Pre- and Post-Operative Education and Health-Related Quality of Life for Patients with Hip/Knee Replacement and Hip Fracture
Arthroplasty for the hip/knee and surgeries for hip fractures are increasing worldwide. The aims of this study were to investigate changes in health-related quality of life (HRQOL) after surgery with an early mobility education program, and to explore their associations with pain and anxiety. Pain i...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/3/329 |
| _version_ | 1797624557057605632 |
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| author | Yen-Mou Lu Je-Ken Chang Pin-Yu Lin Yi-Jing Lue |
| author_facet | Yen-Mou Lu Je-Ken Chang Pin-Yu Lin Yi-Jing Lue |
| author_sort | Yen-Mou Lu |
| collection | DOAJ |
| description | Arthroplasty for the hip/knee and surgeries for hip fractures are increasing worldwide. The aims of this study were to investigate changes in health-related quality of life (HRQOL) after surgery with an early mobility education program, and to explore their associations with pain and anxiety. Pain intensity and anxiety were assessed with the visual analogue scale (VAS) and Beck Anxiety Inventory (BAI), and HRQOL was assessed with the Short Form-36 (SF-36). The physical component summary (PCS) and mental component summary (MCS) and eight subscales of the SF-36 were calculated. At pre-operation, the patients suffered from moderate pain and mild anxiety, and their HRQOL scores were low (4.9, 7.8, 35.4, and 48.2 for the VAS, BAI, PCS, and MCS, respectively). The pain, anxiety, and HRQOL improved after surgery and had moderate to large effect sizes at 6-month follow-up (Glass’s delta = 1.23, 0.88, 0.81, and 0.67 for VAS, BAI, PCS, and MCS, respectively). Pain and anxiety were strongly correlated to HRQOL at each stage, with the maximum correlation (r = −0.34 to −0.93) reached at 6-month follow-up. The surgery effectively improves HRQOL, as the reduced pain and anxiety lead to better physical and mental HRQOL. |
| first_indexed | 2024-03-11T09:44:05Z |
| format | Article |
| id | doaj.art-94cd110bf56b479dbed332f1dc832523 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T09:44:05Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-94cd110bf56b479dbed332f1dc8325232023-11-16T16:43:45ZengMDPI AGHealthcare2227-90322023-01-0111332910.3390/healthcare11030329Pre- and Post-Operative Education and Health-Related Quality of Life for Patients with Hip/Knee Replacement and Hip FractureYen-Mou Lu0Je-Ken Chang1Pin-Yu Lin2Yi-Jing Lue3Department of Orthopaedics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, TaiwanDepartment of Sport Medicine, Kaohsiung Medical University Hospital, Kaohsiung 807, TaiwanDepartment of Orthopaedics, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDepartment of Physical Therapy, College of Health Sciences, Kaohsiung Medical University, Kaohsiung 807, TaiwanArthroplasty for the hip/knee and surgeries for hip fractures are increasing worldwide. The aims of this study were to investigate changes in health-related quality of life (HRQOL) after surgery with an early mobility education program, and to explore their associations with pain and anxiety. Pain intensity and anxiety were assessed with the visual analogue scale (VAS) and Beck Anxiety Inventory (BAI), and HRQOL was assessed with the Short Form-36 (SF-36). The physical component summary (PCS) and mental component summary (MCS) and eight subscales of the SF-36 were calculated. At pre-operation, the patients suffered from moderate pain and mild anxiety, and their HRQOL scores were low (4.9, 7.8, 35.4, and 48.2 for the VAS, BAI, PCS, and MCS, respectively). The pain, anxiety, and HRQOL improved after surgery and had moderate to large effect sizes at 6-month follow-up (Glass’s delta = 1.23, 0.88, 0.81, and 0.67 for VAS, BAI, PCS, and MCS, respectively). Pain and anxiety were strongly correlated to HRQOL at each stage, with the maximum correlation (r = −0.34 to −0.93) reached at 6-month follow-up. The surgery effectively improves HRQOL, as the reduced pain and anxiety lead to better physical and mental HRQOL.https://www.mdpi.com/2227-9032/11/3/329arthroplastyfractureeducationquality of life |
| spellingShingle | Yen-Mou Lu Je-Ken Chang Pin-Yu Lin Yi-Jing Lue Pre- and Post-Operative Education and Health-Related Quality of Life for Patients with Hip/Knee Replacement and Hip Fracture Healthcare arthroplasty fracture education quality of life |
| title | Pre- and Post-Operative Education and Health-Related Quality of Life for Patients with Hip/Knee Replacement and Hip Fracture |
| title_full | Pre- and Post-Operative Education and Health-Related Quality of Life for Patients with Hip/Knee Replacement and Hip Fracture |
| title_fullStr | Pre- and Post-Operative Education and Health-Related Quality of Life for Patients with Hip/Knee Replacement and Hip Fracture |
| title_full_unstemmed | Pre- and Post-Operative Education and Health-Related Quality of Life for Patients with Hip/Knee Replacement and Hip Fracture |
| title_short | Pre- and Post-Operative Education and Health-Related Quality of Life for Patients with Hip/Knee Replacement and Hip Fracture |
| title_sort | pre and post operative education and health related quality of life for patients with hip knee replacement and hip fracture |
| topic | arthroplasty fracture education quality of life |
| url | https://www.mdpi.com/2227-9032/11/3/329 |
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