12 ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article
The Quality of Life and Satisfaction
between High Cost Component
Project and Standard Component
Service in Transtibial Prosthesis at
Siriraj Hospital
Khemisa Engmahassakul*, Paweena Aekwattanaphol*, Marisa Amattayakul*,
Kamontip Harnphadungkit**
*Sirindhorn School of Prosthetics and Orthotics Faculty of Medicine Siriraj Hospital, Mahidol University,
**Rehabiliation medicine Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Siriraj Medical Bulletin 2022;15(1): 12-21
Abstract
Objective: To compare the quality of life in transtibial amputee between the ones using
standard service component (standard group) and the ones using high-cost component (high-cost
group) in SSPO clinic at Siriraj Hospital
Material & Methods: Descriptive study that interviewed the participants by telephone
covering participants’ general information, patient satisfaction and quality of life questionnaires
(WHOQOL and Thai EQ-5D-5L)
Results: This research had 114 amputees (average age 60 years old) that divided into two
groups in terms of 74 in standard group and 40 in the high-cost group. The quality of life between
both groups was not difference (p=0.568) while the educational level, and patients’ functional
ability before they received their prosthetics (k-level) were found statistically significant difference
(p=0.008 and p<0.001, respectively). In standard group, the most educational level was the lower
elementary school and k-level 3 were higher than another group. Psychological domain was signifi-
cant in the standard group (60.2%) compared with high cost (47.5%). Multiple regression analysis,
k-level 3 and patients’ wearing prosthetics per day were positively related to the psychological
domain (p=0.021 and 0.024). In addition, patient satisfaction questionnaire and another quality of
life domain were not statistically significant.
Conclusion: The comparison of transtibial amputee’s quality of life in both groups was not
significant. K-level and patients’ wearing prosthetics per day improved quality of life.
Keywords: disability; transtibial prosthesis; quality of life; Sirindhorn School of Prosthetics
and Orthotics; high cost
Correspondence to: Khemisa Engmahassakul
Email: eng.khemisa@gmail.com
Received: 21 June 2021
Revised: 20 July 2021
Accepted: 18 August 2021
http://dx.doi.org/10.33192/smb.v15i1.251332
13
Siriraj Medical Bulletin





 
เขิสา เองัสสุล*, ปีณา เอัฒนพล*, าิษา อาตยุล*, ลิพย์ าญผุงิจ**
* , ** 
  


























14 ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article






























 























































15
Siriraj Medical Bulletin


































 


























16 ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article

 








 


 












 




 











 




 
 




 
 




 




















    
 




 
 




 


17
Siriraj Medical Bulletin

 


 P-value













    
 




 
 




 
 




 
 




 










































18 ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article

 


 P-value











































































































   
   


19
Siriraj Medical Bulletin



 B Std.Err P-value 95% CI
    

    
    

    
    
    
    
    

    
    
    
    
    

    
    
    
    
    
    




20  15  1  -  2565
Original Article



















ń













































































































































ń



























21
Siriraj Medical Bulletin