Logo-tm
Trauma Mon. 2012;17(2): 282-287.
doi: 10.5812/traumamon.5135
PMID: 24350107
PMCID: PMC3860634
Scopus id: 84866552880
  Abstract View: 221
  PDF Download: 206

Original Article

Pain and Health-Related Quality of Life in War Veterans with Bilateral Lower Limb Amputations

Abolfazl Rahimi 1, Batool Mousavi 2 * , Mohammadreza Soroush 3, Mehdi Masumi 3, Ali Montazeri 4

1 Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
2 Department of Community and Preventive Medicine, Janbazan Medical and Engineering Research Center (JMERC), Tehran, IR Iran
3 Janbazan Medical and Engineering Research Center (JMERC), Tehran, IR Iran
4 Department of Public Health and Epidemiology, Mental Health Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research, Tehran, IR Iran
* Corresponding author: Batool Mousavi, Department of Community and Preventive Medicine, Janbazan Medical and Engineering Research Center (JMERC), Tehran, IR Iran. Tel/Fax: +98-22415367. Email: Email: mousavi.b@ jmerc.ac.ir

Abstract

Background: Amputation and pain may have considerable impact on health-related quality of life.

Objectives: The purpose of this study was to assess the impact of pain on health-related quality of life in a population of war related bilateral lower limb amputees.

Materials and Methods: The Veterans and Martyrs Affairs Foundation (VMAF) database documented 578 patients with bilateral lower limb amputation; 335 consented to the study (response rate = 58%). The majority of participants in the sample were males (96.7%). Types of pain were investigated using a questionnaire. Health-related quality of life (HRQOL) was investigated using the sf-36 questionnaire.

Results: About two third of amputees reported phantom pain 66.7% (n = 223) and vertebral column pain 60.9% (n = 204). The most common type of pain was lumbosacral pain 52.8 % (n = 177) followed by neck 18.2 % (n = 61) and thoracic pain 9.6% (n = 32). Back pain affected on vitality, social function, mental health and mental component scale in our cases (P < 0.05). Neck pain affected all components of health-related quality of life (P < 0.05). Thoracic pain affected quality of life significantly (P < 0.05). The results obtained from logistic regression analysis indicated that none of the three spinal column pains including neck, thoracic and lumbosacral pain resulted in poor physical or mental component scales.

Conclusions: This study revealed that bilateral lower limb amputees suffer from different types of pain and poor health-related quality of life. Therefore, the assessment and management of all types of pain are necessary to improve quality of life in veterans.

Keywords: Pain, Quality of Life, Lower Extremity, Amputation, Veterans

Implication for health policy/practice/research/medical education:

Ensight into the factors causing pain affecting health-related quality of life in BLLA may help in the development of interventions directed towards the prevention or treatment of pain and improving HRQOL in veterans.

Please cite this paper as:

Rahimi A, Mousavi B, Soroush M, Masumi M, Montazeri A. Pain and Health-Related Quality of Life in War Veterans with Bilateral Lower Limb Amputations. Trauma Mon. 2012;17(2):282-6. DOI: 10.5812/traumamon.5135

First name
 
Last name
 
Email address
 
Comments
 
Security code


Article Viewed: 221

Your browser does not support the canvas element.


PDF Downloaded: 206

Your browser does not support the canvas element.

Submitted: 10 Apr 2012
Revised: 30 May 2012
Accepted: 27 Jun 2012
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - FireFox Plugin)