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Factors influencing prosthesis satisfaction among first time lower-limb prosthetic users from Wentworth Hospital in KwaZulu-Natal

Thesis (MHumanRehabSt)--Stellenbosch University, 2023.

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Main Author: Ramdeen, Joshika Diyajal
Other Authors: Visagie, Surona
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2023
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access_status_str Open Access
author Ramdeen, Joshika Diyajal
author2 Visagie, Surona
author_browse Ramdeen, Joshika Diyajal
Visagie, Surona
author_facet Visagie, Surona
Ramdeen, Joshika Diyajal
author_sort Ramdeen, Joshika Diyajal
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MHumanRehabSt)--Stellenbosch University, 2023.
format Thesis
id oai:scholar.sun.ac.za:10019.1/127225
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:43:29.289Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2023
publishDateRange 2023
publishDateSort 2023
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/127225 Factors influencing prosthesis satisfaction among first time lower-limb prosthetic users from Wentworth Hospital in KwaZulu-Natal Ramdeen, Joshika Diyajal Visagie, Surona Stellenbosch University. Faculty of Medicine and Health Sciences. Centre for Rehabilitation Studies. Lower limb amputation -- KwaZulu-Natal (South Africa) Patient satisfaction -- KwaZulu-Natal (South Africa) Leg -- Amputation -- KwaZulu-Natal (South Africa) UCTD Thesis (MHumanRehabSt)--Stellenbosch University, 2023. ENGLISH SUMMARY: Background: Prosthesis satisfaction allows for optimum use of the prosthesis and decreases the chances of rejection, ultimately improving the quality of life of prosthetic users. Aim: The study aimed to identify factors that influence prosthesis satisfaction among first-time, lower-limb prosthetic users from Wentworth Hospital in KwaZulu-Natal. Methods: The research followed a Qualitative Descriptive approach. The study was conducted at three clinics of an Orthotic and Prosthetic Centre in KwaZulu-Natal, South Africa. The study population consisted of 21 first-time, lower-limb, adult prosthetic users, who received a prosthesis between 1 August 2021 and 31 July 2022. Purposive sampling was used to identify 12 participants. Data was obtained telephonically via a semi-structured interview. The data was analysed using inductive thematic analysis. Findings: Of the 12 participants, 8 were males and 4 were females. Eight had above-knee prostheses and 4 had below-knee prostheses. Among them 6 always used other assistive devices with their prosthesis, and 3 made use of assistive devices at times. Three themes emerged, namely satisfaction with the prosthesis, functionality and expectations. Overall, participants were satisfied with the prosthesis owing to functionality, and improved body image. Weight, aesthetics, discomfort, pain, height and function of the prosthesis caused dissatisfaction. Walking and basic mobility were achieved, but only some participants achieved advanced mobility. Initial expectations varied between knowing what to expect and no expectation. Conclusion: Despite participants’ professed satisfaction, functioning was limited. Handheld assistive devices and wheelchairs were often used with the prosthesis. The factors that lead to dissatisfaction are remediable. AFRIKAANSE OPSOMMING: Agtergrond: Tevredenheid met `n prostese bevorder optimale gebruik daarvan en verminder die kans van verwerping, wat uiteindelik die lewenskwaliteit van die prostese-gebruiker verbeter. Doelwit: Die doelwit van die studie was om faktore te identifiseer wat tevredenheid met die prostese beinvloed onder eerste-keer, onderste-ledemaat prostese-gebruikers van Wentworth Hospitaal in KwaZulu-Natal. Metodes: Die navorsing het ’n Kwalitatiewe Beskrywende benadering gebruik. Die studie was uitgevoer by drie klinieke van ’n Ortotiese en Prostetiese Sentrum in KwaZulu-Natal, Suid-Afrika. Die studie-populasie het bestaan uit 21 eerste-keer, onderste-ledemaat volwasse prostese-gebruikers, wat ’n prostese ontvang het tussen 1 Augustus 2021 en 31 Julie 2022. Doelgerigte steekproefneming is gebruik om 12 deelnemers te identifiseer. Data is telefonies verkry via ’n semi-gestruktureerde onderhoud. Die data is geanaliseer met die gebruik van induktiewe tematiese analise. Bevindings: Van die 12 deelnemers was 8 mans en 4 vroue. Agt het bo-die-knie prosteses en 4 het onder-die-knie prosteses gehad. Van hulle het 6 altyd ander hulpmiddels gebruik saam met hul prosteses, en 3 het by tye hulpmiddels gebruik. Drie temas het na vore gekom, naamlik tevredenheid met die prostese, funksionaliteit en verwagtinge. Oor die algemeen was deelnemers tevrede met die prostese weens funksionaliteit en `n verbeterde liggaamsbeeld. Gewig, estetika, ongemak, pyn, hoogte en werking van die prostese het ontevredenheid veroorsaak. Stap en basiese mobiliteit is bereik, maar slegs sommige deelnemers het gevorderde mobiliteit bereik. Aanvanklike verwagtinge het gevarieer tussen weet wat om te verwag en geen verwagting. Gevolgtrekking: Ten spyte van deelnemers se aanduiding dat hulle tevrede is, was funksionering beperk. Hulpmiddels soos krukke en/of rolstoele, is dikwels gebruik saam met die prostese. Die faktore wat lei tot ontevredenheid kan reggestel word. Masters 2023-03-06T15:09:59Z 2023-05-18T07:10:43Z 2023-03-06T15:09:59Z 2023-05-18T07:10:43Z 2023-03 Thesis http://hdl.handle.net/10019.1/127225 en_ZA Stellenbosch University 33 pages ; includes annexures application/pdf Stellenbosch : Stellenbosch University
spellingShingle Lower limb amputation -- KwaZulu-Natal (South Africa)
Patient satisfaction -- KwaZulu-Natal (South Africa)
Leg -- Amputation -- KwaZulu-Natal (South Africa)
UCTD
Ramdeen, Joshika Diyajal
Factors influencing prosthesis satisfaction among first time lower-limb prosthetic users from Wentworth Hospital in KwaZulu-Natal
title Factors influencing prosthesis satisfaction among first time lower-limb prosthetic users from Wentworth Hospital in KwaZulu-Natal
title_full Factors influencing prosthesis satisfaction among first time lower-limb prosthetic users from Wentworth Hospital in KwaZulu-Natal
title_fullStr Factors influencing prosthesis satisfaction among first time lower-limb prosthetic users from Wentworth Hospital in KwaZulu-Natal
title_full_unstemmed Factors influencing prosthesis satisfaction among first time lower-limb prosthetic users from Wentworth Hospital in KwaZulu-Natal
title_short Factors influencing prosthesis satisfaction among first time lower-limb prosthetic users from Wentworth Hospital in KwaZulu-Natal
title_sort factors influencing prosthesis satisfaction among first time lower limb prosthetic users from wentworth hospital in kwazulu natal
topic Lower limb amputation -- KwaZulu-Natal (South Africa)
Patient satisfaction -- KwaZulu-Natal (South Africa)
Leg -- Amputation -- KwaZulu-Natal (South Africa)
UCTD
url http://hdl.handle.net/10019.1/127225
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