Mussarat Jabeen Khan, Sarah Fatima Dogar, Uzma Masroor.
Family relations, quality of life and post-traumatic stress among amputees and prosthetics.
Pak Armed Forces Med J Jan ;68(1):125-30.

Objective: The aim of the present study was to assess nature of family relations, quality of life and post-traumatic stress among amputees and prosthetics. Study Design: Cross-sectional study. Place and Duration of Study: Artificial Limb Centers and hospitals of Islamabad and Rawalpindi. Duration of the study was from Jan 2015 to Sep 2015. Material and Methods: The study was conducted on 160 trauma patients (N=160, n=80 amputees, n=80 prosthetics) from different hospitals of Islamabad and Rawalpindi. Non probability purposive sampling technique was used to collect data. Three questionnaires were administered to assess the family relations (IFR), Quality of life (WHO Quality of life scale -BREF) and Post-traumatic Stress (Post-traumatic Stress Disorder Checklist, PCL). Results: The results of the study indicated that quality of life and family relations were negatively associated with Post-traumatic stress(r=-66** r=-20**) respectively for amputees and also negatively correlated for prosthetics (r=62** r=-31**) respectively. There were significant positive relationship between family relations and quality of life for amputees and prosthetics (r=11** r=21**) respectively. Hierarchical regression analysis showed that Posttraumatic stress is a significant negative predictor of quality of life. There were significant differences between amputees and prosthetics on family relations, quality of life and post-traumatic stress. Conclusion: Present study demonstrated high prevalence of post-traumatic stress, low quality of life and less positive family relations in amputees than prosthetics, who had less PTSD, positive family relations and high quality of life. This high level of post-traumatic stress leads to low quality of life among amputees. The study would be helpful for rehabilitation professionals to make plan regarding therapeutic interventions to reduce post traumatic stress and increase their quality of life.

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