人工全膝关节置换术后患者生活质量及其影响因素

Quality of Life and Its Influencing Factors in Patients Accepted Artificial Total Knee Joint Replacement

目的了解人工全膝关节置换术后1年以上老年骨性关节炎患者的生活质量,并分析其影响因素。方法采用一般情况调查表、美国纽约特种外科医院(Hospital for Special Surgery,HSS)的膝关节恢复评分表、健康状况调查问卷(SF-36)及社会支持评定量表,对2009年5月至2011年5月哈尔滨医科大学附属第一临床医学院收治的150例人工全膝关节置换术后患者进行调查。结果人工膝关节置换术后患者的生活质量较正常人群低(均P<0.01);多元回归分析表明,患者在躯体健康方面的生活质量与年龄、其他疾病史呈负相关(P<0.05或P<0.01),与HSS评分呈正相关(P<0.05);在精神健康方面的生活质量与婚姻状况、家庭关系、经济收入、文化程度及社会支持利用度呈正相关(P<0.05或P<0.01)。结论人工膝关节置换术后患者的生活质量降低,应采取针对性的护理干预措施,同时提供有效的社会支持,进而提高其生活质量。

Objective To understand the quality of life in elderly patients with total knee replacement sur- gery for more than a year, and to analyze its influencing factors. Methods A total of 150 cases patients with total knee replacement surgery were assessed by Self-designed General Questionnaire, restore score sheet of knee joint,health status questionnaire （SF-36） and social support rating scale. Results Compared with the normal,score of quality of life in patients with artificial total knee replacement was lower（all P〈 0. 01）. Multiple regression analysis showed that age and other diseases history were negative correlated with physical related quality of life（P〈0.05 orP〈0.01） ,while score of HSS was positive correlated with physical related quality of life（P〈0.05）. Quality of life in mental health was positively correlated with ma- rital status, family relationships, income, education level and availability of social support （P〈0.05 orP〈 0.01）. Conclusion Quality of life was decreased in patients with total knee replacement,so patients should be given specific care interventions and effective social support to improve their quality of life.