PTOTRNOtherRevista latino-americana de enfermagem2024

Self-care dependency assessment of person with lower limb amputation: an exploratory study.

Diana Fonseca Rodrigues, Paulo Alexandre Puga Machado, Teresa Martins and 2 others

PMID 39476133

WHAT IT FOUND

In 40 home-dwelling adults after dysvascular major lower-limb amputation, walking and bathing had highest dependency; feeding lowest.

Toilet, walking and transferring scores were the strongest predictors of overall autonomy.

Key findings

01Walking and bathing were the most dependent self-care domains, with mean scores of 2.28 and 2.41 on a 4-point scale where 1 means dependent and 4 means completely independent.

02Overall self-care dependency averaged 2.99 on the 4-point scale, and almost every participant required assistance in the domains assessed.

03A two-step cluster analysis identified a small older, frail and dependent cluster of 9 people, and toilet use, walking and transferring were the strongest predictors of autonomy.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for RNs

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What it does not show

Small convenience sample of 40 patients from a single hospital service in northern Portugal, so the results may not generalise. Participants were selected because they lived at home and already received family assistance with activities of daily living, and independent people were excluded, so the study does not describe amputees who manage alone. It was cross-sectional and descriptive, so it cannot show that any intervention caused improvement. The sociodemographic questionnaire was developed for this study, and the paper does not report its validation. The cluster analysis is exploratory and based on a small sample, so the two clusters should be treated as descriptive groupings rather than stable patient types.

The easy way to misread this

Do not read the dependency scores as evidence that a specific rehabilitation treatment will restore independence. This was an observational assessment of 40 home-dwelling amputees who already needed family help, so it describes need, not treatment effect.

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