DISTRICT HOSPITAL OF ORTHOPAEDICS AND TRAUMA SURGERY IN PIEKARY ŚLĄSKIE, PIEKARY ŚLĄSKIE, POLAND.
FACULTY OF HEALTH SCIENCES, JAN DŁUGOSZ UNIVERSITY IN CZĘSTOCHOWA, CZĘSTOCHOWA, POLAND.
Wiad Lek. 2020;73(12 cz 1):2627-2633.
Introduction: Hip osteoarthritis is a disabling disease which become substantial health-related, social, and economic issue. The aim: To assess short term quality of life in male population with hip ostheoarthritis, after total hip arthroplasty.
Material and methods: 118 male patients were included in the study, age range from 31 to 79 year-old, who underwent total hip arthroplasty. Patients quality of life was assessed using questioners: abbreviated version of WHOQoL-BREF, as well as EQ-5D-5L, and SF-36 scale. Patients condition was investigated before surgery, 6 weeks and 6 months after the surgery.
Results: The results from WHOQoL-BREF questionnaire demonstrated a statistically significant improvement of quality of life after the surgery - 6 weeks after the procedure by 4% and 21% (p<0.001), after 6 months by 13% and 42% (p<0.001), respectively. The most significant improvement was found in the somatic domain - by 5% after 6 weeks, and by 6% after 6 months (p<0.001). The quality of life according to the EQ-5D-5L questionnaire revealed statistically significant improvement after 6 weeks, by 18-24% (p<0.001), after 6 months by 41-48% (p<0.001). Substantial improvement was achieved in reducing pain and improving mobility. SF-36 questionnaire showed statistically significant improvement after 6 months from the surgery in both physical (by 44%), and mental condition (by 54%) (p<0.001).
Conclusions: Improvement of the quality of life - mainly less severe pain and better mobility after total hip arthroplasty in the investigated group of men was proven in 6 weeks after the procedure, while the further progress was more noticeable 6 months after the procedure.
介绍：髋关节骨关节炎是一种使人丧失能力的疾病，会带来严重的健康、社会和经济问题。目的：评估男性髋关节骨关节炎患者全髋关节置换术后短期生活质量。
材料和方法：纳入研究的 118 名男性患者年龄在 31 至 79 岁之间，均接受全髋关节置换术。使用问卷评估患者的生活质量：世界卫生组织生活质量简表（WHOQoL-BREF）、EQ-5D-5L 和 SF-36 量表。在术前、术后 6 周和 6 个月调查患者的病情。
结果：WHOQoL-BREF 问卷的结果表明，手术后生活质量有显著改善 - 术后 6 周提高 4%和 21%（p<0.001），术后 6 个月提高 13%和 42%（p<0.001）。躯体领域的改善最为显著，术后 6 周提高 5%，术后 6 个月提高 6%（p<0.001）。根据 EQ-5D-5L 问卷评估的生活质量，术后 6 周提高 18-24%（p<0.001），术后 6 个月提高 41-48%（p<0.001），有显著改善。疼痛减轻和活动能力提高。SF-36 问卷显示，术后 6 个月，患者的身体状况（提高 44%）和心理状况（提高 54%）有显著改善（p<0.001）。
结论：在接受调查的男性患者中，全髋关节置换术后 6 周内生活质量得到改善，主要表现为疼痛减轻和活动能力提高，术后 6 个月时进一步改善更为明显。
