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Biomedical and psychosocial factors influencing transtibial prosthesis fit: a Delphi survey among health care professionals

机译:影响胫骨假体合适的生物医学和社会心理因素:卫生专业人员之间的德尔菲调查

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Purpose: We aimed to reach consensus among professionals caring for prosthesis users, on definitions of biomedical and psychosocial factors, to assess their influence on fit of transtibial prosthesis and to identify new factors. Method: A three-round, internet-based, Delphi survey was conducted among experts recruited via the Dutch National Amputee and Prosthesis Work Group. The main outcome measure was consensus among care professionals on statements concerning new and presented biomechanical and psychosocial factors that influence transtibial prosthesis fit. Results: Fifty-four experts participated in the survey, and consensus was reached on 67% (46/69) of all statements. Consensus on statements relevant for good prosthesis fit was reached in most of the statements concerning psychosocial factors and on statements concerning the biomedical factors "prosthesis support and suspension''. Least consensus was reached on statements concerning the biomedical factor "skin problems and pain in the residual limb''. Conclusions: Biomedical and psychosocial factors influence transtibial prosthesis fit. Consensus was reached among care professionals in a majority of the presented statements concerning these factors.
机译:目的:我们旨在就生物医学和社会心理因素的定义在照顾假肢使用者的专业人士之间达成共识,以评估其对胫骨假肢适应性的影响并确定新的因素。方法:对通过荷兰国家截肢者和假肢工作组招募的专家进行了三轮基于互联网的德尔菲调查。主要结局指标是护理专业人员之间就影响胫骨假体合适性的新的和提出的生物力学和社会心理因素的陈述达成共识。结果:五十四名专家参加了调查,并且所有陈述的67%(46/69)达成了共识。在大多数有关社会心理因素的陈述和关于生物医学因素“假体支持和悬吊”的陈述中,都达到了与良好假体合适性有关的陈述的共识,对有关生物医学因素“皮肤问题和疼痛的陈述”的共识最少。残肢''。结论:生物医学和社会心理因素影响胫骨假体的合适性。在大多数有关这些因素的陈述中,护理专业人员之间达成了共识。

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