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Revista de Investigação & Inovação em Saúde
Print version ISSN 2184-1578On-line version ISSN 2184-3791
Abstract
SANTOS, Isabel and SOUSA, Pedro. Rehabilitation of person with major amputation of vascular etiology: exploratory study. RIIS [online]. 2022, vol.5, n.1, pp.9-22. Epub June 30, 2022. ISSN 2184-1578. https://doi.org/10.37914/riis.v5i1.173.
Background:
early rehabilitation is essential in the recovery of a person with a major amputation of vascular etiology, but their postoperative rehabilitation process is not sufficiently studied.
Objective:
to characterize the recovery process after major lower limb amputation by vascular etiology.
Methodology:
exploratory and retrospective study, with 40 people with major amputation of vascular etiology in a Portuguese central hospital, between 1 to 36 months postoperative. A questionnaire was requested to assess sociodemographic and clinical data, rehabilitation, adaptation to the home, prosthetic fitting and functional independence. Data were analyzed through descriptive and inferential statistics.
Results:
it was found that 92.5% performed postoperative rehabilitation, 65% returned home and 72.5% performed changes at home. A 15% prosthetization rate, with an average waiting time of 16.33 months (SD = 9.50). At discharge, the Barthel Index was 42.88, gradually increasing during postoperative ([1-5 months]: M=62.50; [6-11 months]: M=77.35; [12-23 months]: M=78.75).
Conclusion:
most underwent rehabilitation and there was a positive evolution of functional independence. The main felt difficulties and the changes made at home are related to self-care in hygiene, transfers and use of the toilet. The importance of family involvement in the rehabilitation process and preparation for returning home was highlighted.
Keywords : amputation; lower extremity; functional status; rehabilitation nursing.