Changes in health-related quality of life among patients going through total hip arthroplasty (THA) with Japanese lifestyle

This study aimed to investigate the health-related quality of life (QoL) among patients undergoing Total Hip Arthroplasty (THA) in Japan, and to examine the relationship between Japanese lifestyle and operative methods. METHODS Participants were undergoing THA at three hospitals in Japan. Questionna...

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Bibliographic Details
Published in:International journal of nursing practice 2012-02, Vol.18, p.67
Main Authors: Fujita, K, Makimoto, K, Tabuchi, Y, Myouji, Y, Mawatari, M
Format: Article
Language:English
Subjects:
Hip joint
Japanese culture
Joint surgery
Lifestyles
Quality of life
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Summary:This study aimed to investigate the health-related quality of life (QoL) among patients undergoing Total Hip Arthroplasty (THA) in Japan, and to examine the relationship between Japanese lifestyle and operative methods. METHODS Participants were undergoing THA at three hospitals in Japan. Questionnaires asking QoL and Japanese lifestyle were self-administered at preoperative period and one year after THA. Scales used were the Oxford hip score, the Short Form-8 (PCS, MCS), and Japanese hip and knee score (JHKS). JHKS include the common activities of daily living such as Seiza (sitting on their legs on the floor). The post-operative satisfaction levels were examined: Do you recommend THA to another patient? Have your pre-THA expectation been met? Pre- and post-THA questionnaires were completed by 591 participants. Eighty-seven percent of the participants were women with mean age of 62 years old. The majority had osteoarthritis. The most common operation method was unilateral THA (69%), followed by bilateral THA (25%), and revision THA (6%). All QoL scores significantly improved after surgery. However, THA patients reported diffi culties in squatting and kneeling down on floor. Patients with revision THA had lower scores on OHS and JHKS scores p < 0.05 than patients with primary unilateral or bilateral THA. Revision patients had lower QoL scores than patients with the other operative methods. Health outcomes improved significantly after THA. However, improvements for activities requiring kneeling and squatting were small. This suggests the importance of evaluating culture sensitive physical functions for health outcome.
ISSN:1322-7114
1440-172X