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Factors Influencing Health-related Quality of Life among Knee or Hip Arthroplasty Patients

하지 인공관절 치환술 환자의 건강 관련 삶의 질 영향요인

  • Kang, Mi Kyung (Keimyung University Dongsan Medical Center.Graduate School, Keimyung University) ;
  • Kim, Geun Jin (Bokwang Hospital.Graduate School, Keimyung University) ;
  • Kim, Hye Young (College of Nursing, Keimyung University)
  • 강미경 (계명대학교 동산의료원.계명대학교 대학원) ;
  • 김근진 (대구보광병원.계명대학교 대학원) ;
  • 김혜영 (계명대학교 간호대학)
  • Received : 2017.02.23
  • Accepted : 2017.08.15
  • Published : 2017.08.31

Abstract

Purpose: The purpose of this research was to identify factors that influence health-related quality of life of patients who have had knee or hip arthroplasty. Factors included sleep disorders, pain, activities of daily living, and depression. Methods: The participants in this research were 97 patients within one year after receiving knee or hip arthroplasty surgery and who regularly visited a hospital outpatient department. Data were analyzed using descriptive statistics, t-test, ANOVA, and stepwise regression analysis with the SPSS program. Results: Sleep disorders, pain, activities of daily living, and depression had significant correlations with health related quality of life. Factors influencing health-related quality of life among arthroplasty patients were the length of time since surgery, sleep disorders, activities of daily living, and depression. These factors explained 58% of the participants' health-related quality of life. Conclusion: The results show that various factors can affect patients' health-related quality of life following joint replacement surgery. The findings indicate that sleep disorders and depression should receive continued attention after the arthroplasty. It is also necessary to develop appropriate nursing intervention programs to lower depression and increase patient participation in daily living activities.

Keywords

References

  1. Yang GS, Eun Y, Moon GH, Lee SK. The effects of a progressive lower-extremity exercise program on pain, self-efficacy of exercise, and life satisfaction among older women with total knee replacement arthroplasty (TKRA). Journal of Muscle and Joint Health. 2014;21(3):215-223. https://doi.org/10.5953/JMJH.2014.21.3.215
  2. Ko YJ, Hyun MY. Effects of laughter therapy on pain, depression, and quality of life of elderly people with osteoarthritis. Journal of Korean Academy of Psychiatric Mental Health Nursing. 2013;22(4):359-367. https://doi.org/10.12934/jkpmhn.2013.22.4.359
  3. Song MS, Yoo YK, Kim NC. Effects of aquatic exercise on joint angle, pain, stiffness, and physical function in elderly women with osteoarthritis. Journal of Korean Gerontological Nursing. 2015;17(2):89-97. https://doi.org/10.17079/jkgn.2015.17.2.89
  4. Kim M, Bae SH. Factors influencing health-related quality of life in older adults with osteoarthritis: Based on the 2010-2011 Korea national health and nutrition examination survey. Journal of Muscle and Joint Health. 2014;21(3):195-205. https://doi.org/10.5953/JMJH.2014.21.3.195
  5. Shim J, Choi-Kwon S. The effect of pre-operative patient controlled analgesia education on elderly patients with total knee arthroplasty. Journal of Korean Biological Nursing Science. 2014;16(4):318-325. https://doi.org/10.7586/jkbns.2014.16.4.318
  6. Uhm DC, Nam ES, Lee HY, Lee EB, Yoon YI, Chai GJ. Healthrelated quality of life in Korean patients with rheumatoid arthritis: Association with pain, disease activity, disability in activities of daily living and depression. Journal of Korean Academy Nursing. 2012;42(3):434-442. https://doi.org/10.4040/jkan.2012.42.3.434
  7. Kim SH, Lee HJ. Effects of supportive nursing care program on hip function, anxiety and uncertainty for patients with total hip arthroplasty. Journal of Korean Clinical Nursing Research. 2013;19(3):419-431. https://doi.org/10.22650/JKCNR.2013.19.3.419
  8. Lee HO, Lee SH. A study on the experiences of total knee replacement in elderly women. Journal of Muscle and Joint Health. 2014;21(3):206-214. https://doi.org/10.5953/JMJH.2014.21.3.206
  9. Vincent KR, Vincent HK. Resistance exercise for knee osteoarthritis. Journal of Injury, Function and Rehabilitation. 2012;4 (5 Supple):S45-S52. https://doi.org/10.1016/j.pmrj.2012.01.019
  10. Lee MK, Lee IH, Ju JH, Hwang MS, Seo JG, Sung YH. The effects of home care exercise program on knee joint function and quality of life in patients with total replacement arthroplasty. Journal of Muscle and Joint Health. 2005;12(2):143-154.
  11. Kim MH. A comparative study of TKR patient's performance of activities of daily living and quality of life [master's thesis]. Seoul: Kyung Hee University; 2004. p. 5-33.
  12. Xie F, Lo NN, Pullenayegum EM, Tarride JE, O'Reilly DJ, Goeree R, Lee HP. Evaluation of health outcomes in osteoarthritis patients after total knee replacement: A two-year follow-up. Health and Quality of Life Outcomes. 2010;8(87):1-6. https://doi.org/10.1186/1477-7525-8-87
  13. Ju YJ, Kim HK. Factors influencing depression among patients with chronic degenerative arthritis after total knee arthroplasty. Journal of Muscle Joint Health. 2012;19(2):161-172. https://doi.org/10.5953/JMJH.2012.19.2.161
  14. Kim Y, Byun HS. Effects of pain on memory, physical function, and sleep disturbance in older adults with chronic disease: The mediating role of depression. Journal of Korean Gerontological Nursing. 2014;16(1):59-67. https://doi.org/10.17079/jkgn.2014.16.1.59
  15. Park JS, Yeom JH, Shin HJ. The effect of music therapy on postoperative pain in patients with total hip replacement. Korean Journal of Adult Nursing. 2006;18(2):183-193.
  16. Oh JJ, Song MS, Kim SM. Development and validation of Korean sleep scale A. Journal of Korean Academy of Nursing. 1998;28(3):563-572. https://doi.org/10.4040/jkan.1998.28.3.563
  17. Cline ME, Herman J, Shaw ER, Morton RD. Standardization of the visual analogue scale. Nursing Research. 1992;41(6):378-380. https://doi.org/10.1097/00006199-19921000-00013
  18. Kim SY, Won CW, Roh YG. The validity and reliability of Korean version of Bathel ADL index. Journal of Korean Academy of Family Medicine. 2004;25(7):534-541.
  19. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385-401. https://doi.org/10.1177/014662167700100306
  20. Chon KK, Rhee MK. Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology. 1992;11 (1):65-76.
  21. Ware JE, Kosinski M, Dewey JE, Gandek B. SF-36 health survey: Manual and interpretation guide. Quality Metric Inc., Lincoln; 2000.
  22. Nam BH, Lee SW. Testing the validity of the Korean SF-36 health survey. Journal of Korean Society of Health Statistics. 2003;28(2):3-24.
  23. Kim HJ. Chronic pain, sleep pattern and quality of life in the elderly [master's thesis]. Seoul: Hanyang University; 2013. p. 2-34.
  24. Lee JA, Park DA, Ji ES. Effect of Kynesio-taping therapy on pain among community-dwelling older adults. Journal of East-West Nursing Research. 2008;14(2):67-73.
  25. Shin SS, Eun Y. Relationships among pain, depression, health behavior, and activities of daily living in older adults after femur fracture surgery. Journal of Muscle and Joint Health. 2015;22(1):1-12. https://doi.org/10.5953/JMJH.2015.22.1.1
  26. Kang SH. A comparative study of the handicaps in and satisfaction with the ordinary life before and after the plastic operation for artificial joint replacement. Journal of Muscle and Joint Health. 1996;3(1):37-49.
  27. Park SA, Kang HS, Choi JY. Recovery according to follow-up period and compliance in osteoarthritic patients after knee replacement arthroplasty. Journal of East-west Nursing Research. 2010;16(2):164-171.
  28. Lee YS, Tak YR. Sleep disorders among community-dwelling elders and their physical, psychological, and functional health. Journal of Korean Gerontological Nursing. 2013;15(2):120-130.
  29. Baglioni C, Battagliese G, Feige B, Spiegelhalder K, Nissen C, Voderholzer U, et al. Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies. Journal of Affective Disorders. 2011;135(1-3):10-19. https://doi.org/10.1016/j.jad.2011.01.011

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