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Lifestyle and health‐related quality of life in Asian patients with total hip arthroplasties
Authors:Kimie Fujita MSN  PhD  Zhenlan Xia MSN  Xueqin Liu BS  Masaaki Mawatari MD  PhD  Kiyoko Makimoto MPH  PhD
Affiliation:1. Department of Nursing, Saga University, , Saga, Japan;2. Department of Nursing, Zhujiang Hospital, Southern Medical University, , Guangzhou, China;3. Department of Orthopedic Surgery, Saga University Hospital, , Saga;4. Department of Nursing, Graduate School of Medicine, Osaka University, , Suita, Japan
Abstract:Total hip arthroplasty reduces pain and restores physical function in patients with hip joint problems. This study examined lifestyle and health‐related quality of life before and after total hip arthroplasty in Japanese and Chinese patients. Two hospitals in China recruited 120 patients and 120 Japanese patients matched by age and operative status were drawn from a prospective cohort database. Oxford Hip Score, EuroQol, and characteristics of Asian lifestyle and attitudes toward the operation were assessed. There were no differences between patients from the two countries in quality‐of‐life‐scale scores: postoperative patients had significantly better quality‐of‐life scores than preoperative patients in both countries. In China, patients who reported that living at home was inconvenient had significantly worse Oxford Hip Scores than those who did not. Mean scores for anxiety items concerning possible dislocation and durability of the implant were significantly higher in Japanese than in Chinese subjects. Our findings suggest that providing information about housing conditions and lifestyles would result in improved quality of life and reduced anxiety in patients with implanted joints.
Keywords:anxiety  Asia  lifestyle  patient education  quality of life  total hip arthroplasty
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