Abstract

Aims

This study aims to investigate phantom limb pain (PLP), PLP-related factors, and the effect of PLP on quality of life in patients who had undergone upper or lower extremity amputation.

Methods

One hundred four patients with unilateral amputation of the upper or lower extremity were included in this cross-sectional study. The patients were divided into two groups as patients with PLP and without PLP. Patients’ demographic (age, gender, marital status, education level, employment status) and clinical information (date of amputation, amputated limb, the side, level and cause of amputation, phantom limb sensation and pain, sleep disorder) and quality of life (Nottingham extended activities of daily living index) were compared between the groups. In addition, factors associated with PLP were analysed.

Results

Of the 104 patients, 47 patients (45.19%) had PLP. In the group with PLP, phantom sensation and sleep disturbance were significantly higher, whereas the time elapsed after amputation and Nottingham extended activities of daily living index score were significantly lower (p < 0.05). The relationship between PLP and sleep disorder and between PLP and marital status was significant (p < 0.05).

Conclusions

Our study results showed that PLP was associated with sleep disorder and marital status, and the quality of life was low in the group with PLP. Therefore, PLP evaluation should not be disregarded in amputees; PLP should be treated to increase quality of life.

中文翻译：

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幻肢痛的相关因素及其对生活质量的影响

摘要

宗旨

本研究旨在调查幻肢痛 (PLP)、PLP 相关因素以及 PLP 对上肢或下肢截肢患者生活质量的影响。

方法

104 名单侧上肢或下肢截肢患者被纳入这项横断面研究。将患者分为两组，有 PLP 和没有 PLP 的患者。患者的人口统计学（年龄、性别、婚姻状况、教育水平、就业状况）和临床信息（截肢日期、截肢、截肢的侧面、水平和原因、幻肢感觉和疼痛、睡眠障碍）和生活质量（诺丁汉日常生活活动指数）进行比较。此外，还分析了与 PLP 相关的因素。

结果

在 104 名患者中，47 名患者 (45.19%) 患有 PLP。PLP组的幻觉和睡眠障碍显着升高，而截肢后时间和诺丁汉扩展活动的日常生活指数评分显着降低（p  < 0.05）。PLP 与睡眠障碍之间以及 PLP 与婚姻状况之间的关系是显着的（p  < 0.05）。

结论

我们的研究结果表明，PLP 与睡眠障碍和婚姻状况有关，PLP 组的生活质量较低。因此，截肢者不应忽视 PLP 评估；应治疗 PLP 以提高生活质量。