研究动态
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带着假肢的旅行者,一群被忽视的人群。关于旅行健康从业者需要了解什么的观点。

Travellers with prosthetic limbs, a neglected population. A perspective on what travel health practitioners need to know.

发表日期:2024 Aug 15
作者: Irmgard L Bauer, Vikranth H Nagaraja
来源: TROPICAL MEDICINE & INTERNATIONAL HEALTH

摘要:

旅行对所有年龄段和能力的人的福祉的好处是众所周知的,尽管到目前为止,佩戴假肢的旅行者被排除在外。由于外伤、血管疾病、癌症或感染而导致的肢体丧失需要假肢来实现美观和功能性。失去肢体这一改变生活的事件以及接受身体形象改变所需的大量心理调整会影响康复和自我管理以及体育和旅行等社会活动的参与。旅行的挑战不仅在于将国内遇到的实际障碍转移到另一个地方;熟悉的应对策略可能需要意想不到的调整。在介绍了肢体缺失和假肢的背景信息后,本文的目的是回顾有关为带有假肢的旅行者提供健康建议的文献。使用围绕旅行和假肢的各种关键词组合,在所有主要数据库中搜索同行评审的文献。单独检索了相关期刊,并联系了选定的作者和大学部门。没有获得基于证据的结果。然后,搜索转向灰色文献,包括来自相关组织、专业机构、政府网站、制造商、航空公司、假肢/理疗诊所、体育组织的文件,以及直接接近截肢者(包括退伍军人和运动员)的文件。假肢涉及 (1) 旅行准备,(2) 包装(特别是考虑假肢的机械和/或电气要求),(3) 乘坐飞机旅行作为最常见的旅行方式,以及 (4) 机场导航和机场安检,旅行健康从业者在等待基于证据的指导方针时可以使用它。这是任何领域(包括旅行医学)中第一篇关于使用假肢旅行的论文。因此,旅行健康从业者没有为这一被忽视的人群提供高质量护理所需的循证指南。提供了临床实践的初步建议、教育所需更新的建议以及迫切需要的研究的建议,以证据取代当前的提示和技巧,使佩戴假肢的旅行者不再“陷入困境”。© 2024。作者( s)。
The benefits of travel for the wellbeing of people of all ages and abilities are well known, though travellers with prostheses have so far been excluded. Limb loss, due to trauma, vascular disease, cancer, or infections requires a prosthesis for cosmesis and functionality. The life-changing event of losing a limb and the considerable psychological adjustment to accept an altered body image influence rehabilitation and self-management as well as the participation in social activities, such as sport and travel. The challenge of travel lies not only in transferring practical impediments encountered at home to another location; familiar coping strategies may require unexpected adjustments. After presenting background information on limb loss and prostheses, the purpose of this paper was to review literature on health advice for travellers with prosthetic limbs.All major data bases were searched for peer-reviewed literature using a variation of keyword combinations around travel and prosthetics. Relevant journals were searched individually, and selected authors and university departments contacted. No evidence-based results were obtained. The search then moved to grey literature including documents from relevant organisations, professional bodies, government websites, manufacturers, airlines, prosthetic/physiotherapy clinics, sport organisations to approaching amputees, including veterans and athletes, directly.The list of collated travel advice for people with artificial limbs relates to (1) trip preparation, (2) packing (especially considering the mechanical and/or electrical requirements of the prosthesis), (3) travelling by plane as the most covered mode of travel, and (4) navigating airports and airport security, which may be used by travel health practitioners while awaiting evidence-based guidelines.This is the first paper on travel with a prosthetic limb in any field, including travel medicine. Therefore, travel health practitioners have no evidence-based guidelines at their disposal required for high-quality care for this neglected population. Preliminary recommendations for clinical practice, advice for required updates in education, and suggestions for urgently needed research are provided to replace current hints and tips with evidence so that travellers with prostheses are no longer 'out on a limb'.© 2024. The Author(s).