Profese Online, 2016 (vol. 9), issue 2

Profese online 2016, 9(2):16-23 | DOI: 10.5507/pol.2016.008

Aspects quality of life of seniors with total hip replacement

Jitka Tomanová

Ústav ošetřovatelství, Fakulta zdravotnických věd, Univerzita Palackého, Olomouc, Česká republika

Background: The work deals with the aspects quality of life of seniors with total hip replacement due to arthritis. The work is mainly based on theoretical knowledge of the issues and implement our own research. The information were searched mainly in Pubmed and Cinahl between October 2015 and March 2016. Our data was compared with two works. Foreign long-term study evaluating the quality of life of ten years from the operation of total hip replacement and the Czech study evaluating the quality of life one year after surgery using a minimally invasive surgical approach. One of the most common diseases with which we can meet before retiring, then almost always in the elderly, is a degenerative disease of one or both hip joints. It is diagnosed by a simple majority of persons over 65 years for people over 75 years is a noticeable increase up to 80%.

Objective: The main objective was to determine the quality of life of elderly people with total endoprosthesis (TEP) and compare the results with the elderly with osteoarthritis of the hip joint without surgical solutions.

Methods: Data was collected by means of a standardized questionnaire SF-36. Analysis of the collected data was conducted and a simple comparison of responses. The level of quality of life was assessed using indices of quality of life and set hypotheses.

Results: The quality of life index showed that the quality of life of elderly people with TEP is higher in all the areas - physical health, physical health limitation, pain, vitality, general health perceptions and the mental area. All the results of our research group speak in favor of seniors with TEP. On the basis of the hypotheses it was found that seniors with TEP, compared to seniors with arthritis, indicate lower intensity of pain, are not so limited in physical activity and performing work, much more optimistically assess their health status and do not expect so often that their health will deteriorate. One hypothesis confirmed that the TEP seniors in our group are happier compared to seniors with arthritis.

Conclusion: Due to the high number of performed arthroplasty of the hip joints and the increasing number of reoperations in old age, the results that have been attained in our group are very encouraging because endoprosthesis reduces pain and in turn, increases flexibility and helps to improve the quality of life of seniors, compared to a group of seniors who have not undergone the operation. The research went the following key findings: seniors with total hip arthroplasty frequently rated their health today than a year ago, about the same as a year ago. Seniors with osteoarthritis of the most voted option also about the same as a year ago. For seniors with total hip arthroplasty is the most restrictive walk up several flights of stairs and then walk a distance of 1 kilometer. Seniors with TEP most frequently reported restrictions on the type of work or activity. The resulting indexes indicate to us that seniors with TEP are less limited by pain and their quality of life in all the areas higher than seniors with arthritis. Seniors with TEP achieving higher values in all the areas.

Keywords: quality of life, seniors, endoprosthesis, arthrosis, arthroplasty, SF-36 questionnaire, health, daily activities, pain, emotional states

Published: October 2016  Show citation