@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2014;6(4):143-149
ISSN: 2008-2630 Iranian Journal of War & Public Health 2014;6(4):143-149
Comparison of Quality of Life and Depressionin Veteransand Non-veterans with below Knee Traumatic Amputation
ARTICLE INFO
Article Type
Original ResearchAuthors
Fahimi M. (1 )Kamali M. (* )
Saeedi H. (1 )
(* ) “Rehabilitation Research Center”, “Rehabilitation Management Department, Rehabilitation Sciences School”, Iran University of Medical Sciences, Tehran, Iran
(1 ) Orthosis & Prothosis Department, Rehabilitation Sciences School, Iran University of Medical Sciences, Tehran, Iran
Correspondence
Article History
Received: December 18, 2013Accepted: June 11, 2014
ePublished: July 20, 2014
ABSTRACT
Aims
From the rehabilitation viewpoint, amputation is considered as a deficit that may
result in individual disability and it has some social problems consequences. Quality of
life is also one of the important indicators to evaluate health and social and rehabilitation
programs. This study aimed to compare the prevalence of depression and quality of life of
veterans and amputated non-veterans due to an accident.
Materials & Methods This descriptive cross-sectional study was done on patients referred to men below the knee prosthesis fabrication in Tehran Red Crescent Society Rehabilitation Center and Kowsar Orthotics and Prosthetics Center of Martyr and Veterans Foundation in April and June 2013. 60 subjects were selected in two groups of 30 veterans and non-veterans. Data were collected through three-section demographic, SF-36 to measure quality of life and Beck depression questionnaires. Data analysis was done using independent T, Pearson correlation and Chi-square tests.
Findings Veterans depression mean (6.9±5.7) was less than non-veterans (8.2±6.6) significantly (p=0.001). No significant difference (p=0.807) was observed between the total score of quality of life of veterans groups (66.2±15.3) and non-veterans (70.2±14.8). Also, there was no significant difference between veterans and non-veterans in two physical health (p=0.766) and mental health scale domains (p=0.751). A significant inverse correlation was observed between the levels of depression and mental and physical health scores of veterans and non-veterans groups (p<0.008).
Conclusion Depression is associated with quality of life in amputated people.
Materials & Methods This descriptive cross-sectional study was done on patients referred to men below the knee prosthesis fabrication in Tehran Red Crescent Society Rehabilitation Center and Kowsar Orthotics and Prosthetics Center of Martyr and Veterans Foundation in April and June 2013. 60 subjects were selected in two groups of 30 veterans and non-veterans. Data were collected through three-section demographic, SF-36 to measure quality of life and Beck depression questionnaires. Data analysis was done using independent T, Pearson correlation and Chi-square tests.
Findings Veterans depression mean (6.9±5.7) was less than non-veterans (8.2±6.6) significantly (p=0.001). No significant difference (p=0.807) was observed between the total score of quality of life of veterans groups (66.2±15.3) and non-veterans (70.2±14.8). Also, there was no significant difference between veterans and non-veterans in two physical health (p=0.766) and mental health scale domains (p=0.751). A significant inverse correlation was observed between the levels of depression and mental and physical health scores of veterans and non-veterans groups (p<0.008).
Conclusion Depression is associated with quality of life in amputated people.
CITATION LINKS
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[18]Zarei Goniani T, Kamali M, Akbarfahimi M, Montazeri A. Quality of life in spinal cord injured people: The comparison between those who are living with their family and those who are confined in Tehran care centers in 2007 [Dissertation]. Iran Medical Science University Rehabilitation Faculty; 2008 [Persian]
[19]Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83.
[20]Dajpratham P, Tantiniramai S, Lukkanapichonchut P. Health related quality of life among the Thai people with unilateral lower limb amputation. J Med Assoc Thai. 2011;94(2):250-5.
[21]Ware JE. SF-36 Health survey: Manual & interpretation guide. Lincoln, RI: Quality Metric; 2000.
[22]McHorney CA, Ware JE Jr, Lu JF, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care. 1994;32(1):40-66.
[23]Montazeri A, Goshtasbi A, Vahdaninia M, Gandek B. The short form health survey (SF-36): Translation and validation study of the Iranian version. Qual Life Res. 2005;14(3):875-82.
[24]Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev. 1988;8(1):77-100.
[25]khademi MJ, Gharib M, Rashedi V. Prevalence of depression in the amputated patients concerning demographic variables. Iran J War Pub Health. 2012;4(2):12-7. [Persian]
[26]Azkhosh M. The use of psychological tests and clinical diagnosis. 2nd ed. Tehran: Ravaan; 2007. [Persian]
[27]Schubert DS, Burns R, Paras W, Sioson E. Decrease of depression during stroke and amputation rehabilitation. Gen Hosp Psychiatry. 1992;14(2):135-41.
[28]Masoumi M, Soroush MR, Modirian E. Evaluation of psychiatric problems among war related bilateral upper limb amputees. J Mil Med. 2008;10(3):185-92. [Persian]
[29]World Health Organization. The rehabilitation of people with amputation. USA: United States Department of Defense. Mossrehab Hospital; 2004. Available from: http://www.posna.org/news/amputations.pdf.
[30]Hawamdeh ZM, Othman YS, Ibrahim AI. Assessment of anxiety and depression after lower limb amputation in Jordanian patients. Neuropsychiatr Dis Treat. 2008;4(3):627-33.
[31]Sinha R, van den Heuvel WJ, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthet Orthot Int. 2011;35(1):90-6.
[32]Jafari F, Guitynavard F, Soroush MR, Muosavi B. Quality of life chemical war victims with sever pulmonary damage. Iran J War Pub Health. 2012;4(1):46-52. [Persian]
[33]Khani H, Joharinia S, Kariminasab MH, Ganji R, Azad Marzabadi E, Shakeri M, et al. An evaluation of quality of life in amputte veterans in Mazandaran. J North Khorasan Univ Med Sci. 2011;3(1):49-56. [Persian]
[34]Nejati V, Amini R, Zabihzadeh A, Masoumi M, Maleki Gh, Shoaie F. Mindfulness as effective factor in quality of life of blind veterans. Iran J War Pub Health. 2008;1(2):24-35. [Persian]
[35]Abbasi M, Jamali HA, Omidi Oskouei AR. Quality of life of chemically-disabled war veterans involved in pulmonary complications of Sulfur mustard gas in Sardasht. Qom Univ Med Sci J. 2012;5(4):34-9. [Persian]
[36]Kamali M, Adli M. A comparison on quality of life in unilateral transfemoral amputees who use either intelligent or simple mechanical knee joint. Iran J War Pub Health. 2010;3(1):17-23. [Persian]
[37]Haghgoo H, Saedpazuki E, Sarfaraz Z, Rassafiani M. Depression and quality of life in patients with stroke. Res Rehabil Sci. 2009;6(2):225-43. [Persian]
[38]Saadat S, Javadi M, Sabet Divshali B, Tavakoli AH, Ghodsi SM, et al. Health-related quality of life among individuals with long-standing spinal cord injury: A comparative study of veterans and non-veterans. BMC Pub Health. 2010;10(6):1-7.
[2]Turner JB, Turner RJ. Physical disability, unemployment and mental health. Rehabil Psychol. 2004;49(3):241-9.
[3]Taghipour H, Moharamzad Y, Mafi AR, Amini A, Naghizadeh MM, Soroush MR, et al. Quality of life among veterans with war-related unilateral lower extremity amputation: a long-term survey in a prosthesis center in Iran. J Orthop Trauma. 2009;23(7):525-30.
[4]Masoumi M, Soroush MR, Modirian E. Evaluation of psychiatric problems among warrelated bilateral upper limb amputees. J Mil Med. 2008;10(3):185-92.
[5]Mousavi B, Mirsalimi F, Soroush MR, Masumi M, Montazer A. Quality of life in war related bilateral lower limb amputees. Payesh. 2009;8(3):303-10. [Persian]
[6]Hagberg K, Branemark R, Hagg O. Questionnair for persons with a transfemoral amputation (Q-TFA): Initial validity and reliability of a new outcome measure. J Rehabil Res Dev. 2004;41(5):695-706.
[7]King CR, Hinds PS (editors). Quality of life from nursing and patient perspectives: Theory, research, practice. Massachusett: Jones and Bartlett; 1998.
[8]Fayers PM, Machin D. Quality of life: The assessment, analysis and interpretation of patient-reported outcomes. 2nd ed. New York: Wiley; 2007.
[9]Ebskov LB. Trauma-related major lower limb amputations: an epidemiologic study. J Trauma. 1994;36(6):778-83.
[10]Sinha R, Van Den Heuvel WJ. A systematic literature review of quality of life in lower limb amputees. Disabil Rehabil. 2011;33(11):883-99.
[11]Ebrahimzadeh MH, Fattahi AS, Nejad AB. Long-term follow –up of Iranian veteran upper extremity amputees, from the Iran-Iraq war (1980-1988). J Trauma. 2006;61(4):886-8.
[12]Harker J. Wound healing complications associated with lower limb amputation [Internet]. Wound healing complications associated with lower limb amputation [Published: September 2006; Cited: October 10, 2013]; 2006. Available from: http//www.world wide wounds.com
[13]Esquenazi A. Amputation rehabilitation and prosthetic restoration. From surgery to community reintegration. Disabil Rehabil. 2004;26(14-15):831-6.
[14]Saeidzakerin M, Hoviattalab Kh, Shahabi M. Effect of home visit on self care and physical activity of vetterans with bilateral lower limb amputation. J Pajohandeh. 2000;1(17):107-12.
[15]Rommers GM, Vos LDW, Groothoff JW, Schuiling CH, Eisma WH. Epidemiology of lower limb amputees in the north of the Netherlands: etiology, discharge destimation and prosthetic use. Prosthet Orthot Int. 1997;21(2):92-9.
[16]Johannesson A, Larsson GU, Oberg T. From major amputation to prosthetic outcome: a prospective study of 190 patients in a defined population. Prosthet Orthot Int. 2004;28(1):9-21.
[17]Dillingham TR, Pezzin LE, Mackenzie EJ. Limb amputation and limb deficiency: epidemiology and recent trends in the United States. South Med J. 2002;95(8):875-83.
[18]Zarei Goniani T, Kamali M, Akbarfahimi M, Montazeri A. Quality of life in spinal cord injured people: The comparison between those who are living with their family and those who are confined in Tehran care centers in 2007 [Dissertation]. Iran Medical Science University Rehabilitation Faculty; 2008 [Persian]
[19]Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83.
[20]Dajpratham P, Tantiniramai S, Lukkanapichonchut P. Health related quality of life among the Thai people with unilateral lower limb amputation. J Med Assoc Thai. 2011;94(2):250-5.
[21]Ware JE. SF-36 Health survey: Manual & interpretation guide. Lincoln, RI: Quality Metric; 2000.
[22]McHorney CA, Ware JE Jr, Lu JF, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care. 1994;32(1):40-66.
[23]Montazeri A, Goshtasbi A, Vahdaninia M, Gandek B. The short form health survey (SF-36): Translation and validation study of the Iranian version. Qual Life Res. 2005;14(3):875-82.
[24]Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev. 1988;8(1):77-100.
[25]khademi MJ, Gharib M, Rashedi V. Prevalence of depression in the amputated patients concerning demographic variables. Iran J War Pub Health. 2012;4(2):12-7. [Persian]
[26]Azkhosh M. The use of psychological tests and clinical diagnosis. 2nd ed. Tehran: Ravaan; 2007. [Persian]
[27]Schubert DS, Burns R, Paras W, Sioson E. Decrease of depression during stroke and amputation rehabilitation. Gen Hosp Psychiatry. 1992;14(2):135-41.
[28]Masoumi M, Soroush MR, Modirian E. Evaluation of psychiatric problems among war related bilateral upper limb amputees. J Mil Med. 2008;10(3):185-92. [Persian]
[29]World Health Organization. The rehabilitation of people with amputation. USA: United States Department of Defense. Mossrehab Hospital; 2004. Available from: http://www.posna.org/news/amputations.pdf.
[30]Hawamdeh ZM, Othman YS, Ibrahim AI. Assessment of anxiety and depression after lower limb amputation in Jordanian patients. Neuropsychiatr Dis Treat. 2008;4(3):627-33.
[31]Sinha R, van den Heuvel WJ, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthet Orthot Int. 2011;35(1):90-6.
[32]Jafari F, Guitynavard F, Soroush MR, Muosavi B. Quality of life chemical war victims with sever pulmonary damage. Iran J War Pub Health. 2012;4(1):46-52. [Persian]
[33]Khani H, Joharinia S, Kariminasab MH, Ganji R, Azad Marzabadi E, Shakeri M, et al. An evaluation of quality of life in amputte veterans in Mazandaran. J North Khorasan Univ Med Sci. 2011;3(1):49-56. [Persian]
[34]Nejati V, Amini R, Zabihzadeh A, Masoumi M, Maleki Gh, Shoaie F. Mindfulness as effective factor in quality of life of blind veterans. Iran J War Pub Health. 2008;1(2):24-35. [Persian]
[35]Abbasi M, Jamali HA, Omidi Oskouei AR. Quality of life of chemically-disabled war veterans involved in pulmonary complications of Sulfur mustard gas in Sardasht. Qom Univ Med Sci J. 2012;5(4):34-9. [Persian]
[36]Kamali M, Adli M. A comparison on quality of life in unilateral transfemoral amputees who use either intelligent or simple mechanical knee joint. Iran J War Pub Health. 2010;3(1):17-23. [Persian]
[37]Haghgoo H, Saedpazuki E, Sarfaraz Z, Rassafiani M. Depression and quality of life in patients with stroke. Res Rehabil Sci. 2009;6(2):225-43. [Persian]
[38]Saadat S, Javadi M, Sabet Divshali B, Tavakoli AH, Ghodsi SM, et al. Health-related quality of life among individuals with long-standing spinal cord injury: A comparative study of veterans and non-veterans. BMC Pub Health. 2010;10(6):1-7.