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髋关节置换术对男性骨关节炎髋关节疾病患者健康相关生活质量的影响。

THE INFLUENCE OF HIP ARTHROPLASTY ON HEALTH RELATED QUALITY OF LIFE IN MALE POPULATION WITH OSTEOARTHRITIS HIP DISEASE.

机构信息

DISTRICT HOSPITAL OF ORTHOPAEDICS AND TRAUMA SURGERY IN PIEKARY ŚLĄSKIE, PIEKARY ŚLĄSKIE, POLAND.

FACULTY OF HEALTH SCIENCES, JAN DŁUGOSZ UNIVERSITY IN CZĘSTOCHOWA, CZĘSTOCHOWA, POLAND.

出版信息

Wiad Lek. 2020;73(12 cz 1):2627-2633.

Abstract

OBJECTIVE

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.

PATIENTS AND METHODS

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

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).

CONCLUSION

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.

摘要

目的

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。

患者和方法

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

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

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。

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