ERDEN KILIÇ, Ebru SİNİCİ, VOLGA BAYRAKCI TUNAY, Derya HASTA, Servet TUNAY, Mustafa BAŞBOZKURT

İki taraﬂı total diz protezi uygulanan kadın hastalarda yaşam kalitesinin değerlendirilmesi

Amaç: Total diz protezi uygulanan kadın hastaların ameliyat sonrası yaşam kaliteleri değerlendirildi. Çalışma planı: Çalışmaya primer osteoartrit tanısıyla iki taraﬂı total diz protezi ameliyatı uygulanan 50 kadın hasta (ort. yaş 67; dağılım 52-84) alındı. Tüm hastalara ameliyat öncesinde ve ameliyat sonrasında üç kez (6. hafta, 3. ay, 6. ay) olmak üzere Yaşam Kalitesi Ölçeği Kısa Form (SF-36) ve Diz Derneği (Knee Society) Klinik Değerlen Sistemi (DDKDS) uygulandı. Ameliyat öncesinde tüm hastalara, uygulanacak cerrahi işlem ve rehabilitasyon programı konusunda yeterli bilgilendirme yapılmasına özen gösterildi. Sonuçlar: Her iki ölçeğin tüm altgruplarında, cerrahi öncesi ve cerrahi sonrası ilk (6. hafta) ve son (6. ay) değerlen- dirme puanları arasında düzelme lehine anlamlı farklılık gözlendi (p

Anahtar Kelimeler:

Varyans analizi, Ağrı ölçümü, Sosyal davranış, Yürüme, Yaşam kalitesi, Tedavi sonucu, Hareket açıklığı, eklem, Akıl sağlığı, Diz eklemi, Sağlık durumu, İşlevsel lateralizasyon, Artroplasti, replasman, diz

Evaluation of quality of life of female patients after bilateral total knee arthroplasty

Objectives: We evaluated the quality of life of female pa- tients following total knee arthroplasty. Methods: The study included 50 women (mean age 67 years; range 52 to 84 years) who underwent bilateral total knee arthroplasty for primary osteoarthritis of the knee. All the patients were administered the Medical Outcomes Study Short Form-36 (SF-36) and the Knee Society Clini- cal Rating System (KSCRS) preoperatively and at six weeks, three and six months postoperatively. Particular attention was given to provide patients with sufﬁcient information on surgery and postoperative rehabilitation program. Results: Compared to preoperative scores, all the subscales of both instruments showed signiﬁcant improvement at six weeks and six months (p<0.05). After six weeks, however, only SF-36 physical function scores continued to improve signiﬁcantly till the ﬁnal assessment (p<0.05), whereas the other subscales reﬂected only maintenance of improve- ment. Conversely, a consistent signiﬁcant improvement after six weeks was seen in the pain score of the KSCRS, while the function score representing only maintenance of improvement. Conclusion: Signiﬁcant improvement is achieved in the quality of life of female patients within six weeks after total knee arthroplasty. It appears that, beyond six weeks, this improvement continues to be signiﬁcant only in the physical function score of the SF-36 and pain score of the KSCRS.

Keywords:

Analysis of Variance, Pain Measurement, Social Behavior, Walking, Quality of Life, Treatment Outcome, Range of Motion, Articular, Mental Health, Knee Joint, Health Status, Functional Laterality, Arthroplasty, Replacement, Knee,

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