J Korean Acad Fundam Nurs.  2017 Aug;24(3):209-218. 10.7739/jkafn.2017.24.3.209.

Factors Influencing Health-related Quality of Life among Knee or Hip Arthroplasty Patients

• Kang MK
• Kim GJ
• Kim HY

• KMID: 2391224
• DOI: http://doi.org/10.7739/jkafn.2017.24.3.209

Abstract

PURPOSE
The purpose of this research was to identify factors that influence health-related quality of life of patients who have had knee or hip arthroplasty. Factors included sleep disorders, pain, activities of daily living, and depression.
METHODS
The participants in this research were 97 patients within one year after receiving knee or hip arthroplasty surgery and who regularly visited a hospital outpatient department. Data were analyzed using descriptive statistics, t-test, ANOVA, and stepwise regression analysis with the SPSS program.
RESULTS
Sleep disorders, pain, activities of daily living, and depression had significant correlations with health related quality of life. Factors influencing health-related quality of life among arthroplasty patients were the length of time since surgery, sleep disorders, activities of daily living, and depression. These factors explained 58% of the participants' health-related quality of life.
CONCLUSION
The results show that various factors can affect patients' health-related quality of life following joint replacement surgery. The findings indicate that sleep disorders and depression should receive continued attention after the arthroplasty. It is also necessary to develop appropriate nursing intervention programs to lower depression and increase patient participation in daily living activities.

Keyword

Arthroplasty; Health-related quality of life; Sleep disorders; Pain; Depression

MeSH Terms

Activities of Daily Living
Arthroplasty*
Depression
Hip*
Humans
Joints
Knee*
Nursing
Outpatients
Patient Participation
Quality of Life*
Sleep Wake Disorders