Relationship between Health-Related Quality of Life and Self Efficacy after Total Joint Replacement Akira Okii 1 , Yoshimi Suzukamo 2 , Tatsuya Nakanowatari 3 , Toshimitsu Suga 4 1OKII Clinic 2Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine 3Department of Physical Therapy, Yamagata Prefectural University of Health Sciences 4Department of Rehabilitation Medicine, Kansai Medical University Takii Hospital Keyword: 自己効力感 , self efficacy , クオリティーオブライフ , quality of life , 人工股関節全置換術 , total hip arthroplasty , 人工膝関節全置換術 , total knee arthroplasty pp.55-62
Published Date 2015/1/18
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 Abstract Purpose : To examine the relationship between self efficacy and health-related quality of life (HRQOL) in patients who received total joint replacement (TJR). Methods : This multicentre, prospective, observational study was conducted from April to September 2009 and included the Timed Up and Go (TUG) test, a visual analogue scale (VAS) for pain, and the Falls Efficacy Scale (FES) as independent variables and SF-36, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) as dependent variables. Scores were evaluated 1 month prior to surgery, at discharge, and at 1 month after discharge. ANCOVA was conducted to assess the relationship between the dependent and independent variables. Results : Eighty-one patients were included in this study. After TJR, the VAS, TUG, and FES, scores all improved. In addition, scores on the Physical Functioning (PF) subscale of SF-36 and on the WOMAC functional domain improved. FES scores at discharge were associated with PF (F=10.32, p< 0.01) at 1 month after discharge. Higher self efficacy at discharge was associated with higher HRQOL (average WOMAC score : 84.5) at 1 month after discharge. Lower self efficacy was associated with poor HRQOL (average WOMAC score : 74.8) at 1 month after discharge. Conclusion : After TJR, patient HRQOL was associated with self efficacy at discharge. To facilitate rehabilitation, self efficacy must be improved in patients with low perceived self efficacy by, for example, presenting the cases of other patients with TJR as models.

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電子版ISSN 印刷版ISSN 1881-3526 日本リハビリテーション医学会