Rissanen P, Aro S, Slätis P, Sintonen H, Paavolainen P
University of Kuopio, Finland.
J Arthroplasty. 1995 Apr;10(2):169-75. doi: 10.1016/s0883-5403(05)80123-8.
The impact of hip and knee arthroplasty based on the patients' own evaluations of their health, quality of life, and physical ability was assessed using a cross-sectional study design. The eligibility criteria were a diagnosis of primary arthrosis, primary operation, and total joint arthroplasty. Preoperative hip and knee patient groups were compared with similar groups who underwent arthroplasty 2 or 5 years previously. Subjective health outcome was assessed with the Nottingham health profile and a 15-dimensional, health-related quality of life measure. Patients' physical ability was assessed using a measure of activities of daily living. Major improvements were observed for pain, sleep, range of motion, and physical ability. However, after surgery, patients were less healthy than the general population of the same age. The health status of patients operated on 2 or 5 years ago was similar, suggesting that health gains persist for several years.
采用横断面研究设计，基于患者对自身健康、生活质量和身体能力的评估，对髋关节和膝关节置换术的影响进行了评估。纳入标准为原发性关节病诊断、初次手术和全关节置换术。将术前髋关节和膝关节患者组与2年或5年前接受置换术的类似组进行比较。使用诺丁汉健康量表和一项15维度的健康相关生活质量指标评估主观健康结果。使用日常生活活动量表评估患者的身体能力。观察到疼痛、睡眠、活动范围和身体能力有显著改善。然而，术后患者的健康状况比同年龄的普通人群要差。2年或5年前接受手术的患者的健康状况相似，这表明健康改善可持续数年。
