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Patient satisfaction among children with unilateral lower limb prosthesis , comparing Norway and Cambodia. Gunhild Aasen Rune Nilsen Comparing children with prosthesis Quality of life and satisfaction with their prosthesis 2 qualitative questions regarding game and play activities.
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Patientsatisfactionamongchildrenwith unilateral lowerlimbprosthesis, comparing Norway and Cambodia • Gunhild Aasen • Rune Nilsen • Comparingchildrenwithprosthesis • Qualityof life and satisfactionwiththeirprosthesis • 2 qualitative questions regarding game and play activities
Hypothesis • Childrenwithprosthesis in Norway has a higherqualityof life thanchildrenwithprosthesis in Cambodia • Children in thetwocountries have different games and play activities
Background info • Norway is one oftherichestcountries in theworld, number 5 with BNP of 59300 USD per capita • Cambodia is one ofthepoorestcountries in South East Asia, BNP 2000 USD per capita
Method • Peds-ql is a qualityof life questionaireaimed at childrenwithdisabilities • Validated in manylanguages, including Khmer(wedidthat) and Norwegian • Questionaireaboutprostheticsatisfaction • 2 qualitative questions about play and game activities • Ethical Committee application and approval
Criterias • Childrenwith one lowerlimbprosthesis and nootherdisabilities • No mental disorders • Age between 8 and 12
Method in Norway • 9 childrenfulfill all criterias • Interviews in clinic, at school or at home • Prosthetistwho make prosthesis not to performinterview • Parents not present during questionairesession
Method in Norway • Group of 22 non disabledchildren • Reference group for comparingresults
Method in Cambodia • Translationinto Khmer and back two times • Tested on 10 non disabledchildren • Performed by Khmer interpreter • Parents not present
Method in Cambodia • Interviewed 19 childrenwith unilateral prosthesis • 3 visits • Rural and urban • Performed by the same interpreter • Parents not present
Method in Cambodia • Group 22 of non disabledchildren • Rural and urban • Reference group • Same method and interpreter as previous
Results • Children have lowerqualityof life in Cambodiathan in Norway • Childrenwithprosthesis has same qualityof life as non disabledchildren in bothcountries • Childrenwithprosthesisareequallyverysatisfiedwiththeirprosthesis in bothcoutries
Results • Prosthesisdoes not givereducedqualityof life for children • Qualityof life depends on thesocietywhereyou live • Materials and components used are not important as long as comfort and function is adequate • Educatedprosthetists, good fitting and follow up is most important
Spørsmål og diskusjon • Rune.nilsen@sophiesminde.no • Gunhild.aasen@sophiesminde.no • Forskningsmidler fra Sophies Minde