Abstract
Objective: To develop a method for assessing quality of life in patients after total hip arthroplasty (THA), the present study was conducted to identify dwelling life environmental factors associated with revision THA.
Methods: In 104 THA patients (35 with revision, 69 without revision), a self-administered questionnaire survey was conduced. Logistic regression analysis was conducted using revision as a dependent variable, and a McNemar's test was used to analyze dwelling life environmental factors before and after surgery.
Results: Revision was required due to avascular necrosis of the femoral head (disease, OR=7.3), lack of device preparation (physical environment, OR=7.9) or imprudent behaviors related to excretion (physical environment, OR=18.8). When comparing factors before and after surgery, recommended behaviors related to eating, excretion, bathing, sleeping and taking breaks increased significantly following the first THA for the group without revision (p<0.001).
Conclusions: Regarding dwelling life environmental factors related to the risk of revision THA, preoperative preparation of the physical environment and assessment of lifestyle factors before and after surgery were important. As a result, nursing support needs to be provided to take into account these issues.
