THE LEVEL OF ANXIETY AND THE SUBJECTIVE ASSESSMENT OF THE QUALITY OF LIFE IN PATIENTS POST HIP REPLACEMENT AFTER PRIMARY AND SECONDARY REHABILITATION
Journal Title: Acta Neuropsychologica - Year 2014, Vol 12, Issue 2
Abstract
The goal of our study was to determine if a predictable change occurs in the subjective assessment of the quality of life in the case of patients after hip replacement as a result of primary (time t1) and secondary (time t2) rehabilitation in terms of the level of pain felt, the assessment of physical activity, the feeling of health, assessing the possibility of returning to work; to determine whether there is a connection between the level of anxiety and the assessment of the quality of life in this group of patients.We studied 40 patients treated in the Orthopedics and Traumatology Ward at the Kościerzyna Specialized Hospital, admitted to hospital in order to undergo hip replacement. They were qualified for the procedure of hip joint endo-prosthesisplasty due to hip joint degenerative disease, fracture of the neck of the femur, or aseptic necrosis of the head of the femur. There were 31 individuals admitted electively, and 9 admitted in emergency. The following instruments were used: an authorial survey form; the Harris Hip Score, to examine HRQOL; Spielberger’s State-Trait Anxiety Inventory (STAI).After the end of rehabilitation, patients sense less severe pain, which means that they assess their quality of life as higher. Patients assess their physical activity better after reaching the end of rehabilitation. After reaching the end of rehabilitation, patients assess positive change in the subjective assessment of health. The subjective assessment of the level of pain after primary rehabilitation was not significantly correlated with the level of anxiety as a trait.The level of anxiety as a trait significantly influences the subjective assessment of pain, but not at all moments of rehabilitation.A higher level of anxiety is connected with a lower subjective assessment of the possibility of returning to work during primary and secondary rehabilitation. Rehabilitation has a significant influence on decreasing pain and improving the subjective assessment of the state of health and physical activity after hip replacement.
Authors and Affiliations
Dorota Janikowska-Hołoweńko, Katarzyna Zaborowska-Sapeta, Ilona Bidzan
Keywords
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