Quality of life in war-related hip disarticulation in Iran

Yıl 2014, , 527 - 532, 12.11.2014

Mehdi Masoumi Elham Esfandiari Batool Mousavi

https://doi.org/10.3944/AOTT.2014.13.0036

Öz

Objective: The aim of the study was to evaluate health-related quality of life in veterans with hip disarticulation suffered during the Iran-Iraq War.

Methods: All war-related injured with hip disarticulation were invited to a 7-day recreational camp. Of 183 subjects, 76 participated in this study. The impact of hip disarticulation on quality of life was measured using the 36-item short form health survey and compared with the scores of the general public.

Results: Mean age at the time of interview was 44.1±6.98 years. The lowest score of health-related quality of life subscales was bodily pain (32.88±33.20). The health-related quality of life in veterans with hip disarticulation was significantly lower than the general public in all subscales (p<0.05), with the exception of vitality (p=0.114).

Conclusion: Veterans with hip disarticulation due to war suffer from poor health-related quality of life. Appropriate interventions and rehabilitation programs are recommended to enhance quality of life in such patients.

Anahtar Kelimeler

Disarticulation, health, hip, quality of life, veteran

İran’da savaş nedeniyle kalça dezartikülasyonu gelişen kişilerde yaşam kalitesi

Öz

Amaç: Bu çalışmanın amacı, İran-Irak Savaşı nedeniyle kalça dezartikülasyonu geçiren gazilerin sağlıkla ilişkili yaşam kalitelerini değerlendirmekti.

Çalışma planı: Kalça dezartikülasyonuna yol açacak şekilde savaşta yara almış tüm askerler 7 günlük bir kampa davet edildi. Yüz seksen üç davetliden 76’sı çalışmaya alındı. Kalça dezartikülasyonunun yaşam kalitesine etkisi 36 maddeden oluşan kısa form sağlık anketi ile ölçülüp, nüfus genelindeki skorlar ile karşılaştırıldı.

Bulgular: Çalışmaya katılanların anket sırasındaki yaş ortalaması 44.1±6.98 idi. Sağlıkla ilişkili yaşam kalitesi alt ölçekleri arasında en düşük skor, (32.88±33.20) değeri ile bedensel ağrıda görüldü. Kalça dezartikülasyonu olan gazilerin sağlıkla ilişkili yaşam kalitesinin, canlılık hariç (p=0.114) tüm alt ölçeklerde toplum genelinden anlamlı derecede daha düşük olduğu saptandı (p<0.05).

Çıkarımlar: Savaş nedeniyle kalça dezartikülasyonu oluşan gazilerin yaşam kaliteleri kötüdür. Bu hastaların yaşam kalitelerini arttırmak için uygun girişimlerin ve rehabilitasyon programlarının uygulanmasını öneriyoruz.

Anahtar Kelimeler

Dezartikülasyon; gazi; kalça; sağlık; yaşam kalitesi.

Kaynakça

• Ateşalp AS, Erler K, Gür E, Solakoglu C. Below-knee amputations as a result of land-mine injuries: comparison of primary closure versus delayed primary closure. J Trauma 1999;47:724-7.
• Zargar M, Araghizadeh H, Soroush MR, Khaji A. Iranian casualties during the eight years of Iraq-Iran conflict. Rev Saude Publica 2007;41:1065-6.
• Babić-Banaszak A, Kovacić L, Kovacević L, Vuletić G, Mujkić A, Ebling Z. Impact of war on health related quality of life in Croatia: population study. Croat Med J 2002;43:396-402.
• DeSalvo KB, Fan VS, McDonell MB, Fihn SD. Predicting mortality and healthcare utilization with a single question. Health Serv Res 2005;40:1234-46.
• Rogers WH, Kazis LE, Miller DR, Skinner KM, Clark JA, Spiro A 3rd, et al. Comparing the health status of VA and non-VA ambulatory patients: the veterans’ health and medical outcomes studies. J Ambul Care Manage 2004;27:249-62.
• Ahroni JH, Boyko EJ. Responsiveness of the SF-36 among veterans with diabetes mellitus. J Diabetes Complications 2000;14:31-9.
• Asadollahi R, Saghafinia M, Nafissi N, Montazeri A, Asadollahi M, Khatami M. Anxiety, depression and healthrelated quality of life in those injured by landmines, Ilam, Islamic Republic of Iran. East Mediterr Health J. 2010;16:1108-14.
• Kazis LE, Miller DR, Clark J, Skinner K, Lee A, Rogers W, et al. Health-related quality of life in patients served by the Department of Veterans Affairs: results from the Veterans Health Study. Arch Intern Med 1998;158:626-32.
• Mansell D, Kazis L, Miller D, Skinner K, Spiro A, Clark J, editors. Quality of life in veterans with alcohol disorders and post traumatic stress disorder. AHSR FHSR Annu Meet Abstr Book; 1994.
• Mousavi B, Soroush MR, Montazeri A. Quality of life in chemical warfare survivors with ophthalmologic injuries: the first results form Iran Chemical Warfare Victims Health Assessment Study. Health Qual Life Outcome 2009;7:2.
• Singh JA, Borowsky SJ, Nugent S, Murdoch M, Zhao Y, Nelson DB, et al. Health-related quality of life, functional impairment, and healthcare utilization by veterans: veterans’ quality of life study. J Am Geriatr Soc 2005;53:108
• Taghipour H, Moharamzad Y, Mafi AR, Amini A, Naghizadeh MM, Soroush MR, et al. Quality of life among veterans with war-related unilateral lower extremity amputation: a long-term survey in a prosthesis center in Iran. J Orthop Trauma 2009;23:525-30.
• Hagberg K, Brånemark R. Consequences of non-vascular trans-femoral amputation: a survey of quality of life, prosthetic use and problems. Prosthet Orthot Int 2001;25:186-94.
• Pezzin LE, Dillingham TR, MacKenzie EJ. Rehabilitation and the long-term outcomes of persons with trauma-related amputations. Arch Phys Med Rehabil 2000;81:292300. van der Schans CP, Geertzen JH, Schoppen T, Dijkstra PU. Phantom pain and health-related quality of life in lower limb amputees. J Pain Symptom Manage 2002;24:429
• Yari P, Dijkstra PU, Geertzen JH. Functional outcome of hip disarticulation and hemipelvectomy: a cross-sectional national descriptive study in the Netherlands. Clin Rehabil 2008;22:1127-33.
• Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Qual Life Res 2005;14:875-82.
• Ware JE Jr, Kosinski M, Gandek B, Aaronson NK, Apolone G, Bech P, et al. The factor structure of the SF-36 Health Survey in 10 countries: results from the IQOLA Project. International Quality of Life Assessment. J Clin Epidemiol 1998;51:1159-65.
• Stansbury LG, Lalliss SJ, Branstetter JG, Bagg MR, Holcomb JB. Amputations in U.S. military personnel in the current conflicts in Afghanistan and Iraq. J Orthop Trauma 2008;22:43-6.
• Amini R, Shojaee H, Haghani H, Masoomi M, Hosseini Davarani H. Physical injuries and quality of life in blind war survivors: a cross-sectional study. Arch Iran Med. 2010;13:504-8.
• Saadat S, Javadi M, Divshali BS, Tavakoli AH, Ghodsi SM, Montazeri A, Rahimi-Movaghar et al. Health-related quality of life among individuals with long-standing spinal cord injury: a comparative study of veterans and non-veterans. BMC Public Health 2010;10:6.
• Hotopf M, David AS, Hull L, Nikalaou V, Unwin C, Wessely S. Gulf war illness-better, worse, or just the same? A cohort study. BMJ 2003;327:1370.
• Sareen J, Jacobi F, Cox BJ, Belik SL, Clara I, Stein MB. Disability and poor quality of life associated with comorbid anxiety disorders and physical conditions. Arch Intern Med 2006;166:2109-16.
• Hays RD, Hahn H, Marshall G. Use of the SF-36 and other health-related quality of life measures to assess persons with disabilities. Arch Phys Med Rehabil 2002;83(12 Suppl 2):4-9.
• Penn-Barwell JG. Outcomes in lower limb amputation following trauma: a systematic review and meta-analysis. Injury 2011;42:1474-9.
• Epstein RA, Heinemann AW, McFarland LV. Quality of life for veterans and servicemembers with major traumatic limb loss from Vietnam and OIF/OEF conflicts. J Rehabil Res Dev 2010;47:373-85.
• Gallagher P, Maclachlan M. The Trinity Amputation and Prosthesis Experience Scales and quality of life in people with lower-limb amputation. Arch Phys Med Rehabil 2004;85:730-6.
• Asano M, Rushton P, Miller WC, Deathe BA. Predictors of quality of life among individuals who have a lower limb amputation. Prosthet Orthot Int 2008;32:231-43.