@2025 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2016;8(3):165-170
ISSN: 2008-2630 Iranian Journal of War & Public Health 2016;8(3):165-170
Level of Satisfaction with Prosthesis and Prosthetic Services in Veterans with Transtibial Amputation
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Dehcheshme S. (1)Hajiaghaei B. (*)
Esfandyari E. (2)
Kamali M. (3)
Hoda M.S. (2)
(*) Janbazan Medical and Engineering Research Center (JMERC), Tehran, Iran
(1) Orthotic & Prosthetic Department, Rehabilitation Science School, Iran University of Medical Sciences, Tehran, Iran
(2) Janbazan Medical and Engineering Research Center (JMERC), Tehran, Iran
(3) Rehabilitation Management Department, Rehabilitation Science School, Iran University of Medical Sciences, Tehran, Iran
Correspondence
Address: Orthotic & Prosthetic Department, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Shah Nazari Street, Mother Square, Tehran, Iran. Post Box: 15875-4391Phone: +98 (21) 22220947
Fax: +98 (21) 22220946
bhajiaghaei@yahoo.com
Article History
Received: July 6, 2016Accepted: August 14, 2016
ePublished: August 31, 2016
ABSTRACT
Aims
To investigate the amputee veterans’ satisfaction in the prosthesis and the services provided by the health and care centers is very important to find out the problems and to solve them. The aim of this study was to assess the veterans’ satisfaction in the utilized prosthesis and the prosthetic services provided by Kowsar Orthotic and Prosthetic Center in Tehran.
Instrument & Methods In the descriptive cross-sectional study, 100 veterans with transtibial amputation, who used to utilize the low-limb prosthesis of Tehran Kowsar Center (Iran), were selected via census method. The orthotic prosthetic user survey (OPUS) was used to assess the subjects’ satisfaction in the prosthesis and the prosthetic services. Data was analyzed by SPSS 22 software using one-way ANOVA, post-hoc, and Chi-square tests.
Findings The mean score of satisfaction in the prosthesis was 45.94±11.62. In addition, the easy wearing prosthesis and the costs of repair and replacement of the prosthetic pieces received maximum and minimum scores, respectively. The mean score of satisfaction in the provided services was 65.77±22.14. In addition, the proper politeness of the employees and the conducted trainings for the utilization and maintenance of the prosthesis received maximum and minimum scores, respectively.
Conclusion The satisfaction level of the veterans with transtibial amputation in the prosthetic services is relatively high. Nevertheless, the relative satisfaction levels decrease in the costs of repair and replacement of the prosthetic parts and the sufficient training for the utilization and maintenance of the prosthesis.
Instrument & Methods In the descriptive cross-sectional study, 100 veterans with transtibial amputation, who used to utilize the low-limb prosthesis of Tehran Kowsar Center (Iran), were selected via census method. The orthotic prosthetic user survey (OPUS) was used to assess the subjects’ satisfaction in the prosthesis and the prosthetic services. Data was analyzed by SPSS 22 software using one-way ANOVA, post-hoc, and Chi-square tests.
Findings The mean score of satisfaction in the prosthesis was 45.94±11.62. In addition, the easy wearing prosthesis and the costs of repair and replacement of the prosthetic pieces received maximum and minimum scores, respectively. The mean score of satisfaction in the provided services was 65.77±22.14. In addition, the proper politeness of the employees and the conducted trainings for the utilization and maintenance of the prosthesis received maximum and minimum scores, respectively.
Conclusion The satisfaction level of the veterans with transtibial amputation in the prosthetic services is relatively high. Nevertheless, the relative satisfaction levels decrease in the costs of repair and replacement of the prosthetic parts and the sufficient training for the utilization and maintenance of the prosthesis.
CITATION LINKS
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[15]Jiang L, Gan C, Kao B, Zhang Y, Zhang H, Cai L. Consumer satisfaction with public health care in China. J Soc Sci. 2009;5(3):223-35.
[16]Nielsen CC, Psonak RA, Kalter TL. Factors Affecting the Use of Prosthetic Services. Am Acad Orthot Prosthet. 1989;1(4):242-9.
[17]Geertzen JH, Gankema HG, Groothoff JW, Dijkstra PU. Consumer satisfaction in prosthetics and orthotics facilities. Prosthet Orthot Int. 2002;26(1):64-71.
[18]Hoerger TJ, Finkelstein EA, Bernard SL. Medicare beneficiary satisfaction with durable medical equipment suppliers. Health Care Financ Rev. 2001;23(1):123-36.
[19]Heinemann AW, Bode RK, O'reilly C. Development and measurement properties of the Orthotics and Prosthetics Users' Survey (OPUS): A comprehensive set of clinical outcome instruments. Prosthet Orthot Int. 2003;27(3):191-206.
[20]Heinemann AW, Gershon R, Fisher Jr WP. Development and application of the Orthotics and Prosthetics User Survey: Applications and opportunities for health care quality improvement. Am Acad Orthot Prosthet. 2006;18(1S):80-5.
[21]Bosmans J, Geertzen J, Dijkstra PU. Consumer satisfaction with the services of prosthetics and orthotics facilities. Prosthet Orthot Int. 2009;33(1):69-77.
[22]Ghoseiri K, Bahramian H. User satisfaction with orthotic and prosthetic devices and services of a single clinic. Disabil Rehabil. 2012;34(15):1328-32.
[23]Hadadi M, Ghoseiri K, Fardipour S, Kashani RV, Asadi F, Asghari A. The Persian version of satisfaction assessment module of Orthotics and Prosthetics Users' Survey. Disabil Health J. 2016;9(1):90-9.
[24]Routhier F, Vincent C, Morissette MJ, Desaulniers L. Clinical results of an investigation of paediatric upper limb myoelectric prosthesis fitting at the Quebec Rehabilitation Institute. Prosthet Orthot Int. 2001;25(2):119-31.
[25]Husum H, Ang SC, Fosse E. War surgery-field manual. Malaysia, Penang: Third World Network; 1995.
[2]Hiro D. The longest war: The Iran-Iraq military conflict. United Kingdom, Hove: Psychology Press; 1989.
[3]Nuraei MH, Javedan M, Nouraei M. Study of stump problems of lower limb amputation in war casualties. Iran J Orthop Surg. 2014;12(2):47-51. [Persian]
[4]Ebrahimzadeh MH, Kachooei AR, Soroush MR, Hasankhani EG, Razi S, Birjandinejad A. Long-term clinical outcomes of war-related hip disarticulation and transpelvic amputation. J Bone Joint Surg. 2013;95(16):e114.
[5]Rayegani SM, Aryanmehr A, Soroosh MR, Baghbani M. Phantom pain, phantom sensation, and spine pain in bilateral lower limb amputees: results of a national survey of Iraq-Iran war victims' health status. Am Acad Orthot Prosthet. 2010;22(3):162-5.
[6]Masoumi M, Esfandiari E, Mousavi B. Quality of life in war-related hip disarticulation in Iran. Acta Orthop Traumatol Turc. 2014;48(5):527-32.
[7]Sherman RA. Utilization of prostheses among US veterans with traumatic amputation: A pilot survey. J Rehabil Res Dev. 1999;36(2):100-8.
[8]
[9]Jones M, Steel J, Bashford G, Davidson IR. Static versus dynamic prosthetic weight bearing in elderly trans-tibial amputees. Prosthet Orthot Int. 1997;21(2):100-6.
[10]Burger H, Marinček Č, Isakov E. Mobility of persons after traumatic lower limb amputation. Disabil Rehabil. 1997;19(7):272-7.
[11]Hoaglund FT, Jergesen HE, Wilson LW, Lamoreux LW, Roberts R. Evaluation of problems and needs of veteran lower-limb amputees in the San Francisco Bay Area during the period 1977-1980. J Rehabil R D. 1983;20(1):57-71.
[12]Gailey R, Allen K, Castles J, Kucharik J, Roeder M. J Rehabil Res Dev. 2008;45(1):15-29.
[13]Hurley GR, McKenney R, Robinson M, Zadravec M, Pierrynowski MR. The role of the contralateral limb in below-knee amputee gait. Prosthet Orthot Int. 1990;14(1):33-42.
[14]Lewallen R, Quanbury AO, Ross K, Letts R. A biomechanical study of normal and amputee gait. Champaign (IL): Human Kinetics Publishers; 1985.
[15]Jiang L, Gan C, Kao B, Zhang Y, Zhang H, Cai L. Consumer satisfaction with public health care in China. J Soc Sci. 2009;5(3):223-35.
[16]Nielsen CC, Psonak RA, Kalter TL. Factors Affecting the Use of Prosthetic Services. Am Acad Orthot Prosthet. 1989;1(4):242-9.
[17]Geertzen JH, Gankema HG, Groothoff JW, Dijkstra PU. Consumer satisfaction in prosthetics and orthotics facilities. Prosthet Orthot Int. 2002;26(1):64-71.
[18]Hoerger TJ, Finkelstein EA, Bernard SL. Medicare beneficiary satisfaction with durable medical equipment suppliers. Health Care Financ Rev. 2001;23(1):123-36.
[19]Heinemann AW, Bode RK, O'reilly C. Development and measurement properties of the Orthotics and Prosthetics Users' Survey (OPUS): A comprehensive set of clinical outcome instruments. Prosthet Orthot Int. 2003;27(3):191-206.
[20]Heinemann AW, Gershon R, Fisher Jr WP. Development and application of the Orthotics and Prosthetics User Survey: Applications and opportunities for health care quality improvement. Am Acad Orthot Prosthet. 2006;18(1S):80-5.
[21]Bosmans J, Geertzen J, Dijkstra PU. Consumer satisfaction with the services of prosthetics and orthotics facilities. Prosthet Orthot Int. 2009;33(1):69-77.
[22]Ghoseiri K, Bahramian H. User satisfaction with orthotic and prosthetic devices and services of a single clinic. Disabil Rehabil. 2012;34(15):1328-32.
[23]Hadadi M, Ghoseiri K, Fardipour S, Kashani RV, Asadi F, Asghari A. The Persian version of satisfaction assessment module of Orthotics and Prosthetics Users' Survey. Disabil Health J. 2016;9(1):90-9.
[24]Routhier F, Vincent C, Morissette MJ, Desaulniers L. Clinical results of an investigation of paediatric upper limb myoelectric prosthesis fitting at the Quebec Rehabilitation Institute. Prosthet Orthot Int. 2001;25(2):119-31.
[25]Husum H, Ang SC, Fosse E. War surgery-field manual. Malaysia, Penang: Third World Network; 1995.