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Health related quality of life in patients having total knee replacement and associations with symptoms, recovery, and patient education : A six month follow up study

Health related quality of life in patients having total knee replacement and associations with symptoms, recovery, and patient education : A six month follow up study


Title: Health related quality of life in patients having total knee replacement and associations with symptoms, recovery, and patient education : A six month follow up study
Author: Sveinsdóttir, Herdís   orcid.org/0000-0002-1766-3543
Kristiansen, Kolbrún
Skúladóttir, Hafdís
Date: 2021
Language: English
Scope:
University/Institute: Landspitali - The National University Hospital of Iceland
University of Akureyri
Department: Faculty of Nursing
Surgical Services
Series: International Journal of Orthopaedic and Trauma Nursing; ()
ISSN: 1878-1241
DOI: https://doi.org/10.1016/j.ijotn.2020.100830
Subject: Hné; Skurðlækningar; Sjúklingafræðsla; Hjúkrun; HRQOL; Recovery; Total knee replacement; Orthopedics and Sports Medicine; Advanced and Specialized Nursing
URI: https://hdl.handle.net/20.500.11815/2994

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Citation:

Sveinsdóttir , H , Kristiansen , K & Skúladóttir , H 2021 , ' Health related quality of life in patients having total knee replacement and associations with symptoms, recovery, and patient education : A six month follow up study ' , International Journal of Orthopaedic and Trauma Nursing . https://doi.org/10.1016/j.ijotn.2020.100830

Abstract:

 
Aim To describe the symptoms, recovery, patient education, and health related quality of life (HRQOL) of patients having total knee replacements at three time points and to detect experiences and situations that predict HRQOL six weeks and six months post-surgery. Method A prospective exploratory two-site study assessing 123 patients, while in hospital (T1), at six weeks (T2), and at six months (T3) post-discharge. HRQOL was measured using the SF-36v2 and symptoms were measured with the Hospital and Anxiety Scale. Two questions considered pain and two considered movement and tiredness while two questions addressed recovery and patient education. Linear regression models were used to calculate predictors of mental and physical HRQOL at T2 and T3. Results HRQOL improved from T1 to T3. The main predictors of higher physical scores at T2 were; being older, fewer symptoms of depression and little distress related to movement. At T3 the main predictors were; having resumed work, finding patient education very useful, experiencing no pain in the last 24 h and fewer symptoms of depression. The main predictors of higher mental scores at T2 were fewer symptoms of anxiety and depression and little distress related to movement while at T3 these were fewer symptoms of anxiety and depression and experiencing no pain last 24 h. Conclusion Apart from pain, function and resumption of activities, the symptoms of anxiety and depression influence HRQOL. These symptoms should be assessed during the hospital stay.
 
Aim: To describe the symptoms, recovery, patient education, and health related quality of life (HRQOL) of patients having total knee replacements at three time points and to detect experiences and situations that predict HRQOL six weeks and six months post-surgery. Method: A prospective exploratory two-site study assessing 123 patients, while in hospital (T1), at six weeks (T2), and at six months (T3) post-discharge. HRQOL was measured using the SF-36v2 and symptoms were measured with the Hospital and Anxiety Scale. Two questions considered pain and two considered movement and tiredness while two questions addressed recovery and patient education. Linear regression models were used to calculate predictors of mental and physical HRQOL at T2 and T3. Results: HRQOL improved from T1 to T3. The main predictors of higher physical scores at T2 were; being older, fewer symptoms of depression and little distress related to movement. At T3 the main predictors were; having resumed work, finding patient education very useful, experiencing no pain in the last 24 h and fewer symptoms of depression. The main predictors of higher mental scores at T2 were fewer symptoms of anxiety and depression and little distress related to movement while at T3 these were fewer symptoms of anxiety and depression and experiencing no pain last 24 h. Conclusion: Apart from pain, function and resumption of activities, the symptoms of anxiety and depression influence HRQOL. These symptoms should be assessed during the hospital stay.
 

Description:

Funding Information: The study was funded by the University of Iceland Science Fund, the Landspitali University Hospital Science Fund and the Icelandic Nurses Association Science Fund. On behalf of all authors I declare that these funders did not have any role in the study design, collection, analysis and interpretation of data or in our decision to submit our manuscript for publication. Publisher Copyright: © 2020 The Author(s)

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