Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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Factors influencing on the Quality of Life in Older Adults after Total Knee Replacement: The Relevance to Pain, Range of Motion, Depression, Social Support and Sense of Coherence

슬관절전치환술을 받은 노인의 삶의 질 영향 요인: 통증, 관절가동범위, 우울, 사회적 지지, 통합성과의 관련성

  • Yu, Mijin (Department of Nursing, Gumi University) ;
  • Kim, HeeJung (College of Nursing, Catholic University of Daegu)
  • 유미진 (구미대학교 간호학과) ;
  • 김희정 (대구가톨릭대학교 간호대학)
  • Received : 2017.08.18
  • Accepted : 2017.11.27
  • Published : 2017.12.31
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Abstract

Purpose: This study is to grasp factors influencing the quality of life in older adults after total knee replacement. Methods: This study was conducted with 165 older adults who had TKR at four orthopedic hospitals in D city. Data were analyzed using one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression with SPSS 19.0 software. Results: Pain and depression were negatively correlated with range of motion, social support, while sense of coherence was positively correlated with quality of life. Sense of coherence (43%, ${\beta}=.40$), pain (8%, ${\beta}=-.30$), and depression (3%, ${\beta}=-.20$) on the Physical Component Summary in the quality of life have significant explanatory power of 54%. Sense of coherence (49%, ${\beta}=.44$), social support (6%, ${\beta}=.25$), and depression (3%, ${\beta}=-.22$) on the Mental Component Summary in the quality of life have significant explanatory power of 58%. Conclusion: This study suggests developing a program to improve the quality of life in older adults who had TKR, considering factors such as sense of coherence.

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References

  1. Korean Statistical Information Service. Senior survey [Internet]. Seoul: Korean Statistical Information Service. 2014 [cited 2017 March 20]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117071_2014N024&vw_cd=MT_ZTITLE&list_id=117_11771_003_06&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=E1
  2. Kim MJ, Bae SH. Factors influencing health-related quality of life in older adults with osteoarthritis: Based on the 2010-2011 Korea national health and nutrition examination survey. Journal of Muscle and Joint Health. 2014;21(3):195-205. https://doi.org/10.5953/JMJH.2014.21.3.195
  3. Min HS, Jung YH, Kim ES, Kim SH, Choi YJ. Effects of muscle strengthening exercise program on pain, fatigue, physical function in elderly women with total knee arthroplasty. Journal of Muscle and Joint Health. 2011;18(2):203-214. https://doi.org/10.5953/JMJH.2011.18.2.203
  4. Korean Statistical Information Service. Statistics of surgical operations [Internet]. Seoul: Korean Statistical Information Service. 2015 [cited 2017 March 20]. Available from: http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=D#SubCont
  5. Park YJ, Park EH. Factors affecting on life satisfaction of elderly after total knee arthroplasty. Journal of Digital Convergence. 2016;14(9):563-569. https://doi.org/10.14400/JDC.2016.14.9.563
  6. Lee SH, Kim YJ, Baik HJ, Kim JH. A comparison of patient-controlled epidural analgesia and continuous epidural analgesia after total knee arthroplasty in elderly patients over 60 years of age. Korean Journal of Anesthesiology. 2006;50(3):285-291. https://doi.org/10.4097/kjae.2006.50.3.285
  7. Lee MK, Lee IH, Ju JH, Hwang MS, Seo JG, Sung YH. The effects of home care exercise program on knee joint function and quality of life in patients with total replacement arthroplasty. Journal of Muscle and Joint Health. 2005;12(2):143-154.
  8. Xie F, Lo NN, Pullenayegum EM, Tarride JE, O'Reilly DJ, Goeree R, et al. Evaluation of health outcomes in osteoarthritis patients after total knee replacement: A two-year follow-up. Health and Quality of Life Outcomes. 2010;8:1-6. https://doi.org/10.1186/1477-7525-8-87
  9. Oh JH, Yi MS. Factors that affect health related quality of life in community-dwelling older adults. Perspectives in Nursing Science. 2012;9(2):102-110.
  10. Ju YJ, Kim HK. Factors influencing depression among patients with chronic degenerative arthritis after total knee arthroplasty. Journal of Muscle and Joint Health. 2012;19(2):161-172. https://doi.org/10.5953/JMJH.2012.19.2.161
  11. Fitzgerald JD, Orav EJ, Lee TH, Marcantonio ER, Poss R, Goldman L, et al. Patient quality of life during the 12 months following joint replacement surgery. Arthritis Rheumatism. 2004;51(1):100-109. https://doi.org/10.1002/art.20090
  12. Antonovsky A. Unraveling the mystery of health. How people manage stress and stay well. San Francisco: Jossey-Bass; 1987. 218 p.
  13. Julkumen J, Ahlstom R. Hostility, anger, and sense of coherence as predictors of health-related quality of life. Results of an ASCOT substudy. Journal of Psychosomatic Research. 2006;61(1):33-39. https://doi.org/10.1016/j.jpsychores.2005.12.005
  14. Lindmark U, Stegmayr B, Nilsson, Lindahl B, Johansson I. Food selection associated with sense of coherence in adults. Nutrition Journal. 2005;4(9):1-7. https://doi.org/10.1186/1475-2891-4-9
  15. Eriksson M, Lindstrom B. Antonovsky's sense of coherence scale and its relation with quality of life: A systematic review. Journal of Epidemiology and Community Health. 2007;61(11):938-944. https://doi.org/10.1136/jech.2006.056028
  16. Benz T, Angst F, Lehmann S, Aeschlimann A. Association of the sense of coherence with physical and psychosocial health in the rehabilitation of osteoarthritis of the hip and knee: A prospective cohort study. BioMed Central Musculoskeletal Disorders. 2013;14:1-9. https://doi.org/10.1186/1471-2474-14-159
  17. Tan DW, Teh DJW, Razak HRBA, Tan AHC. Improvement in health-related quality of life after unilateral total knee arthroplasty in patients with bilateral knee osteoarthritis. Journal of Orthopaedic Surgery. 2016;24(3):294-297. https://doi.org/10.1177/1602400304
  18. Silva RR, Santos AAM, Sampaio Carvalho Junior J, Matos MA. Quality of life after total knee arthroplasty: Systematic review. Revista Brasileira De Ortopedia. 2014;49(5):520-527. https://doi.org/10.1016/j.rboe.2014.09.007
  19. Yesavage JA, Sheikh JI. Geriatric depression scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist. 1986;5(1-2):165-173. https://doi.org/10.1300/J018v05n01_09
  20. Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association. 1996;35(2):298-307.
  21. Sherbourne CD, Stewart AL. The MOS social support survey. Social Science and Medicine. 1991;32(6):705-714. https://doi.org/10.1016/0277-9536(91)90150-B
  22. Kim KS. Structural equation modeling on health status in hospital nurses: Based on the theory of salutogenesis [dissertation]. [Seoul]: Seoul National University; 2013. 124 p.
  23. Antonovsky A. The structure and properties of the sense of coherence scale. Journal of Social Science Medicine. 1993;36(6):725-733. https://doi.org/10.1016/0277-9536(93)90033-Z
  24. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): Conceptual framework and item selection. Medical Care. 1992;30(6):473-483. https://doi.org/10.1097/00005650-199206000-00002
  25. Ware JE, Kosinski M, Bjorner JB, Turner-Bowker DM, Gandek B, Maruish ME. SF-36 health survey: Administration guide for clinical trial investigators. Lincoln, RI: QualityMetric Incorporated; 2008. 34 p.
  26. Yeom JH, Shim JH. Effect to preemptive analgesia on postoperative pain after total knee arthroplasty. Korean Journal of Anesthesiology. 2005;49(6):835-841. https://doi.org/10.4097/kjae.2005.49.6.835
  27. Kim YS, Yoo MS, Park JH. Factors influencing depression in community dwelling elderly with low income. Journal of the Korean Gerontological Society. 2009;29(4):1313-1325.
  28. Binkowska-Bury M, Januszewicz P. Sense of coherence and health-related behaviour among university students-a questionnaire survey. Central European Journal of Public Health. 2010;18(3):145-150.
  29. Davis AM, Agnidis Z, Badley E, Kiss A, Waddell JP, Gross AE. Predictors of functional outcome two years following revision hip arthroplasty. The Journal of Bone and Joint Surgery. American. 2006;88(4):685-691.
  30. Jung HJ. The effect of social support and self esteem on self care in liver transplantation recipients [master's thesis]. [Seoul]: Sungshin University; 2015. 70 p.

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