Amputation, Prosthesis User, Quality of Lifte, Satisfaction
Conditions
Keywords
Prosthesis User, Quality of Life, Satisfaction
Brief summary
Prosthetic devices help amputees regain mobility and improve appearance. When patients are satisfied with their prosthesis, they are more likely to use it consistently, leading to better rehabilitation outcomes. In Gaza, the 2023 Gaza War caused a rise in traumatic amputations and limited access to healthcare and prosthetic services. This makes rehabilitation more difficult, affecting both physical and mental health. Research on patient satisfaction and quality of life (QoL) among lower limb prosthetic users in Gaza is limited. This study evaluates satisfaction and QoL in this population, aiming to provide information to improve prosthetic care and guide interventions tailored to local needs.
Detailed description
Lower limb amputation has significant physical and psychological impacts, affecting mobility, daily activities, and quality of life (QoL). In Gaza, traumatic amputations increased following the 2023 war, limiting access to prosthetic and rehabilitation services. This a cross-sectional observational study evaluates adult lower limb prosthetic users (≥18 years, using prosthesis ≥6 months) in Gaza. Data is collected via structured questionnaires covering: * Part I: Sociodemographic Data - age, gender, BMI, marital status, education, employment, income, residence, living arrangement, healthcare access. * Part II: Clinical Characteristics - amputation level and cause, time since amputation, prosthesis type, duration/frequency of use, comorbidities, prosthetic complications, rehabilitation services received. * Part III: Patient Satisfaction - satisfaction with healthcare services regarding quality, communication, comfort, and responsiveness, measured using \[Prosthetic Satisfaction Questionnaire\]. * Part IV: Prosthetic Satisfaction - comfort, fit, functionality, and durability of prosthesis, assessed with \[Prosthetic Satisfaction Questionnaire\]. * Part V: Quality of Life (QoL) - physical, psychological, and social well-being, measured with EQ-5D-5L and Satisfaction with Life Scale (SWLS). Data analysis will include descriptive statistics for satisfaction and QoL scores, correlations between patient satisfaction and QoL, and associations with sociodemographic variables using regression models. The study aims to inform prosthetic care delivery and guide context-specific interventions in Gaza, contributing to better functional recovery and psychological adjustment for lower limb amputees.
Interventions
This study is purely observational; no interventions or treatments were performed. Participants only completed survey.
Sponsors
Yeditepe University
Al-Azhar University - Gaza
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults aged 18 years or older * Continuous use of a lower limb prosthesis for at least six months prior to enrollment * Ability to understand and respond to questionnaires or interviews
Exclusion criteria
* Cognitive impairments that affect comprehension or communication * Medical, neurological, or psychological conditions that prevent completion of study procedures * Inability or unwillingness to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction With Life Scale (SWLS) | Baseline (one-time assessment) | Life satisfaction was assessed using the Satisfaction With Life Scale (SWLS). Total scores range from 5 to 35, with higher scores indicating greater life satisfaction among lower limb prosthetic users in Gaza governorate. The items are: 1. = Strongly Disagree 2. = Disagree 3. = Slightly Disagree 4. = Neither Agree or Disagree 5. = Slightly Agree 6. = Agree 7. = Strongly Agree * 1\. In most ways my life is close to my ideal. * 2\. The conditions of my life are excellent. * 3\. I am satisfied with life. * 4\. So far I have gotten the important things I want in life. * 5\. If I could live my life over, I would change almost nothing. |
| Prosthetic satisfaction | Baseline (one-time assessment) | Prosthetic satisfaction was assessed using a structured interview adapted from the Satisfaction with Prosthesis Questionnaire (SAT-PRO), Prosthesis Evaluation Questionnaire (PEQ), and Trinity Amputation and Prosthesis Experience Scales (TAPES). The interview includes items evaluating satisfaction, comfort, embarrassment during prosthesis use, and expectation fulfillment. Responses are recorded using dichotomous (Yes/No) and ordinal response options, with higher scores indicating greater prosthetic satisfaction and adaptation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life | Baseline (one-time assessment) | Quality of life was assessed using WHOQOL-BREF domain scores (physical, psychological, social, environmental). Higher scores indicate better quality of life |
| Health-related quality of life | Baseline (one-time assessment) | Health-related quality of life was measured using the EQ-5D-5L index score. The EQ-5D-5L assesses five dimensions including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Higher index scores indicate better perceived health status. |
Countries
Palestinian Territories
Outcome results
None listed