Periferik Anjiopati (Diabetik Ayak) Nedeniyle Ayakta Nekroz ve Yarasý Nedeniyle Alt Ekstremite Amputasyonu Yapýlan Hastalarýn Yaþam Kalitelerin Belirlenmesi

GÝRÝÞ ve AMAÇ: Amputasyonlar, günlük yaþam ve fonksiyonellik açýlarýndan kiþinin hayatýnda büyük deðiþikliklere yol açar. Amputasyondan dolayý meydana gelen vücut yapýlarýndaki ve vücut fonksiyonlarýndaki sýnýrlýlýk, aktivite seviyesini ve kiþinin toplumsal katýlýmýný etkiler. Bu çalýþmada Trinity Amputasyon ve Deneyim Ölçeði (TAPES) anketinin Türkçe versiyonu kullanýlarak amputasyondan sonra normal yaþama yeniden katýlým sürecinin yaþam kalitesi ve fonksiyonel düzey ile iliþkisinin incelenmesi amaçlandý.
YÖNTEM ve GEREÇLER: Çalýþmaya yaþ ve cinsiyet farkýna bakýlmaksýzýn üçüncü basmak hastanemiz Ortopedi ve Travmatoloji kliniðine baþvuran ve diyabetik ayak nedeniyle alt ekstremite amputasyonu yapýlan toplam 48 hasta dahil edildi. Tüm hastalara ait Trinity Amputasyon ve Deneyim Ölçeði (TAPES) anketleri doldurularak kaydedildi.
BULGULAR: Ankete dahil edilen 48 hastanýn 36’sý (%75.0) erkek, 12’si (%25.0) kadýndý. Toplam sekiz (%16.7) hastanýn ampütasyonu diz üstü düzeyinden, 40 (%83.3) hastanýnki ise diz altýndan yapýlmýþtý. Protezi günlük 12 saatin üzerinde kullanan 14 (%29.2) hasta varken, daha az süreyle kullananlar 34 (%70.8) kiþiydi. Hastalarýn ortalama yaþý 54.4±19.4 yýl (yaþ aralýðý: 11-86 yýl) idi. Protezden toplam memnuniyet skoru oraný %63.1±20.5 (aralýk: %20-92) idi.
TARTIÞMA ve SONUÇ: Çalýþmamýz ampüte hastalarda protezlere ve diðer bazý uyum kriterlerine karþý duyulan memnuniyet ile ilgili ülkemizde yapýlmýþ nadir çalýþmalardandýr. Çalýþmamýz verileri özellikle güdük ve fantom aðrýlarýnýn hem protezin günlük kullaným süresiyle, hem uyum skorlarýyla hem de proteze karþý duyulan memnuniyet skorlarý ile anlamlý iliþkili olduðunu ve bu aðrýlarýn ampüte hastalarýn psikolojik durumunu etkilediðini göstermiþtir.

Determination of Quality of Life of Patients Undergoing Lower Extremity Amputation Due to Peripheral Angiopathy (Diabetic Foot)

INTRODUCTION: Amputations lead to major changes in one’s life in terms of daily life and functionality. Limitations in body structures and bodily functions due to amputation affect the level of activity and social participation of the individual. In this study, the Turkish version of the Trinity Amputation and Experience Scale (TAPES) questionnaire was aimed to investigate the relationship between the quality of life and functional level of re-participation after normal amputation.
METHODS: A total of 48 patients who were admitted to the Orthopedics and Traumatology Clinic of our tertiary care hospital, regardless of age and sex, underwent lower extremity amputation due to diabetic foot were included in the study. Trinity Amputation and Experience Scale (TAPES) questionnaires of all patients were recorded and filled out.
RESULTS: Of the 48 patients included in the questionnaire, 36 (75.0%) were male and 12 (25.0%) were female. A total of eight (16.7%) patients were amputated above the knee level and 40 (83.3%) patients under the knee. There were 14 (29.2%) patients who used the prosthesis for more than 12 hours a day, and 34 (70.8%) patients who used the prosthesis for less. The mean age of the patients was 54.4±19.4 years (range: 11–86 years). The total satisfaction score rate was 63.1±20.5% (range: 20–92%).
DISCUSSION AND CONCLUSION: Our study is one of the rare studies in Turkey about the satisfaction of prosthesis and some other compliance criteria in amputated patients. Our study data showed that especially stump and phantom pain were significantly related to both daily utilization of the prosthesis, compliance scores, and satisfaction scores for the prosthesis, and these pains affect the psychological state of the amputees.