Quality of life for veterans and servicemembers with major traumatic limb loss from Vietnam and OIF/OEF conflicts
Titel:
Quality of life for veterans and servicemembers with major traumatic limb loss from Vietnam and OIF/OEF conflicts
Auteur:
Richard A. Epstein, PhD Allen W. Heinemann, PhD Lynne V. McFarland, PhD
Verschenen in:
Journal of rehabilitation research and development
Paginering:
Jaargang 47 (2010) nr. 4 pagina's 373-386
Jaar:
2010
Inhoud:
The goals of rehabilitation after major limb loss include not only functional restoration but also a return to a high quality of life (QOL). Few studies have identified which factors are associated with QOL in veterans and servicemembers with combat-associated major limb loss. We enrolled Vietnam and Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans and servicemembers in a national survey on prostheticdevice use. In the Vietnam group, multivariate analysis found multiple limb loss (adjusted odds ratio [aOR] = 3.1, 95% confidence interval [CI] = 1.57–6.02) and satisfaction with currentprostheses (aOR = 1.2, 95% CI = 1.05–1.38) are associated with better overall QOL, while a higher amputation impact rank (aOR = 0.66, 95% CI = 0.59–0.74) and depression (aOR = 0.21, 95% CI = 0.08–0.54) are associated with worse overall QOL. In the OIF/OEF group, three factors are significantly associated with worse overall QOL: combat-associated head injury (aOR = 0.78, 95% CI = 0.61–0.99), combat-associated injury to the nonamputatedlimb (aOR = 0.71, 95% CI = 0.57–0.88), and assistanceneeded in daily living (aOR = 0.12, 95% CI = 0.02–0.72). Improving satisfaction with prosthetic devices, improving mentalhealth care, and treating other combat-associated injuries may significantly improve the overall QOL for these veterans and servicemembers.
Uitgever:
Rehabilitation Research and Development Service, Department of Veterans Affairs (provided by DOAJ)