in subgroups according to gender, amputation level, amputation year, amputation reason, prosthesis usage time and suspension type (p>0.05).
Conclusion: It was determined that amputation level, gender, amputation year, prosthesis usage time and suspension type were not a determining factor for prosthesis satisfaction in Syrian refugee transtibial and transfemoral amputees living in Turkey.

Anahtar Kelimeler

Amputee, Orthotics Prostetics Users Survey, Prosthesis, Syrian war.

Proje Numarası

04.01.2019 tarih ve 09.2019.003 protokol numaralı etik kurul

Kaynakça

• Hill, W, Kyberd, P, Hermansson, L.N, Hubbard, S, Stavdahl, Ø, Swanson, S, Upper Limb Prosthetic Outcome Measures (ULPOM): A Working Group and Their Findings Wendy, Prosthetics and Orthotics International, 2009, 21(9), 69–82.
• Heinemann, A.W, Connelly, L, Ehrlich-Jones, L, Fatone, S, Outcome instruments for prosthetics: Clinical applications. Physical medicine and rehabilitation clinics of North America, 2014, 25(1), 179–98.
• Jarl, G.M, Maria, L, Hermansson, N. Translation and linguistic validation of the Swedish version of Orthotics and Prosthetics Users’ Survey, Prosthetics and Orthotics International, 2009, 33(4), 329–38.
• DeRuyter, F. The importance of outcome measures for assistive technology service delivery systems, Technology and Disability, 1997, 6(1), 89–104.
• Yaghi, K, Yaghi, Y, McDonald, A.A, Yadegarfar, G, Cecil, E, Seidl, J, Dubois, E, Rawaf, S, Majeed, A, Diabetes or war? Incidence of and indications for limb amputation in Lebanon, 2007, EMHJ-Eastern Mediterranean Health Journal, 2012, 18 (12), 1178-1186.
• Şişli, E, Kavala, A.A, Mavi, M, Sarıosmanoğlu, ON, Oto, Ö. Single centre experience of combat-related vascular injury in victims of Syrian conflict: Retrospective evaluation of risk factors associated with amputation, Injury, 2016, 47(9), 1945-50.
• Heinemann, A.W, Bode, R.K, O’Reilly, C.O, Development and Measurement Properties of the Orthotics and Prosthetics Users’ Survey (OPUS): A Comprehensive Set of Clinical Outcome Instruments, Prosthetics and Orthotics International, 2003, 27, 191–206.
• Jarl, G.M, Heinemann, A.W, Norling Hermansson, L.M, Validity evidence for a modified version of the Orthotics and Prosthetics Users’ Survey, Disability and Rehabilitation. Assistive Technology, 2012, 7(6), 469–78. Bakhsh, H, Franchignoni, F, Bravini, E, Ferriero, G, Giordano, A, Foti, C, Validation of the Arabic version of the client satisfaction with device module of the “orthotics and prosthetics users” survey, Annals of Saudi Medicine, 2014, 34(4), 320–7.
• Peaco, A, Halsne, E, Hafner, B.J, Assessing satisfaction with orthotic devices and services: a systematic literature review, JPO: Journal of Prosthetics and Orthotics, 2011, 23(2), 95-105.
• Bosmans, J, Geertzen, J, Dijkstra, PU, Consumer satisfaction with the services of prosthetics and orthotics facilities, Prosthetics and Orthotics International, 2009, 33, 69 –77.
• Geertzen, J.H, Gankema, H.G, Groothoff, J.W, Dijkstra, P.U, Consumer satisfaction in prosthetics and orthotics facilities, Prosthetics and Orthotics International, 2002, 26, 64–71.
• Murray, C.D, Fox, J, Body image and prosthesis satisfaction in the lower limb amputee, Disability and rehabilitation, 2002, 24(17), 925–931.
• Webster, J.B, Hakimi, K.N, Williams, R.M, et al, Prosthetic fitting, use, and satisfaction following lower-limb amputation: a prospective study, Journal of rehabilitation research and development, 2012, 49, 1493-504.
• Samitier, C.B, Guirao, L, Costea, M, et al., The benefits of using a vacuum- assisted socket system to improve balance and gait in elderly transtibial amputees, Prosthetics and orthotics international, 2016, 40, 83–8.
• Pascore, C.G. Patient satisfaction in primary health care: A literature review and analysis, Evaluation and program planning, 1983, 6(3–4), 185–210.
• Ali, S, Osman, N.A.A, Eshraghi, A, Gholizadeh, H, Razak, N.A.B.A, Abas, W.A.B.B.W. Interface pressure in transtibial socket during ascent and descent on stairs and its effect on patient satisfaction, Clinical Biomechanics, 2013, 994-8.
• Sanders, J.E, Harrison, D.S, Allyn, K.J, Myers, T.R, Clinical utility of in-socket residual limb volume change measurement: Case study results, Prosthetics and Orthotics International, 2009, 33(4), 378-90.
• Hafner, B.J, Amtmann, D, Abrahamson, D.C, Morgan, S.J, Kajlich, A.J, Salem, R, Normative PEQ-MS and ABC scores with lower limb loss, Proceedings of the American Academy of Orthotists & Prosthetists (AAOP) 39th Academy Annual Meeting and Scientific Symposium, February 20-23, 2013, Orlando, FL.
• Raichle, K.A, Hanley, M.A, Molton, I, et al., Prosthesis use in persons with lower- and upper-limb amputation, Journal of rehabilitation research and development, 2008, 45(7), 961-72.
• Ali, S, Abu Osman, N.A, Naqshbandi, M.M, et al. Qualitative study of prosthetic suspension systems on transtibial amputees’ satisfaction and perceived problems with their prosthetic devices. Archives of physical medicine and rehabilitation, 2012, 93, 1919–23.
• Berke, G.M, Fergason, J, Milani, J.R, et al., Comparison of satisfaction with current prosthetic care in veterans and service members from Vietnam and OIF/OEF conflicts with major traumatic limb loss, Journal of rehabilitation research and development, 2010, 47, 361–71.