Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector219210.17816/KMJ2192Research ArticleQuality of life in disabled patients with the diseases of limbs depending on individual psychological traitsBiktimirovaF Mrinltd@list.ruNichiporenkoN P-AukhadeevE I-Kazan State Medical Academy, Kazan, RussiaKazan State Medical University, Kazan, Russia1506201394339239628032016Copyright © 2013, Biktimirova F.M., Nichiporenko N.P., Aukhadeev E.I.2013Aim. To study the quality of life, characteristic traits and emotional features in disabled patients with functional and structural damage of limbs. Methods. Disabled patients with functional and structural damage of limbs who addressed to the center of prosthesis and ortopedy for limb prosthesis were studied. 318 patients (males - 267 (83.3%), females - 51 (16.7%), aged 18 to 66 years) with limb stumps (including congenital limb defects) who addressed to the centre since 2008 to 2010 were randomly picked out to be included in the trial. The complex study of the following context factors included in the International Classification of Functioning, Disability and Health: quality of life, individual psychological traits, emotional sphere and motivation, social, cultural and nature environment. Patients were divided into 5 groups: aged 19 to 29 years, 30 to 39 years, 40 to 49 years, 50 to 59 years, over 60 years of age. Results. In the group of patients aged 19 to 29 years, the most intimately related to the quality of life were: situational anxiety and pedantic types demonstrative and of accentuated personality. In the group of patients aged 30 to 39 years the limitations due to amputations increased the influence on depression formation. In the group of patients aged 40 to 49 years the conjugacy of patients’ emotional and personal traits with the quality of life strengthened. Meanwhile, the influence of depression on patients’ quality of life and personality increased. n the group of patients aged 50 to 99 years the most influential was the triad of situational anxiety, personal anxiety and depression. In patients over 60 years of age quality of life was strongly related to patient’s psychologic and emotional condition, especially with situational anxiety. Conclusion. Different age groups of the patients who underwent a limb amputation, need an individualized and specialized rehabilitation programs, considering the interrelation between emotional, individual and psychological personal traits and parameters of quality of life.disabledquality of lifeprosthesisindividual rehabilitation programинвалидкачество жизнипротезированиеиндивидуальная программа реабилитации[Аухадеев Э.И. Международная классификация функционирования, ограничений жизнедеятельности и здоровья, рекомендованная ВОЗ, - новый этап в развитии реабилитологии // Казан. мед. ж. - 2007. - №1. - С. 5-9.][Новик А.А., Ионова Т.И. Руководство по исследованию качества жизни в медицине. 2-е издание / Под ред. Ю.Л. Шевченко - М.: ОЛМА Медиа Групп, 2007. - С. 18.][Пузин С.Н., Иксанов Х.В., Аухадеев Э.И. Методология и практика развития медико-социальной реабилитации инвалидов как региональной социальной системы (по материалам Республики Татарстан). - М., 2008. - 93 с.][Росков Р.В., Андриевская А.О., Смирнов А.В. Ортезирование при травмах конечностей и их последствиях. Учебно-практическое пособие. - СПБ., 2006. - Книга 1. - С. 6-7.][Росков Р.В., Андриевская А.О., Смирнов А.В. Ортезирование при травмах конечностей и их последствиях. Учебно-практическое пособие. - СПБ., Тюмень, 2007. - Книга 2. - С. 26.][Шестаков В.П. Методологические аспекты оценки качества и эффективности медико-социальной реабилитации инвалидов // Вестн. СПб. мед. акад. им. И.И. Мечникова. - 2005. - №1. - С. 43-46.][International classification of functioning, disability and health (2001). - Geneva, Switzerland: World Health Organization. - P. 18.][Pezzin L.E., Dillingham T.R., MacKenzie E.J. Rehabilitation and the long-term outcomes of persons with trauma-related amputation // Arch. Phys. Med. Rehabil. - 2000. - N 81. - Р. 292-300.]