Mental and physical health-related quality of life among below-knee amputees in Sri Lanka


Authors: Konara Mudiyanselage Dilhara Nadeeshani, Gnanaselvam Kisokanth, and Shamini Prathapan
Page Range: 13-21
Published in: International Journal on Disability and Human Development, Volume 23 Issue 1
ISSN: 2191-1231

Table of Contents


A below knee amputation is a surgical procedure to remove all or part of a limb that can be lifesaving yet negatively affect the health-related quality of life of the patient. This study was conducted to determine the effects of social and clinical factors on the mental and physical health-related quality of life (HRQOL) in individuals with unilateral below knee amputations. In this descriptive cross-sectional study interviewed 223 unilateral below knee amputees using the validated version of SF-36 health survey questionnaire. Results showed that a majority of the participants were males (70%), married (69%) and had a transtibial amputation (54%). The mean age was 47.6 (±14.9). Gender has affected the BP, SF, overall PCS and MCS (p = 0.00) with women scoring lower to the most. Amputation level has affected GH, VT, SF and overall PCS (p < 0.05) with lower scores in more distal amputations. The time since amputation has affected PF, RP, BP, GH, VT, MH, PCS, MCS (p < 0.05). Less educated have significantly scored better for RP and RE (p = 0.00) while the more educated have responded well for the BP (p = 0.01). Profession has significantly affected every component so as the marital status (except mental health) (p < 0.05). Age had no effect on any component. In conclusion, specific social factors and clinical factors have affected the mental and physical health-related QOL of amputees. Below knee amputees showed lower scores significantly in the mental health components necessitating the need for a tailored psychological support system for each individual. Keywords: Quality of life, below knee amputees, SF-36, disability, Sri Lanka

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