Kajos Luca Fanni, Molics Bálint, Than Péter, Gőbel Gyula, Boncz Imre
1 Pécsi Tudományegyetem, Egészségtudományi Kar, Egészségbiztosítási Intézet Pécs Magyarország.
2 Pécsi Tudományegyetem, Egészségtudományi Kar, Egészségtudományi Doktori Iskola Pécs, Vörösmarty u. 3., 7621 Magyarország.
Orv Hetil. 2022 Jun 26;163(26):1037-1046. doi: 10.1556/650.2022.32499.
Introduction: Among the health needs related to an aging society, the increase in the number of hip replacement surgeries stands out. Objective: The study aimed to examine the socio-demographic data of patients operated in the private and state health care with total hip arthroplasty in different approaches, and to compare their quality of life before and after surgery. Data and methods: Patients were selected by simple convenience sampling technique at the Department of Orthopedics, Clinical Centre of the University of Pecs and at the Da Vinci Private Clinic in Pecs. Patients completed a complex questionnaire before the surgery and 6 weeks later. We evaluated socio-demographic data, disease and surgical conditions. Two international questionnaires were also completed (SF-36, Oxford Hip Score). Results: The research involved 164 persons, 75 persons of the state care, 89 persons of the private care. The proportion of villagers was significantly higher in the state care (p = 0.014), while mainly metropolitans were found in the private care. The proportion of primary (p < 0.001) and secondary education (p = 0.042) was significantly higher for state care patients, while higher education was prevalent among patients treated in the private sector (p < 0.001). In the state care the proportion of pensioners (p = 0.005), in the private care the proportion of intellectual workers and contractors was significantly higher (p < 0.001). Both groups' quality of life showed significant improvement (p < 0.001). Conclusion: Patients in the two groups significantly differed in socio-demographic characteristics, but both showed significant improvements in the quality of life 6 weeks after surgery.
在与老龄化社会相关的健康需求中，髋关节置换手术数量的增加尤为突出。目的：本研究旨在调查在私立和公立医疗保健机构接受不同方式全髋关节置换手术患者的社会人口学数据，并比较他们手术前后的生活质量。数据与方法：采用简单便利抽样技术，在佩奇大学临床中心骨科和佩奇达芬奇私立诊所选取患者。患者在手术前和术后6周完成一份综合问卷。我们评估了社会人口学数据、疾病和手术情况。还完成了两份国际问卷（SF-36、牛津髋关节评分）。结果：该研究涉及164人，其中75人接受公立医疗，89人接受私立医疗。公立医疗中农村居民的比例显著更高（p = 0.014），而私立医疗中主要是大城市居民。公立医疗患者的小学学历（p < 0.001）和初中学历（p = 0.042）比例显著更高，而高等教育在私立医疗患者中更为普遍（p < 0.001）。公立医疗中退休人员的比例（p = 0.005），私立医疗中脑力劳动者和承包商的比例显著更高（p < 0.001）。两组患者的生活质量均有显著改善（p < 0.001）。结论：两组患者在社会人口学特征上存在显著差异，但术后6周两组患者的生活质量均有显著改善。
