Assessment of Quality of Life and Coping Strategies Used by Amputated Patients Attending Orthopedics OPD to Provide Rehabilitation Program: A Descriptive Study

Year : 2025 | Volume : 03 | Issue : 01 | Page : 23 39
    By

    Monika .,

  1. Student, Department of Nursing, College of Nursing, Pt. Bhagwat Dayal Sharma University of Health Sciences, Haryana, India

Abstract

Introduction: Amputation is defined as the surgical removal of a body appendage such as limbs. It has a profound social, economic, physical and psychological impact on patients. Objectives of the study: To assess the quality of life and coping-strategies used by an amputated patient and to determine an association between the quality of life and coping-strategies with selected socio-demographic variables at Pt. B. D. Sharma, PGIMS, Rohtak. Material and Method: A quantitative research approach and descriptive cross-sectional was adopted for the study. WHOQQL-BREF scale and Brief-COPE scale were used for data collection on various dimensions of quality of life and coping-strategies. Results: 40 patients were experiencing very poor and 56 patients were experiencing poor overall quality of life. Coping-strategies utilized by the patients with a predominant use of problem-focused by 50, avoidant by 34 and emotion-focused by 16 patients. There is no significant association between QoL and age, gender, marital status, educational status, occupation, income of the family, place of residence, site of amputation, leg involved, reason for amputation and walking ability but there is a significant association between QoL and use of prosthesis. There is no significant association between coping-strategies and age, gender, marital status, educational status, occupation, the income of the family and place of residence but there is some association between coping-strategies and site of amputation, leg involved, the reason for amputation, use of prosthesis and walking abilities. This study contributes valuable insights to inform the development of targeted rehabilitation programs for amputees attending orthopedics OPD at Pt. B. D. Sharma PGIMS, Rohtak. Conclusion: Quality of life is very poor to poor in amputees in each domain and coping-strategies used by these patients were inadequate. These patients need specific rehabilitation and support to enhance overall well-being and adaptation.

Keywords: Amputation, assess, quality of life, coping-strategies, rehabilitation

[This article belongs to International Journal of Orthopedic Nursing and Practices ]

How to cite this article:
Monika .. Assessment of Quality of Life and Coping Strategies Used by Amputated Patients Attending Orthopedics OPD to Provide Rehabilitation Program: A Descriptive Study. International Journal of Orthopedic Nursing and Practices. 2025; 03(01):23-39.
How to cite this URL:
Monika .. Assessment of Quality of Life and Coping Strategies Used by Amputated Patients Attending Orthopedics OPD to Provide Rehabilitation Program: A Descriptive Study. International Journal of Orthopedic Nursing and Practices. 2025; 03(01):23-39. Available from: https://journals.stmjournals.com/ijornp/article=2025/view=207029


References

  1. Gibson J. Lower limb amputation. Nurs Stand. 2001 Mar 28–Apr 3; 15(28): 47–52; quiz 54– doi: 10.7748/ns2001.03.15.28.47.c3002. PMID: 12216256.
  2. vanNettenJJ,BabaM,Lazzarini Epidemiology of diabetic foot disease and diabetes-related lower-extremity amputation in Australia: a systematic review protocol. Syst Rev. 2017 May 18; 6(1): 101. doi: 10.1186/s13643-017-0488-5. PMID: 28521817; PMCID: PMC5437559.
  3. Harvey ZT, Loomis GA, Mitsch S, Murphy IC, Griffin SC, Potter BK, Pasquina P. Advanced rehabilitation techniques for the multi-limb amputee. J Surg Orthop Adv. 2012 Spring; 21(1): 50– PMID: 22381511.
  4. Dillingham TR, Pezzin LE, Shore AD. Reamputation, mortality, and health care costs among persons with dysvascular lower-limb amputations. Arch Phys Med Rehabil. 2005 Mar; 86(3): 480– doi: 10.1016/j.apmr.2004.06.072. PMID: 15759232.
  5. Flannery JC, Faria SH. Limb loss: alterations in body image. J Vasc Nurs. 1999 Dec; 17(4): 100–6; quiz 107– doi: 10.1016/s1062-0303(99)90036-5. PMID: 10818888.
  6. Peters CML, de Vries J, Lodder P, Steunenberg SL, Veen EJ, de Groot HGW, Ho GH, van der Laan L. Quality of Life and not Health Status Improves After Major Amputation in the Elderly Critical Limb Ischaemia Patient. Eur J Vasc Endovasc Surg. 2019 Apr; 57(4): 547– doi: 10.1016/j.ejvs.2018.10.024. Epub 2019 Feb 28. PMID: 30826247.
  7. WHOQOL: Measuring Quality of Life. [Online]. World Health Organization. Archived from https://www.who.int/toolkits/whoqol 15 May 2020. Retrieved 22 May 2020
  8. Gregory Derek, Johnston Ron, Pratt Geraldine, Watts Michael, et al., editor Quality of Life. In: Dictionary of Human Geography. 5th Edn. Oxford: Wiley-Blackwell; 2009 Jun. Available online at: https://s3.amazonaws.com/arena-attachments/293183/0e6f92cc7302976ef7c9f27cb6604b3f.
    pdf
  9. Martha Nussbaum, Amartya Sen, editors. The Quality of Life. Oxford: Clarendon Press; 1993. Description and chapter-preview Archived 11 February 2019 at the Wayback Machine. Available online at: https://global.oup.com/academic/product/the-quality-of-life-9780198287971
    ?cc=in&lang=en&
  10. Barcaccia Barbara. (2013 Sep 4). Quality Of Life: Everyone Wants It, But What Is It? [Online]. Forbes Archived from the original on 22 May 2019. Retrieved 10 May 2016.
  11. Shakshi S, Ranju S. Nursing Interventions in Improving the Quality of life of Amputees through Rehabilitation: A Literature Review. Thesis. Finland: JAMK University of Applied Sciences. 2019 Oct; 85– Available online at: https://www.theseus.fi/bitstream/handle/10024/267743/Thesis_
    final_version_(1).pdf?isAllowed=y&sequence=2
  12. Burger H, Marincek C. The life style of young persons after lower limb amputation caused by injury. Prosthet Orthot Int. 1997 Apr; 21(1): 35– doi: 10.3109/03093649709164528. PMID: 9141124.
  13. SinhaR,vandenHeuvelWJ,ArokiasamyP,vanDijk Influence of adjustments to amputation and artificial limb on quality of life in patients following lower limb amputation. Int J Rehabil Res. 2014 Mar; 37(1): 74–9. doi: 10.1097/MRR.0000000000000038. PMID: 24157864.
  14. World Health Organization. (2004) The World Health Organization Quality of life (WHO quality of life)- BREF, 2012 revision. [Online]. World Health Organization. https://apps.who.int/iris/
    handle/10665/77773
  15. Carver CS. You want to measure coping but your protocol’s too long: consider the brief COPE. Int J Behav Med. 1997; 4(1): 92–100. doi: 10.1207/s15327558ijbm0401_6. PMID: 16250744.
  16. Ezzatvar Y, García-Hermoso A. Global estimates of diabetes-related amputations incidence in 2010-2020: A systematic review and meta-analysis. Diabetes Res Clin Pract. 2023 Jan; 195: doi: 10.1016/j.diabres.2022.110194. Epub 2022 Dec 1. PMID: 36464091.
  17. Czerniecki JM, Turner AP, Williams RM, Thompson ML, Landry G, Hakimi K, Speckman R, Norvell DC. The development and validation of the AMPREDICT model for predicting mobility outcome after dysvascular lower extremity amputation. J Vasc Surg. 2017 Jan; 65(1): 162–e3. doi: 10.1016/j.jvs.2016.08.078. Epub 2016 Oct 14. PMID: 27751738; PMCID: PMC7521625.
  18. Columbo JA, Davies L, Kang R, Barnes JA, Leinweber KA, Suckow BD, Goodney PP, Stone Patient experience of recovery after major leg amputation for arterial disease. Vasc Endovasc Surg. 2018; 52(4): 262–268.
  19. Roberts E, Burhani L, Lankester R, Mobbs A, Tigert C, Vanvelzen T, Campbell J, Devlin M, Dilkas S, MacKay C. A qualitative study examining prosthesis use in everyday life in individuals with lower limb amputations. ProsthetOrthot Int. 2021 Aug 1; 45(4): 296.
  20. MacKenzie EJ, Bosse MJ, Kellam JF, Burgess AR, Webb LX, Swiontkowski MF, Sanders R, Jones AL, McAndrew MP, Patterson B, McCarthy ML, Rohde CA; LEAP Study Group. Factors influencing the decision to amputate or reconstruct after high-energy lower extremity trauma. J Trauma. 2002 Apr; 52(4): 641–9. doi: 10.1097/00005373-200204000-00005. Erratum in: J Trauma 2002 Jul;53(1):48. PMID: 11956376.
  1. Sarroca N, Valero J, Deus J, Casanova J, Luesma MJ, Lahoz M. Quality of life, body image and self-esteem in patients with unilateral transtibial amputations. Sci Rep. 2021 Jun 15; 11(1): doi: 10.1038/s41598-021-91954-1. PMID: 34131211; PMCID: PMC8206319.
  2. MacKay C, Cimino SR, Guilcher SJT, Mayo AL, Devlin M, Dilkas S, Payne MW, Viana R, Hitzig SL. A qualitative study exploring individuals’ experiences living with dysvascular lower limb amputation. Disabil Rehabil. 2022 May; 44(10):1812– doi: 10.1080/09638288.2020.
    1803999. Epub 2020 Aug 14. PMID: 32795222.
  3. BAlediL,FlumignanCD,TrevisaniVF,MirandaF Interventions for motor rehabilitation in people with transtibial amputation due to peripheral arterial disease or diabetes. Cochrane Database Syst Rev. 2023 Jun 5; 6(6): CD013711. doi: 10.1002/14651858.CD013711.pub2. PMID: 37276273; PMCID: PMC10240563.
  4. Kizilkurt OK, Kizilkurt T, Gulec MY, Giynas FE, Polat G, Kilicoglu OI, Gulec H. Quality of life after lower extremity amputation due to diabetic foot ulcer: the role of prosthesis-related factors, body image, self-esteem, and coping styles. Dusunen Adam: J Psychiatry Neurol Sci. 2020 Apr 1; 33(2): 109–
  5. Desmond DM. Coping, affective distress, and psychosocial adjustment among people with traumatic upper limb amputations. J Psychosom Res. 2007 Jan 1; 62(1): 15–
  6. Elliott BN, Ofiesh DP, Morrisey DPT S, Mulcahy DPT J, Economou DPT K, Beaudry DPT D. The Benefits of Peer Visitation on the Rehabilitation of New Amputees: A Qualitative Study. Internet J Allied Health SciPract. 2024; 22(2): 23.
  7. Naz S, Haider SS, Sarfraz M, Ghazanfar I. Quality of Life of Lower Limb Amputees; A Comparative Study between Rehabilitated vs Non-Rehabilitated Groups: Quality of Life of Lower Limb Amputees. Pakistan Journal of Health Sciences (PJHS-Lahore). 2023 Oct 31; 4(10): 213– Available from: https://thejas.com.pk/index.php/pjhs/article/view/977

 

Regular Issue Subscription Original Research
Volume 03
Issue 01
Received 22/02/2025
Accepted 03/03/2025
Published 20/03/2025
Publication Time 26 Days
233

Login


My IP

PlumX Metrics