伊朗老年全髋关节置换术前和术后健康相关生活质量评估：前瞻性队列研究。
Evaluation of health-related quality of life before and after total hip arthroplasty in the elderly in Iran: a prospective cohort study.
机构信息
Department of Psychology, Master's Degree Student of Psychology, Ahar Branch, Islamic Azad University, Ahar, Iran.
Colorectal Research Center, Iran University of Medical Sciences, Tehran, Iran.
出版信息
BMC Psychol. 2022 Mar 14;10(1):64. doi: 10.1186/s40359-022-00762-3.
BACKGROUND
Owing to the direct impact of total hip arthroplasty (THA) on health-related quality of life (HRQOL) and the higher prevalence of THA in the elderly, this study aimed to compare HRQOL before, and after THA in the Iranian elderly.
METHODS
The present prospective cohort study was performed on 161 THA candidates. Demographic data were extracted from records of patients. Before, 6, and 12 months after THA, a Short Form 36 health survey (SF-36) was used to assess HRQOL. Before THA, 6 and 12 months after THA, Physical (PCS), and mental component scores (MCS) were obtained from a hundred separately for each subscale of the questionnaire. The Paired t-test was used to compare HRQOL before and after THA.
RESULTS
Both 6 and 12 months after THA, HRQOL was significantly increased compared to previous THA (P = 0.001). In the first half-year after THA, vitality and emotional state were not different from pre-surgery. However, 12 months after THA, these two subscales also were significantly improved. Although, 6 months after THA, the PCS has dramatically gone up compared to the previous THA (P = 0.012), despite MCS was remained steady. Nonetheless, by comparison with the before surgery, 12 months after THA, MSC notably improved (P = 0.048).
CONCLUSION
HRQOL was appreciably improved by the THA in the elderly after 12 months. The improvement in HRQoL in the first 6 months after THA is related to the promotion in the physical aspect (PCS score), and in the second 6 months after THA is related to the promotion in the psychological aspect (MCS score).
背景
由于全髋关节置换术（THA）直接影响健康相关生活质量（HRQOL），且老年人中 THA 的发病率较高，因此本研究旨在比较伊朗老年人 THA 前后的 HRQOL。
方法
本前瞻性队列研究纳入了 161 名 THA 候选者。从患者的病历中提取人口统计学数据。在 THA 前、THA 后 6 个月和 12 个月，使用健康调查简表 36 项（SF-36）评估 HRQOL。在 THA 前、THA 后 6 个月和 12 个月，从问卷的每个子量表中分别获得物理（PCS）和心理成分评分（MCS）。采用配对 t 检验比较 THA 前后的 HRQOL。
结果
THA 后 6 个月和 12 个月，HRQOL 均显著高于 THA 前（P=0.001）。在 THA 后的前半年，活力和情绪状态与术前无差异。然而，12 个月后，这两个子量表也显著改善。尽管 THA 后 6 个月，PCS 与 THA 前相比显著升高（P=0.012），但 MCS 保持稳定。然而，与术前相比，THA 后 12 个月，MSC 明显改善（P=0.048）。
结论
THA 后 12 个月，老年人的 HRQOL 明显提高。THA 后 6 个月 HRQoL 的改善与身体方面的改善（PCS 评分）有关，而 THA 后 6 个月 HRQoL 的改善与心理方面的改善（MCS 评分）有关。
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