Snell Deborah L, Dunn Jennifer A, Hooper Gary
Department of Orthopedic Surgery and Musculoskeletal Medicine, University of Otago, PO Box 4345, Christchurch 8140, New Zealand.
Department of Orthopedic Surgery and Musculoskeletal Medicine, University of Otago, PO Box 4345, Christchurch 8140, New Zealand.
Int J Orthop Trauma Nurs. 2024 Aug;54:101121. doi: 10.1016/j.ijotn.2024.101121. Epub 2024 Jul 14.
This study investigated patient reported outcomes, and associations with improvement in quality of life 12-months after total hip arthroplasty (THA).
PARTICIPANTS: Adults (n = 433) undergoing THA for osteoarthritis between January 2017 and October 2020 in a large publicly funded tertiary hospital in New Zealand. Participants completed patient reported outcome measures of pain, function and quality of life (QOL) preoperatively, 6- and 12-months following THA.
Clinically significant changes in domains of pain and function were associated with improved QOL, even when pre-operation scores were controlled for. The largest gains in all three domains occurred in the pre-to 6-month post-operation period. Baseline demographic variables such as gender and comorbidities were not associated with change in QOL pre-to post-operation. However, although modest, age at surgery was negatively correlated with change in QOL.
THA contributes to substantial improvements in QOL, pain and function outcomes, and although possibly tempered by age, these relationships are likely to be inter-related and mutually reinforcing. Future QOL outcomes research should also consider the impacts on QOL improvement of other aspects of functioning such as psychological and social wellbeing.
本研究调查了患者报告的结局，以及全髋关节置换术（THA）后12个月生活质量改善的相关因素。
参与者：2017年1月至2020年10月期间，在新西兰一家大型公立三级医院接受骨关节炎THA手术的成年人（n = 433）。参与者在术前、THA术后6个月和12个月完成了患者报告的疼痛、功能和生活质量（QOL）结局测量。
即使对术前评分进行了控制，疼痛和功能领域的临床显著变化仍与QOL改善相关。所有三个领域最大的改善发生在术前至术后6个月期间。基线人口统计学变量，如性别和合并症，与术前至术后QOL的变化无关。然而，尽管影响不大，但手术年龄与QOL变化呈负相关。
THA可显著改善QOL、疼痛和功能结局，尽管可能受到年龄的影响，但这些关系可能相互关联且相互促进。未来的QOL结局研究还应考虑心理和社会福祉等功能其他方面对QOL改善的影响。
