Satisfaction des Patients Amputés du Membre Inferieur Porteurs de Prothèses Externes

Résumé

RESUME Objectif . Decrire la satisfaction globale des patients amputes du membre inferieur porteurs de protheses externes a Yaounde. Methodologie. Une etude transversale descriptive a ete menee au Centre National de Rehabilitation des Personnes Handicapees-Cardinal Paul Emile Leger et au Centre Jamot de Yaounde sur une periode allant du 7 novembre 2016 au 29 mars 2017. Seuls ceux âges de plus de 5 ans etaient inclus. Les parametres de la satisfaction physique etaient : autonomie, mobilite, poids de la prothese , douleur du moignon, plaie du moignon, facilite du port, facilite de l’entretien , dimensions ,apparence et cout alors que les parametres de la satisfaction sociale etaient : acceptation par la famille, vie sexuelle , reintegration au travail ou a l’ecole et acceptation par l'entourage. Resultats. Il a ete recrute 77 patients (sex-ratio H/F de 2.85 et moyenne d’âge de 46,02 ans). La prevalence etait de 39,44%. L’etiologie principale etait traumatique et l’amputation trans-tibiale le siege le plus retrouve, suivi de l’amputation trans-femorale. . De maniere globale, 75,3% des patients appareilles se disaient satisfaits, et 24.7% des patients appareilles etaient insatisfaits. 39% des patients appareilles etaient physiquement insatisfaits et 11% tres insatisfaits. Le taux d’insatisfaction etait lie au poids, aux contraintes liees au deplacement, aux douleurs et plaies generees par le port de la prothese, a l’apparence et au prix eleve. Psychologiquement, 26% des patients etaient insatisfaits et jusqu’a 17% tres insatisfaits. L’insatisfaction ici etait liee a une faible estime de soi malgre l’appareillage et une faible acceptation de la prothese. Socialement, pres de 17% etaient insatisfaits. La prothese a favorise une meilleure acceptation familiale et amicale du handicap. Elle a favorise un retour aux activites courantes, bien que certains aient signale des problemes conjugaux et d’autres une perte d’emploi Conclusion. Si la plupart des patients amputes du membre inferieur appareilles sont globalement satisfaits, la satisfaction vis-a-vis de leur prothese peut encore etre amelioree notamment en matiere d’apparence, de poids, des contraintes liees au deplacement, de prix, et de qualite de la prothese. ABSTRACT Objective. To describe the level of satisfaction of patients with amputations of the lower limb with external prostheses in Yaounde...Methodology. A descriptive cross-sectional study was carried out at the National Center for the Rehabilitation of Persons with Disabilities-Cardinal Paul Emile Leger and the Jamot Center in Yaounde from 7 November 2016 to 29 March 2017. Only those over 5 years of age were included. The data collection was carried out using a data sheet inspired by the SAT-PRO. Results. 77 patients with prostheses were recruited with an average age of 46.02 years, predominantly male. The prevalence was 39.44%. The main etiology was traumatic and the trans-tibial amputation was the most found, followed by trans-femoral amputation. Overall, 75.3% of patients were satisfied, and up to 24.7% of patients were dissatisfied. 39% of patients were physically dissatisfied and up to 11% very dissatisfied. The rate of dissatisfaction was related to weight, displacement constraints, pain and sores generated by wearing the prosthesis, its appearance and its high price. Psychologically, 26% of patients were dissatisfied and up to 17% were very dissatisfied. Dissatisfaction here was related to low self-esteem despite equipment and poor acceptance of the prosthesis. Socially, nearly 17% were dissatisfied. The prosthesis has favored a better family and friendly acceptance of the handicap. This encouraged a return to routine activities, although some had marital problems and others lost their jobs...Conclusion. Although most patients with amputations of the lower limb are globally satisfied with respect to their prosthesis, the satisfaction of patients is not optimal in the sense that criteria still needed to be improved in the same way as appearance, weight, constraints displacement, price, and quality of the prosthesis.

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