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Expectations and depressing in patients who have undergone total hip arthroplasty in Japan:A prospective cohort study.

発表形態:
原著論文
主要業績:
主要業績
単著・共著:
共著
発表年月:
2019年11月
DOI:
10.1016/j.ijotn.2019.07.004
会議属性:
指定なし
査読:
有り
リンク情報:

日本語フィールド

著者:
*Yakushiji K、Fujita K、Matsunaga-Myoji Y、Mawatari M
題名:
Expectations and depressing in patients who have undergone total hip arthroplasty in Japan:A prospective cohort study.
発表情報:
Int J Orthop Trauma Nurs. 巻: 35 ページ: 100708
キーワード:
概要:
Background: Patients with hip osteoarthritis may be severely depressed preoperatively due to pain and limited daily-living activities. Hence, evaluating their expectations preoperatively might underestimate their true hopes regarding the upcoming total hip arthroplasty (THA). Aim: We aimed to assess changes in patients' level of depression, understand their expectations and fulfillment, and identify factors affecting fulfillment. Method: We performed a longitudinal study of 366 Japanese patients who had undergone THA during 2005-2006. Those with THA of the contralateral hip were excluded. Patients' expectations, fulfillment, depression, and physical function were assessed perperative and at 6 weeks and one year postoperatively using our own questionnaire, the Arthritis Impact Measurement Scale 2, and by the Oxford Hip Score . Logistic regression analysis was applied to identify independent predictors of expectation fulfillment. Results: At 6 weeks, 78.1% expressed expectation fulfillment and drastic alleviation of depression. Preoperative depression and fulfillment of patient expectations at 6 weeks were significant predictors of expectation fulfillment at 1 year (95% confidence intervals: 1.01-2.48 and 2.30-9.92, respectively. Conclusions: It is worthwhile for health providers to investigate patients' expectations early in the postoperative period by considering their preoperative depression to confirm fulfillment of expectations.
抄録:

英語フィールド

Author:
*Yakushiji K、Fujita K、Matsunaga-Myoji Y、Mawatari M
Title:
Expectations and depressing in patients who have undergone total hip arthroplasty in Japan:A prospective cohort study.
Announcement information:
Int J Orthop Trauma Nurs. Vol: 35 Page: 100708
An abstract:
Background: Patients with hip osteoarthritis may be severely depressed preoperatively due to pain and limited daily-living activities. Hence, evaluating their expectations preoperatively might underestimate their true hopes regarding the upcoming total hip arthroplasty (THA). Aim: We aimed to assess changes in patients' level of depression, understand their expectations and fulfillment, and identify factors affecting fulfillment. Method: We performed a longitudinal study of 366 Japanese patients who had undergone THA during 2005-2006. Those with THA of the contralateral hip were excluded. Patients' expectations, fulfillment, depression, and physical function were assessed perperative and at 6 weeks and one year postoperatively using our own questionnaire, the Arthritis Impact Measurement Scale 2, and by the Oxford Hip Score . Logistic regression analysis was applied to identify independent predictors of expectation fulfillment. Results: At 6 weeks, 78.1% expressed expectation fulfillment and drastic alleviation of depression. Preoperative depression and fulfillment of patient expectations at 6 weeks were significant predictors of expectation fulfillment at 1 year (95% confidence intervals: 1.01-2.48 and 2.30-9.92, respectively. Conclusions: It is worthwhile for health providers to investigate patients' expectations early in the postoperative period by considering their preoperative depression to confirm fulfillment of expectations.


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