Health outcomes of patients undergone amputation in Hong Kong

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Health outcomes of patients undergone amputation in Hong Kong

 

Author: Man, Nga-wai
Title: Health outcomes of patients undergone amputation in Hong Kong
Degree: M.Sc.
Year: 2006
Subject: Hong Kong Polytechnic University -- Dissertations
Amputees -- Health and hygiene -- China -- Hong Kong.
Amputation -- Psychological aspects.
Department: School of Nursing
Pages: viii, 106 leaves ; 30 cm. + 1 computer disk
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1893946
URI: http://theses.lib.polyu.edu.hk/handle/200/2612
Abstract: Purpose: To investigate the health outcomes of patients undergone amputation in Hong Kong, as well as to identify the factors that will affect their level of health-related quality of life. It is envisaged that findings of this study may provide more comprehensive information for improving the quality of nursing care delivery by taking health-related quality of life issues into consideration in planning nursing care for patients with amputation. Besides, since there is no local study conducted previously in investigating health-related quality of life issues among amputees in Hong Kong, it is believed that the findings can provide cues for nursing implication in promoting quality of life as well as rehabilitation of amputees. Method: People undergone amputation who met the selection criteria were recruited to the study. Medical record review and structured telephone interviews were performed to collect data. Verbal informed consent was obtained before each interview started. This was a cross-sectional study. Interview was guided by a questionnaire, which consisted of questions exploring patients' socio-demographic characteristics, clinical profile, level of functional disability, perceived level of social support as well as perceived level of health-related quality of life. Medical record review was guided by a checklist for collecting background information of patients. Results: Findings showed that health outcomes of patients undergone amputation in Hong Kong were unsatisfactory. High mortality rate of around 21% was noted for operation during the study period. For survivors, various levels of functional disability were resulted. Besides, results indicated that the perceived level of informational support (mean = 1.25; SD = 0.25) and social companionship (mean = 1.38; SD = 0.58) of amputees were insufficient when compared to that of emotional support (mean= 2.55; SD = 0.57) and tangible support (mean = 2.07; SD= 0.64), which represented service gaps to amputees. Furthermore, the perceived level of health-related quality of life among amputees was also sub-optimal. Significant lowered perceived levels in all 8 dimensions of health-related quality of life among amputees were reported when compared to the norm reference of the Hong Kong general population, which representing a giant negative impact of amputation to the subjects. Regression analyses revealed that "Barthel score", "emotional support" and "occupation after surgery" were the common associating factors influencing the 8 dimensions of health-related quality of life of amputees. This information provided cues and direction for health care professions in implementation of rehabilitative planning to amputees. It was expected that patients undergone amputation could receive a multi-disciplinary approach in physical training, especially for training of activity of daily livings. Besides, health care professionals were suggested to strengthen their skills in functional communication as well as provision of emotional support. Vocational rehabilitation was also reinforced and it should be incorporated into the rehabilitation programmes, so as to enhance re-employment of amputees after the operations.

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