Article

OBJECTIVE: (1) To identify significant changes in disability and quality of life
(QOL) across 3 time points
(t1: admission to rehabilitation;
t2: 6wk
postdischarge; t3: 6mo postdischarge) in individuals with lower limb amputation,
and (2) to examine whether goal pursuit and goal adjustment at t1 were predictive
of these outcomes at t3. DESIGN: Prospective cohort study. SETTING: Inpatient
rehabilitation. PARTICIPANTS: Consecutive sample of persons (N=64) aged >/=18
years with major lower limb amputation. INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: World Health Organization Disability Assessment Schedule 2.0
(WHODAS 2.0) and World Health Organization Quality of Life Scale Brief Version
(WHOQOL-BREF). RESULTS: Mean WHODAS 2.0 scores were in the 95th percentile at
each time point. Scores on the WHODAS 2.0 and the physical, psychological, and
social relations domains of the WHOQOL-BREF remained stable across the study
period. Environmental QOL scores decreased from t1 to t2 but returned to
near-baseline levels between t2 and t3. Having a greater tendency toward goal
pursuit at t1 was predictive of higher physical and psychological QOL at t3,
whereas having a stronger disposition toward goal adjustment at t1 predicted
lower disability and higher environmental QOL at t3. CONCLUSIONS: High levels of
disability were experienced from admission to rehabilitation up to 6 months
postdischarge. QOL in the physical, psychological, and social relations domains
remained stable over the study period. Stronger goal pursuit and goal adjustment
tendencies on admission predicted lower disability and higher QOL 6 months
postdischarge.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS