Unit:
Department of NursingLibrary of the School of Health Sciences
Dissertation committee:
1) Φιλντίσης Γεώργιος, Καθηγητής, Νοσηλευτική Σχολή, ΕΚΠΑ
2) Κωνσταντίνου Ευάγγελος, Καθηγητής, Νοσηλευτική Σχολή, ΕΚΠΑ
3) Κατσούλας Θεόδωρος, Αναπληρωτής Καθηγητής, Νοσηλευτική Σχολή , ΕΚΠΑ
4) Τσουμάκας Κων/νος, Καθηγητής, Νοσηλευτική Σχολή, ΕΚΠΑ
5) Κακλαμάνος Ιωάννης, Καθηγητής, Νοσηλευτική Σχολή, ΕΚΠΑ
6) Μαριόλης – Σαψάκος Θεόδωρος, Καθηγητής, ΝοσηλευτικήΣχολή , ΕΚΠΑ
7) Βλάμης Ιωάννης, Επίκουρος Καθηγητής, Ιατρική, ΕΚΠΑ
Original Title:
Ποιότητα ζωής και κόστος αποκατάστασης ασθενών μετά από ακρωτηριασμό άκρου
Translated title:
Health-related quality of life and rehabilitation costs of patients with limb amputation
Summary:
Introduction: Limb amputation is a significant irreversible loss and leads to many changes in a person's life. Regardless of the etiology, patients experience changes in their center of gravity, mobility and ability to perform activities of daily living and self-care.
Aim: The aim of this study was to assess the changes in Quality of Life (QoL) and the rehabilitation cost of patients with limb amputation, after discharge from the hospital. It studied how the QoL of these patients during 2 years after discharge from the hospital changed, and how this change affects the configuration of the rehabilitation costs.
Methods: To evaluate the health status of patients with limb amputation, the Short Form 36 (SF-36) questionnaire was used, which is a general and reliable tool for measuring QoL. Patients or their caregivers were asked to respond to the questionnaire SF-36 at 6, 12, 18 and 24 months after leaving the hospital. In order to evaluate the rehabilitation cost at each measurement, variables of direct and indirect costs were summed.
Results: The sample consisted of 107 patients with a mean age of 48.8 ± 16.7 years. Males were 92.5% (n = 99) and females 7.5% (n = 8). Among them, 71% (n = 76) were working, and 77.5% (n = 83) had a monthly family income >1,000€ and 51 increased significantly over time between 0-6 and 7-12 months. Patients did not report rehabilitation costs after the first year of discharge from the hospital. The rehabilitation cost was initially high, but decreased over time with the greatest reduction being recorded in men. Gender, marital status, the number of children, the monthly family income, occupation, the type of amputation and the use of prosthetics are factors that affect the rehabilitation cost.
Conclusions: Up to 2 years after discharge from the hospital, the QoL of the patients with limp amputation continues to improve, without being stabilized or even approaching the levels of QoL before the accident. The rehabilitation cost required for patient is high, but only 12 months after hospital discharge. New similar studies need to be conducted that will lead to new proposals in order to improve the rehabilitation of patients with limb amputation.
Main subject category:
Health Sciences
Keywords:
Amputation, Quality of life, Income, Limp, Rehabilitation costs.
Number of references:
133
