235 KB0 KB200820252020Petkovšek Gregorin, Romanaletnik:19str. 37-43številka:supl. 1ISSN:1580-9315COBISSID:20508163URN:URN:NBN:SI:doc-A5MA8N7IslUniverzitetni rehabilitacijski inštitut Republike Slovenije - SočaRehabilitacija (Ljubljana)amputacijaizobraževanjenegarehabilitacijazdravstvena negaznanjeZa pridobivanje novih znanj ni nikoli prepozno| stališča pacientov po amputaciji spodnjega uda o negi preostalega uda| It is never too late to acquire new knowledge| attitudes of patients after lower limb amputation on the care for the remaining limb|Background: Peripheral arterial disease is a key cause of amputations of the lower limb. Education of patients can widen their knowledge about the care for their feet. With knowledge and consistent care for the limb at risk, they can avoid potential problems that lead to limb amputation. The aim of our study was to determine whether there is a difference in knowledge about the care for the residual limb between patients with different causes of amputation and whether there is a difference in knowledge before and after the course. Methods: A longitudinal quantitative nonexperimental study was carried out using a questionnaire. It was conducted from January to December 2014. The study included 102 patients with unilateral lower limb amputation, regardless of the level of amputation (75 men and 28 women). The patients responded to the questions on Likert-type scales. The estimated internal consistency of the questionnaire was 0.88. Results: Bivariate analyses indicated that knowledge is statistically significantly associated with the following patients% characteristics: smoking (p = 0.027), diabetes (p = 0.024), previous instructions on leg care (p = 0.002), frequent feet screening (p = 0.050) and impairment of kidneys (p < 0.001). Multiple linear regression highlighted the frequency of leg scans as the only statistically significant independent factor associated with knowledge (p = 0.029). Comparison of knowledge before and after the education programme showed statistically significant improvement (p < 0.001). Conclusions: Our study showed that the patients gained knowledge that will be useful for them in maintaining the good condition of the remaining leg. At the end of the education programme, they had more knowledge that will help them in identifying risks and deciding on changing the behaviour that poses risk to their healthIzhodišče: Periferna arterijska bolezen je ključni vzrok amputacij spodnjega uda. Z izobraževanjem pacienti razširijo svoje znanje o negi nog in se lahko izognejo morebitnim težavam, ki vodijo do amputacije uda. Cilj raziskave je bil ugotoviti, ali obstaja razlika v znanju o negi preostalega uda med pacienti z različnimi vzroki amputacije in ali obstaja razlika v znanju pred izobraževanjem in po njem. Metode: Izvedli smo longitudinalno kvantitativno neeksperimentalno raziskavo z uporabo anketnega vprašalnika. Potekala je od januarja do decembra 2014. V raziskavo sta bila vključena 102 pacienta z enostransko amputacijo spodnjega uda, ne glede na raven amputacije (75 moških in 28 žensk). Na vprašanja so odgovarjali s pomočjo stališčnih lestvic Likertovega tipa. Ocenjena notranja skladnost vprašalnika je znašala 0,88. Rezultati: V bivariatnih analizah so se kot statistično značilno povezane z znanjem pokazale naslednje lastnosti pacientov: kajenje (p = 0,027), sladkorna bolezen (p = 0,024), predhodna navodila glede oskrbe noge (p = 0,002), pogostejše pregledovanje nog (p = 0,050) in okvara ledvic (p < 0,001). V multiplem regresijskem modelu se je kot edini neodvisni statistično značilni dejavnik, povezan z znanjem, pokazala pogostost pregledovanja nog (p = 0,029). Primerjava znanja pred izobraževanjem in po njem je pokazala statistično značilno izboljšanje po izobraževanju (p % 0,01). Zaključek: Raziskava je pokazala, da so pacienti pridobili znanja, ki jim bodo koristila pri vzdrževanju dobre kondicije preostale noge. Pomembno je, da so po končanem izobraževanju imeli več znanj, ki jim bodo pomagala pri prepoznavanju nevarnosti in pri odločitvi o spremembi tveganega vedenja za njihovo zdravjeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča