SF-36을 이용한 하지 절단자의 삶의 질 평가

초록

Objective: To assess overall quality of life (QOL) in lower limb amputees and identify the factors affecting their quality of life. Method: This study was designed as an interview survey using the questionnaire. The subjects were 78 lower limb amputees (male 76, female 2) and the age matched 39 healthy adult males consisted control group. Interview questionnaire included level of education, religion, marital status, occupation and income. Depression was measured by the Beck depression inventory (BDI). The QOL was measured by the MOS 36-item short-form health survey (SF-36). The SF-36 scores of amputee group were compared with that of control group, and were compared according to the various factors. Results: The mean overall scores of QOL in amputee and control group were 50.2⁑21.7, 73.6⁑12.7 respectively (p＜0.05). The mean scores were significantly reduced in amputee group as compared with the control group in entire dimension (p＜0.05). Depression and numbers of combined diseases had a negative effect on multiple areas of QOL (p＜0.05), however, occupation, income, amputation level, and time after amputation had no significant effect (p＞0.05). Conclusion: The QOL assessed by SF-36 indicated relatively low functional and well-being status in amputees. Depression and combined diseases would be a most important factors on QOL.

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