截肢病患復健成效之檢討

Rehabilitative Outcome of Amputee

黃美涓(May-Kuen Wong) ； 陳智仁(Jyh-Ren Chen)

《中華民國復健醫學會雜誌》 13期 (1985/12) Pp. 61-64

摘要

本研究以25名截肢病患來分析探討義肢復健對他們的幫助如何，其中男性22位，女性3位。平均年齡42.5±16.9歲。肘上截肢3位，肘下截肢6位，膝上截肢6位及膝下截肢10位。發現使用義肢技巧成熟所需時間個別差異甚大，其中44%在住院裝配到訓練後即使用良好，24%則需出院後3個月才逐漸適應如何使用義肢，32%要經過半年左右才能習慣使用自如。義肢使用頻率以下肢較好，每日均使用者佔87.5%，上肢則僅有44.4%患者每日在使用義肢。日常生活方面有56%患者可以完全自理，40%則僅少部份需賴他人照顧，大部份日常生活仰賴別人照顧的僅有1人，可見截肢病患在日常生活中絕大部份可以獨立生活。截肢病患外出工作者佔56%；而從事家庭副業佔24%；留在家中執行家務，與妻子更換角色者則佔3位。僅有2人沒有工作，一位原是學生，仍在上學，另一位則是85歲老人，本來就沒有工作。可見截肢患者就業率是相當理想。截肢患者對義肢滿意程度並不理想，非常滿意者僅32%，滿意者亦是32%，認為義肢功能尚可者佔24%，非常不滿意則有3位，佔12%。其中上肢義肢被認為在滿意程度以上者僅44.4%，不及半數；下肢義肢則有75%病患還可以接受，尚稱滿意。顯示上肢義肢在製造上仍需力求改善突破，才能適合殘障者的需要。

並列摘要

25 amputee patients were studied by questionnaire to understand their rehabilitative outcome after prosthesis fitting from January to December of 1984. Among them, 22 cases were male, 3 were female; 9 were upper extremity amputee (above elbow 3, below elbow 6) and 16 were lower extremity amputee (above Knee 6, below Knee 10); all of them were one limb amputation. The maturation time for porsthesis being used skillfully depended on different patients. 44% could use the prosthesis quite well at the time of being discharged, 24% needed 3 more months, and 32% should get repeat practice until half year later. The frequency of prosthesis being used at home was better in lower extremity than the upper, 87.5% lower extremity amputee used their prosthesis everyday, while on 44.4% in the upper. The activities of daily living were very well in these cases. 56% were completely independent, 40% needed a little bite help by others, only 1 person was partially dependent to his family, but no body was totally dependent. 56% of amputee patients remained to work outside, 24% changed to work at home, 3 cases gave up their original job and changed role with their wives. Only 2 cases did not work, one was a student and went back to school, another was a 85 year old man who stayed home before amputation. Only 32% cases were very satisfied to their prosthesis, another 32% were satisfied, 24% were fairly satisfied, while 24% were not satisfied at all. Among them, lower extremity prosthesis were satisfied at 75%, in upper were only 44.4%. The difference was statistically significant (P＜0.05). How to improve the design and function of upper extremity prosthesis are very necessary and challenging in prosthetic field today.

並列關鍵字

Amputee ； Prosthesis ； Rehabilitation