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Gepubliceerd in:

28-03-2020

Quality of life and its determinants among community re-integrated soldiers with permanent disabilities following traumatic limb injuries

Auteurs: Samitha Samanmalee Gowinnage, Carukshi Arambepola

Gepubliceerd in: Quality of Life Research | Uitgave 8/2020

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Abstract

Purpose

To assess health-related-quality of life (HRQOL) after the end of war and its associated factors among soldiers with permanent limb disabilities in Sri Lanka

Methods

A cross-sectional study was conducted among 500 rehabilitated and socially re-integrated Army soldiers having permanent disability following traumatic limb injuries during the last year of ethnic conflict of Sri Lanka. Females, soldiers with no updated data, and soldiers having permanent deafness/total blindness/total brain or spinal cord injury were excluded. The sample was randomly selected from updated ‘Disabled Category Registries’. Personal and injury data were collected through postal questionnaire. HRQOL was assessed using SF-36 tool validated for Sri Lankan soldiers.

Results

SF-36 scores obtained on HRQOL related to overall physical health (mean = 57.1; SD = 19) and mental health (mean = 58.8; SD = 17.2) were comparable. HRQOL was best in social functioning (mean = 73.4; SD = 24) and worst in vitality (mean = 48.4; SD = 15.5). Factors significantly associated with better HRQOL related to the overall physical and mental health were aged over 35 years, being married, being assigned duties, having only upper/lower limbs affected and absence of co-disability. Having duties assigned demonstrated better QOL in almost all domains. None were associated with income or education.

Conclusions

Physical and mental health components contribute equally to the HRQOL of rehabilitated soldiers with permanent limb disabilty. Their poorer HRQOL was determined by certain person- and injury-related factors. These need to be addressed during re-integration and post-rehabilitation services.
Literatuur
1.
go back to reference Mitra, S., & Sambamoorthi, U. (2014). Disability prevalence among adults: Estimates for 54 countries and progress toward a global estimate. Disability and Rehabilitation,36(11), 940–947.PubMedCrossRef Mitra, S., & Sambamoorthi, U. (2014). Disability prevalence among adults: Estimates for 54 countries and progress toward a global estimate. Disability and Rehabilitation,36(11), 940–947.PubMedCrossRef
2.
go back to reference World Health Organization. (2001). ICF: International classification of functioning, disability and health. Geneva: WHO. World Health Organization. (2001). ICF: International classification of functioning, disability and health. Geneva: WHO.
5.
go back to reference Brown, I., & Brown, R. I. (2003). Quality of life and disability: An approach for community practitioners. London: Jessica Kingsley. Brown, I., & Brown, R. I. (2003). Quality of life and disability: An approach for community practitioners. London: Jessica Kingsley.
6.
go back to reference WHOQoL Group. (1993). Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research,2(2), 153–159.CrossRef WHOQoL Group. (1993). Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research,2(2), 153–159.CrossRef
7.
go back to reference Wang, S., Hsu, C. J., Trent, L., Ryan, T., Kearns, N. T., Civillico, E. F., et al. (2018). Evaluation of performance-based outcome measures for the upper limb: A comprehensive narrative review. PM&R,10(9), 951–962.e3.CrossRef Wang, S., Hsu, C. J., Trent, L., Ryan, T., Kearns, N. T., Civillico, E. F., et al. (2018). Evaluation of performance-based outcome measures for the upper limb: A comprehensive narrative review. PM&R,10(9), 951–962.e3.CrossRef
8.
go back to reference Peirano, A. H., & Franz, R. W. (2012). Spirituality and quality of life in limb amputees. International Journal of Angiology,21(1), 47–52.PubMedCrossRef Peirano, A. H., & Franz, R. W. (2012). Spirituality and quality of life in limb amputees. International Journal of Angiology,21(1), 47–52.PubMedCrossRef
9.
go back to reference Kassebaum, N. J., Arora, M., Barber, R. M., Bhutta, Z. A., Brown, J., Carter, A., et al. (2016). Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990–2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet,388(10053), 1603–1658.CrossRef Kassebaum, N. J., Arora, M., Barber, R. M., Bhutta, Z. A., Brown, J., Carter, A., et al. (2016). Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990–2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet,388(10053), 1603–1658.CrossRef
10.
go back to reference Li, B., Mahan, C. M., Kang, H. K., Eisen, S. A., & Engel, C. C. (2011). Longitudinal health study of us 1991 gulf war veterans: Changes in health status at 10-year follow-up. American Journal of Epidemiology,174(7), 761–768.PubMedCrossRef Li, B., Mahan, C. M., Kang, H. K., Eisen, S. A., & Engel, C. C. (2011). Longitudinal health study of us 1991 gulf war veterans: Changes in health status at 10-year follow-up. American Journal of Epidemiology,174(7), 761–768.PubMedCrossRef
11.
go back to reference Bilukha, O., Gotway Crawford, C., & Shaikh, I. (2004). Mental health, social functioning and disability in Postwar Afghanistan. JAMA,292(5), 575–584.PubMedCrossRef Bilukha, O., Gotway Crawford, C., & Shaikh, I. (2004). Mental health, social functioning and disability in Postwar Afghanistan. JAMA,292(5), 575–584.PubMedCrossRef
12.
go back to reference Gunawardena, N. S., Seneviratne, R d A, & Athauda, T. (2006). Functional outcomes of unilateral lower limb amputee soldiers in two districts of Sri Lanka. Military Medicine,171(4), 283.PubMedCrossRef Gunawardena, N. S., Seneviratne, R d A, & Athauda, T. (2006). Functional outcomes of unilateral lower limb amputee soldiers in two districts of Sri Lanka. Military Medicine,171(4), 283.PubMedCrossRef
13.
go back to reference Starnes, W. B., Beekley, C. A., Sebesta, A. J., Andersen, A. C., & Rush, M. R. (2006). Extremity vascular injuries on the battlefield: Tips for surgeons deploying to war. Journal of Trauma,60(2), 432–442.PubMedCrossRef Starnes, W. B., Beekley, C. A., Sebesta, A. J., Andersen, A. C., & Rush, M. R. (2006). Extremity vascular injuries on the battlefield: Tips for surgeons deploying to war. Journal of Trauma,60(2), 432–442.PubMedCrossRef
15.
go back to reference Kumara, A. A. (2015). Rehabilitation management system for the directorate of rehabilitation of the Sri Lanka army. Colombo: UCSC Digital Library. Kumara, A. A. (2015). Rehabilitation management system for the directorate of rehabilitation of the Sri Lanka army. Colombo: UCSC Digital Library.
16.
go back to reference Horgan, O., & Maclachlan, M. (2004). Psychosocial adjustment to lower-limb amputation: A review. Disability and Rehabilitation,26(14–15), 837–850.PubMedCrossRef Horgan, O., & Maclachlan, M. (2004). Psychosocial adjustment to lower-limb amputation: A review. Disability and Rehabilitation,26(14–15), 837–850.PubMedCrossRef
17.
go back to reference Zidarov, D., Swaine, B., & Gauthier-Gagnon, C. (2009). Quality of life of persons with lower-limb amputation during rehabilitation and at 3-month follow-up. Archives of Physical Medicine and Rehabilitation,90(4), 634–645.PubMedCrossRef Zidarov, D., Swaine, B., & Gauthier-Gagnon, C. (2009). Quality of life of persons with lower-limb amputation during rehabilitation and at 3-month follow-up. Archives of Physical Medicine and Rehabilitation,90(4), 634–645.PubMedCrossRef
18.
go back to reference Davie-Smith, F., Coulter, E., Wyke, S., Kennon, B., & Paul, L. (2015). A systematic review of quality of life (QOL) of amputees. Physiotherapy,101(supp1), e299–e300. Davie-Smith, F., Coulter, E., Wyke, S., Kennon, B., & Paul, L. (2015). A systematic review of quality of life (QOL) of amputees. Physiotherapy,101(supp1), e299–e300.
19.
go back to reference Van der Schans, C. P., Geertzen, J. H. B., Schoppen, T., & Dijkstra, P. U. (2003). Phantom pain and health-related quality of life in lower limb amputees. Journal of Pain and Symptom Management,24(4), 429–436.CrossRef Van der Schans, C. P., Geertzen, J. H. B., Schoppen, T., & Dijkstra, P. U. (2003). Phantom pain and health-related quality of life in lower limb amputees. Journal of Pain and Symptom Management,24(4), 429–436.CrossRef
20.
go back to reference Sinha, R., van Den Heuvel, W. J., & Arokiasamy, P. (2011). Factors affecting quality of life in lower limb amputees. Prosthetics and Orthotics International,35(1), 90–96.PubMedCrossRef Sinha, R., van Den Heuvel, W. J., & Arokiasamy, P. (2011). Factors affecting quality of life in lower limb amputees. Prosthetics and Orthotics International,35(1), 90–96.PubMedCrossRef
21.
go back to reference Mar, J., LarraampNtilde, I., & Arrospide, A. (2010). Impact of disability on different domains of health- related quality of life in the noninstitutionalized general population. ClinicoEconomics and Outcomes Research,2010, 97–103.CrossRef Mar, J., LarraampNtilde, I., & Arrospide, A. (2010). Impact of disability on different domains of health- related quality of life in the noninstitutionalized general population. ClinicoEconomics and Outcomes Research,2010, 97–103.CrossRef
22.
go back to reference Meinert, C. L. (2012). Sample size: Calculation (pp. 259–260). Hoboken NJ: Wiley. Meinert, C. L. (2012). Sample size: Calculation (pp. 259–260). Hoboken NJ: Wiley.
23.
go back to reference Pallant, J. (2007). SPSS survival manual, a step by step guide to data analysis using SPSS for windows (3rd ed., pp. 179–200). Sydney: McGraw Hill. Pallant, J. (2007). SPSS survival manual, a step by step guide to data analysis using SPSS for windows (3rd ed., pp. 179–200). Sydney: McGraw Hill.
24.
go back to reference Elliott, A. C., & Woodward, W. A. (2007). Statistical analysis quick reference guidebook with SPSS examples (1st ed.). London: Sage.CrossRef Elliott, A. C., & Woodward, W. A. (2007). Statistical analysis quick reference guidebook with SPSS examples (1st ed.). London: Sage.CrossRef
25.
go back to reference Dias, S. (2012). Second wellness resort for disabled soldiers. Daily Mirror,17(01), 2012. Dias, S. (2012). Second wellness resort for disabled soldiers. Daily Mirror,17(01), 2012.
26.
go back to reference Saffari, M., Koenig, H., Pakpour, G., & Sehlo, A. (2015). Health related quality of life among military personnel: What socio-demographic factors are important? Applied Research in Quality of Life,10(1), 63–76.CrossRef Saffari, M., Koenig, H., Pakpour, G., & Sehlo, A. (2015). Health related quality of life among military personnel: What socio-demographic factors are important? Applied Research in Quality of Life,10(1), 63–76.CrossRef
27.
go back to reference Zhang, X., Chen, G., Xu, F., Zhou, K., & Zhuang, G. (2016). Health-related quality of life and associated factors of frontline railway workers: A cross-sectional survey in the Ankang Area, Shaanxi Province, China. International Journal of Environmental Research and Public Health,13(12), 1192.PubMedCentralCrossRef Zhang, X., Chen, G., Xu, F., Zhou, K., & Zhuang, G. (2016). Health-related quality of life and associated factors of frontline railway workers: A cross-sectional survey in the Ankang Area, Shaanxi Province, China. International Journal of Environmental Research and Public Health,13(12), 1192.PubMedCentralCrossRef
28.
go back to reference Yelsma, P., & Yelsma, J. (1998). Self-esteem and social respect within the high school. The Journal of Social Psychology,138(4), 431–441.PubMedCrossRef Yelsma, P., & Yelsma, J. (1998). Self-esteem and social respect within the high school. The Journal of Social Psychology,138(4), 431–441.PubMedCrossRef
29.
go back to reference Manhas, C. (2014). Self-esteem and quality of life of people living with HIV/AIDS. Journal of Health Psychology,19(11), 1471–1479.PubMedCrossRef Manhas, C. (2014). Self-esteem and quality of life of people living with HIV/AIDS. Journal of Health Psychology,19(11), 1471–1479.PubMedCrossRef
30.
go back to reference WHOQOL. (1993). Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research,2(2), 153–159.CrossRef WHOQOL. (1993). Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research,2(2), 153–159.CrossRef
31.
go back to reference Ephraim, P. L., Mackenzie, E. J., Wegener, S. T., Dillingham, T. R., & Pezzin, L. E. (2006). Environmental barriers experienced by amputees: The Craig Hospital Inventory of Environmental Factors-Short Form. Archives of Physical Medicine and Rehabilitation,87(3), 328–333.PubMedCrossRef Ephraim, P. L., Mackenzie, E. J., Wegener, S. T., Dillingham, T. R., & Pezzin, L. E. (2006). Environmental barriers experienced by amputees: The Craig Hospital Inventory of Environmental Factors-Short Form. Archives of Physical Medicine and Rehabilitation,87(3), 328–333.PubMedCrossRef
32.
go back to reference Kim, W., Cho, S., Shin, H., & Park, J. (2012). Identifying factors associated with self-rated health according to age at onset of disability. Disability and Rehabilitation,34(15), 1262–1270.PubMedCrossRef Kim, W., Cho, S., Shin, H., & Park, J. (2012). Identifying factors associated with self-rated health according to age at onset of disability. Disability and Rehabilitation,34(15), 1262–1270.PubMedCrossRef
33.
go back to reference Buckman, J., Sundin, J., Greene, T., Fear, N., Dandeker, C., Greenberg, N., et al. (2011). The impact of deployment length on the health and well-being of military personnel: A systematic review of the literature. Occupational and Environmental Medicine,68(1), 69–76.PubMedCrossRef Buckman, J., Sundin, J., Greene, T., Fear, N., Dandeker, C., Greenberg, N., et al. (2011). The impact of deployment length on the health and well-being of military personnel: A systematic review of the literature. Occupational and Environmental Medicine,68(1), 69–76.PubMedCrossRef
35.
go back to reference Stagni, S. B. (2015). The first world war drives rehabilitation toward the modern concepts of disability and participation. European Journal of Physical and Rehabilitation Medicine,51(3), 331–336. Stagni, S. B. (2015). The first world war drives rehabilitation toward the modern concepts of disability and participation. European Journal of Physical and Rehabilitation Medicine,51(3), 331–336.
36.
go back to reference Sazlina, S. G., Zaiton, A., Nor Afiah, M. Z., & Hayati, K. S. (2012). Predictors of health related quality of life in older people with non-communicable diseases attending three primary care clinics in Malaysia. The Journal of Nutrition, Health & Aging,16(5), 498–502.CrossRef Sazlina, S. G., Zaiton, A., Nor Afiah, M. Z., & Hayati, K. S. (2012). Predictors of health related quality of life in older people with non-communicable diseases attending three primary care clinics in Malaysia. The Journal of Nutrition, Health & Aging,16(5), 498–502.CrossRef
38.
go back to reference Singleton, P. (2012). Insult to injury: Disability, earnings and divorce. Journal of Human Resources,47(4), 972–990.CrossRef Singleton, P. (2012). Insult to injury: Disability, earnings and divorce. Journal of Human Resources,47(4), 972–990.CrossRef
39.
go back to reference Taghipour, R. H., Moharamzad, M. Y., Mafi, R. A., Amini, R. A., Naghizadeh, R. M., Soroush, R. M., et al. (2009). Quality of life among veterans with war-related unilateral lower extremity amputation: A long-term survey in a prosthesis center in Iran. Journal of Orthopaedic Trauma,23(7), 525–530.PubMedCrossRef Taghipour, R. H., Moharamzad, M. Y., Mafi, R. A., Amini, R. A., Naghizadeh, R. M., Soroush, R. M., et al. (2009). Quality of life among veterans with war-related unilateral lower extremity amputation: A long-term survey in a prosthesis center in Iran. Journal of Orthopaedic Trauma,23(7), 525–530.PubMedCrossRef
40.
go back to reference Karami, G. R., Ahmadi, K., Nejati, V., & Masumi, M. (2012). Better mental component of quality of life in amputee. Iranian Journal of Public Health,41(7), 53–58.PubMedPubMedCentral Karami, G. R., Ahmadi, K., Nejati, V., & Masumi, M. (2012). Better mental component of quality of life in amputee. Iranian Journal of Public Health,41(7), 53–58.PubMedPubMedCentral
41.
go back to reference Dougherty, J. P. (2001). Transtibial amputees from the Vietnam war: Twenty-eight-year follow-up. Journal of Bone and Joint Surgery. American Volume,83(3), 383.CrossRef Dougherty, J. P. (2001). Transtibial amputees from the Vietnam war: Twenty-eight-year follow-up. Journal of Bone and Joint Surgery. American Volume,83(3), 383.CrossRef
42.
go back to reference Demet, K., Martinet, N., Guillemin, F., Paysant, J., & Andr, J.-M. (2003). Health related quality of life and related factors in 539 persons with amputation of upper and lower limb. Disability and Rehabilitation,25(9), 480–486.PubMedCrossRef Demet, K., Martinet, N., Guillemin, F., Paysant, J., & Andr, J.-M. (2003). Health related quality of life and related factors in 539 persons with amputation of upper and lower limb. Disability and Rehabilitation,25(9), 480–486.PubMedCrossRef
43.
go back to reference Walters, S., Munro, J., & Brazier, J. (2001). Using the SF-36 with older adults: A cross-sectional community-based survey. Age and Ageing,30(4), 337–343.PubMedCrossRef Walters, S., Munro, J., & Brazier, J. (2001). Using the SF-36 with older adults: A cross-sectional community-based survey. Age and Ageing,30(4), 337–343.PubMedCrossRef
Metagegevens
Titel
Quality of life and its determinants among community re-integrated soldiers with permanent disabilities following traumatic limb injuries
Auteurs
Samitha Samanmalee Gowinnage
Carukshi Arambepola
Publicatiedatum
28-03-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 8/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02473-x