24257Array
(
    [TITRE_TRAVAIL] => Array
        (
            [0] => psychological impact on lower limb amputee patients
        )

    [etablissement] => Array
        (
            [0] => service de médecine physique et rééducation de Sahloul - Sousse
        )

    [nom] => Array
        (
            [0] => ZAKHAMA
        )

    [prenom] => Array
        (
            [0] => HANA
        )

    [email] => Array
        (
            [0] => hanazakhama29@gmail.com
        )

    [telephone] => Array
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            [0] => 96264541
        )

    [auteurs] => Array
        (
            [0] => 
 
Nom prénom: Hana zakhama
Email: hanazakhama29@gmail.com
Hôpital: hopital Sahloul

 
Nom prénom: Rihab Moncer
Email: rihabmoncer@hotmail.com
Hôpital: hopital sahloul

 
Nom prénom: Ines Loubiri
Email: loubiri.iness@gmail.com
Hôpital: sahloul

 
Nom prénom: Sinene Frigui
Email: SINENElfrigui@hotmail.com
Hôpital: sahloul

 
Nom prénom: Sonia Jemni
Email: jemnisonia@hotmail.com
Hôpital: sahloul

        )

    [mots_cles] => Array
        (
            [0] => Lower limb , Major amputee   , Body image , Anxiety and depression, Prosthesis  .;

        )

    [event-id] => Array
        (
            [0] => 3663
        )

    [statut] => Array
        (
            [0] => 1
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    [forme] => Array
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            [0] => none
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    [abstract] => Array
        (
            [0] => https://www.sotcot.tn/wp-content/uploads/gravity_forms/1-734bfe19ec36a1528718899bf7a2927f/2024/03/abstract-ampute.docx
        )

    [user_email] => Array
        (
            [0] => hanazakhama29@gmail.com
        )

    [specialite] => Array
        (
            [0] => Médecine physique et rééducation
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Background and aims:
The aim of our research is to assess the impact of  Lower limb amputation on body image (BI) and psychological well-being.  
Methods:
A cross-sectional study was conducted in physical medicine department of Sahloul hospital during 6 months. We included major lower limb amputee aged over 18 years, operated since over 3 months.  
we collected socio-demographic, clinical and functional characteristics with autonomy functional score (AFS), Pohjolainen classification (PC). We used The Hospital Anxiety and Depression Scale (HADS) and body image scale (BIS) for amputee in Arabic.  

Results : 
In this study 100 amputees participated. Mean age  was 56 ± 13 years, sex ratio was seven , 72 % of amputations was a consequence of infection or  peripheral vascular disorder, 61 patients used a prosthesis (UP) . Over 60% were classified >III in PC, mean value of  AFS was 5±2. By HADS we confirmed 64 definitive cases of anxiety  and depression . BIS mean score was  60±19 [36-95] where 62% of the subjects had low BI satisfaction.   
An association was found between the BIS and:  age (P=0,006), type of setting (P=0,004), educational level (P=0,013), occupation (P=0,007), UP (p= 0,025), depression  , anxiety and functional status (p= 0,000).
There was negative  correlation between BIS  and: HADS (r = -0,54 and r = -0,60), delay to have a prosthesis  (r =-0,72) and  PC (r= -0,41). ASF and walking range  were positively associated to BIS ( r=0,46 , r =0,35). UP  and high ASF were protector factors. 
Conclusions:
Psychosocial adjustments should be included in amputee assessment.
        )

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