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Patient education after amputation : Systematic review and experts' opinions = Education thérapeutique après amputation : données d'évidence à partir d'une revue de la littérature et de l'avis d'experts

OBJECTIVE: To perform a systematic review of the literature regarding amputee
self-care, and analyze current experts' opinions.
METHOD: The research in Medline
and Cochrane Library databases was performed using the keywords "amputee
self-care", "amputee health care", "amputee education", and "amputee health
management". The methodological quality of the articles was assessed using four
levels of evidence and three guideline grades (A: strong; B: moderate; C: poor).
RESULT: One prospective randomized controlled study confirm the level of evidence
of self-care amputee persons with grade B, which is similar others chronic
diseases self-care. Self-care of amputee persons contributes to improve
functional status, depressive syndrome, and also health-related quality of life.
A review of the patients' needs and expectations in self-care amputee persons has
been established thanks to the presence of qualitative focus group study.
CONCLUSION: A multidisciplinary self-care of amputee persons can be recommended.
Regarding literature date, the level of evidence of self-care amputee persons is
moderate (grade B). Experts groups are currently working on a self-care amputee
persons guideline book in order to standardize practicing and programs in the
physical medicine and rehabilitation departments.
CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS

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