Artroplastika kuka u Crnoj Gori: zadovoljstvo i iskustvo pacijenata sa artroplastikom kuka zdravstvenom zaštitom u korelaciji s komorbiditetom
Ključne reči:
artroplastika kuka; zadovoljstvo; zdravstvena zaštita; komorbiditet
Sažetak
Uvod/Cilj: Cilj ovog istraživanja bio je da se kroz zadovoljstvo i iskustvo pacijenata zdravstvenom zaštitom utvrdi značaj artroplastike kuka u Crnoj Gori, kao i uticaj komorbiditeta na oporavak i opšte zdravlje pacijenata nakon operacije.
Metode: Ovu retrospektivnu studiju sproveli smo među 184 pacijenta kojima je urađena zamjena kuka u Kliničkom centru Crne Gore i Opštoj bolnici Berane u Crnoj Gori. Podatke smo prikupili od oktobra 2019. do februara 2020. godine na ambulantno kontrolnim posjetama, gde su ispitanici dobrovoljno popunili upitnik.
Rezultati: Na osnovu dobijenih odgovora nakon ankete, utvrđen je visok nivo zadovoljstva pacijenata zdravstvenom zaštitom. Prosečan skor bola u kuku prije operacije kod ispitanika bio je 4,35 ± 0,86, a nakon operacije došlo je do statistički značajnog poboljšanja (t = 23,517; p=0,001), a prosječna ocjena je bila 2,46 ± 0,86. Poteškoće vezane za kuk su ocijenjene sa 4,61 ± 0,92 prije operacije i 3,09 ± 0,95 nakon operacije. Korišćenjem ANOVA testa utvrđena je statistički značajna razlika u kvalitetu mentalnog i opšteg zdravlja ispitanika sa operacijom kuka u pogledu prisutnog komorbiditeta (p < 0,05).
Zaključak: Rezultati istraživanja su pokazali da veće zadovoljstvo zdravstvenom zaštitom pacijenata sa artroplastikom kuka predviđa bolji kvalitet oporavka. Ispitanici sa metaboličkim i digestivnim bolestima i ispitanici sa kardiovaskularnim oboljenjima najlošije su ocijenili kvalitet opšteg i mentalnog zdravlja nakon operacije.
Reference
1. Hasan K, Shankar S, Sharma A, Carter A, Zaidi R, Cro S, et al. Hip surgery and its evidence base: progress over a decade? J Orthop Traumatol. 2016;17(4):291-295. [DOI: 10.1007/s10195-016-0421-z. Epub 2016 Jul 21.] [ PMID: 27443626]
2. Gonçalves TJM, Gonçalves SEAB, Nava N, Jorge VC, Okawa AM, Rocha VA, et al. Perioperative Immunonutrition in Elderly Patients Undergoing Total Hip and Knee Arthroplasty: Impact on Postoperative Outcomes. JPEN J Parenter Enteral Nutr. 2021;45(7):1559-1566. [DOI: 10.1002/jpen.2028. Epub 2020 Oct 29.] [PMID: 33044001]
3. Lespasio MJ, Sultan AA, Piuzzi NS, Khlopas A, Husni ME, Muschler GF, et al. Hip Osteoarthritis: A Primer. Perm J. 2018;22:17-084. [DOI: 10.7812/TPP/17-084.] [PMID: 29309269]
4. Miettinen HJA, Mäkirinne-Kallio N, Kröger H, Miettinen SSA. Health-Related Quality of Life after Hip and Knee Arthroplasty Operations. Scand J Surg. 2021;110(3):427-433. [DOI: 10.1177/1457496920952232. Epub 2020 Aug 31] [PMID: 32862793]
5. Świtoń A, Wodka-Natkaniec E, Niedźwiedzki Ł, Gaździk T, Niedźwiedzki T. Activity and Quality of Life after Total Hip Arthroplasty. Ortop Traumatol Rehabil. 2017;19(5):441-450. [DOI: 10.5604/01.3001.0010.5823.] [PMID: 29154234]
6. Quah C, Holmes D, Khan T, Cockshott S, Lewis J, Stephen A. The variability in Oxford hip and knee scores in the preoperative period: is there an ideal time to score? Ann R Coll Surg Engl. 2018;100(1):16-20. [DOI: 10.1308/rcsann.2017.0090. Epub 2017 Sep 15.] [PMID: 29022778]
7. Sinclair ST, Emara AK, Orr MN, McConaghy KM, Klika AK, Piuzzi NS. Comorbidity indices in orthopaedic surgery: a narrative review focused on hip and knee arthroplasty. EFORT Open Rev. 2021;6(8):629-640. [DOI: 10.1302/2058-5241.6.200124.] [PMID: 34584773]
8. Buirs LD, Van Beers LW, Scholtes VA, Pastoors T, Sprague S, Poolman RW. Predictors of physical functioning after total hip arthroplasty: a systematic review. BMJ Open. 2016;6(9):e010725. [DOI: 10.1136/bmjopen-2015-010725.] [PMID: 27601486]
9. Ryu IS, Shim JL. The Relationship between Compassion Satisfaction and Fatigue with Shift Nurses' Patient Safety-Related Activities. Iran J Public Health. 2022;51(12):2724-2732. [DOI: 10.18502/ijph.v51i12.11463.] [PMID: 36742240]
10. Wang MC, Chan PH, Paxton EW, Bellows J, Koplan K, Rabrenovich V, et al. Factors Influencing Patient Satisfaction With Care and Surgical Outcomes for Total Hip and Knee Replacement. Perm J. 2021;25:21.043. [DOI: 10.7812/TPP/21.043.] [PMID: 35348097]
11. Saueressig T, Owen PJ, Zebisch J, Herbst M, Belavy DL. Evaluation of Exercise Interventions and Outcomes After Hip Arthroplasty: A Systematic Review and Meta-analysis. JAMA Netw Open. 2021;4(2):e210254. [DOI: 10.1001/jamanetworkopen.2021.0254.] [PMID: 33635329]
12. Nagappa M, Querney J, Martin J, John-Baptiste A, Subramani Y, Lanting B, et al. Perioperative Satisfaction and Health Economic Questionnaires in Patients Undergoing an Elective Hip and Knee Arthroplasty: A Prospective Observational Cohort Study. Anesth Essays Res. 2021;15(4):413-438. [DOI: 10.4103/aer.aer_5_22. Epub 2022 Mar 30.] [PMID: 35422546]
13. Zečević-Luković T, Mladenović K, Kostić N, Đonović N, Milenković, B, Mladenović R. Dislocation after placement of primary unilateral total hip arthroplasty - hip geometry and risk factors - a matched cohort study. Serbian archive for all medicine, 2020;148(11-12), 711-717. [DOI: https://doi.org/10.2298/SARH190927051Z]
14. Ray GS, Ekelund P, Nemes S, Rolfson O, Mohaddes M. Changes in health-related quality of life are associated with patient satisfaction following total hip replacement: an analysis of 69,083 patients in the Swedish Hip Arthroplasty Register. Acta Orthop. 2020;91(1):48-52. [DOI: 10.1080/17453674.2019.1685284. Epub 2019 Nov 4.] [PMID: 31680594]
15. Statistical office of Montenegro - MONSTAT (2022), Directorate for Statistics of Montenegro, Statistical Yearbook, Podgorica, 189. Available from: https://www.monstat.org/uploads/files/publikacije/godisnjak%202022/25.pdf
16. Lyman S, Lee YY, McLawhorn AS, Islam W, MacLean CH. What Are the Minimal and Substantial Improvements in the HOOS and KOOS and JR Versions After Total Joint Replacement? Clin Orthop Relat Res. 2018;476(12):2432-2441. [DOI: 10.1097/CORR.0000000000000456.] [PMID: 30179951]
17. Matthias J, Bostrom MP, Lane JM. A Comparison of Risks and Benefits Regarding Hip Arthroplasty Fixation. J Am Acad Orthop Surg Glob Res Rev. 2021;5(11):e21.00014. [DOI: 10.5435/JAAOSGlobal-D-21-00014.] [PMID: 34726640]
18. Jain D, Bendich I, Nguyen LL, Nguyen LL, Lewis CG, Huddleston JI, et al. Do Patient Expectations Influence Patient-Reported Outcomes and Satisfaction in Total Hip Arthroplasty? A Prospective, Multicenter Study. J Arthroplasty. 2017;32(11):3322-3327. [DOI: 10.1016/j.arth.2017.06.017. Epub 2017 Jun 16.] [PMID: 28693888]
19. Wang MC, Chan PH, Paxton EW, Bellows J, Koplan K, Rabrenovich V, et al. Factors Influencing Patient Satisfaction With Care and Surgical Outcomes for Total Hip and Knee Replacement. Perm J. 2021;25:21.043. [DOI: 10.7812/TPP/21.043.] [PMID: 35348097]
20. Eftekhary N, Feng JE, Anoushiravani AA, Schwarzkopf R, Vigdorchik JM, Long WJ. Revision Versus Primary Hospital Consumer Assessment of Healthcare Providers and Systems Scores in Total Joint Arthroplasty. J Arthroplasty. 2019;34(7S):S84-S90. [DOI: 10.1016/j.arth.2018.11.019. Epub 2018 Nov 20.] [PMID: 30545652]
21. Stapleton E, Frane N, Lentz J, Yngstrom K, Healy C, Cohn R, et al. Impact of a Resident-Guided Rounding Initiative on the Hospital Consumer Assessment of Healthcare Providers and Systems Survey Scores in Orthopaedic Surgery Inpatients. J Am Acad Orthop Surg Glob Res Rev. 2019;3(4):e041. [DOI: 10.5435/JAAOSGlobal-D-18-00041.] [PMID: 31334476]
22. Mistry JB, Gwam CU, Chughtai M, Khlopas A, Ramkumar P, Piuzzi NS, et al. Factors Influencing Patients' Hospital Rating After Total Joint Arthroplasty. Orthopedics. 2017;40(6):377-380. [DOI: 10.3928/01477447-20171019-03.] [PMID: 29116323]
23. Ethgen O, Bruyère O, Richy F, Dardennes C, Reginster JY. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86(5):963-74. [DOI: 10.2106/00004623-200405000-00012.] [PMID: 15118039]
24. Frassanito L, Vergari A, Nestorini R, Cerulli G, Placella G, Pace V, et al. Enhanced recovery after surgery (ERAS) in hip and knee replacement surgery: description of a multidisciplinary program to improve management of the patients undergoing major orthopedic surgery. Musculoskelet Surg. 2020;104(1):87-92. [DOI: 10.1007/s12306-019-00603-4. Epub 2019 May 3.] [PMID: 31054080]
25. Institute for Public Health of Montenegro (2017). Research on the quality of life, lifestyles and health risks of the inhabitants of Montenegro 2017: national research report. Podgorica. Available from: https://www.ijzcg.me/me/izvjestaji/izvjestaj-o-kvalitetu-zivota-zivotnim-stilovima-i-rizicima
26. Arbab D, van Ochten JHM, Schnurr C, Bouillon B, König D. Assessment of reliability, validity, responsiveness and minimally important change of the German Hip dysfunction and osteoarthritis outcome score (HOOS) in patients with osteoarthritis of the hip. Rheumatol Int. 2017;37(12):2005-2011. [DOI: 10.1007/s00296-017-3834-y. Epub 2017 Oct 5.] [PMID: 28983666]
27. Jansson MM, Harjumaa M, Puhto AP, Pikkarainen M. Patients' satisfaction and experiences during elective primary fast-track total hip and knee arthroplasty journey: A qualitative study. J Clin Nurs. 2020;29(3-4):567-582. [DOI: 10.1111/jocn.15121. Epub 2019 Dec 8.] [PMID: 31769559]
28. Sinclair ST, Emara AK, Orr MN, McConaghy KM, Klika AK, Piuzzi NS. Comorbidity indices in orthopaedic surgery: a narrative review focused on hip and knee arthroplasty. EFORT Open Rev. 2021;6(8):629-640. [DOI: 10.1302/2058-5241.6.200124.] [PMID: 34584773]
29. Petrović D, Dimić S, Božović A, Tabaković D, Jovanović S, et al. The influence of comorbidities on the postoperative course and mortality in patients with hip fracture', Serbian archive of medicine, 2022;150(7-8) 433-438. [DOI: https://doi.org/10.2298/SARH211229052P]
30. Institute for Public Health of Serbia "Dr. Milan Jovanovic Batut", Republic of Serbia (2020), Analysis of user satisfaction with health care in state health institutions of the Republic of Serbia in 2019. Available from:
https://www.batut.org.rs/download/izvestaji/Analiza%20zadovoljstva%20korisnik%202019.pdf .
2. Gonçalves TJM, Gonçalves SEAB, Nava N, Jorge VC, Okawa AM, Rocha VA, et al. Perioperative Immunonutrition in Elderly Patients Undergoing Total Hip and Knee Arthroplasty: Impact on Postoperative Outcomes. JPEN J Parenter Enteral Nutr. 2021;45(7):1559-1566. [DOI: 10.1002/jpen.2028. Epub 2020 Oct 29.] [PMID: 33044001]
3. Lespasio MJ, Sultan AA, Piuzzi NS, Khlopas A, Husni ME, Muschler GF, et al. Hip Osteoarthritis: A Primer. Perm J. 2018;22:17-084. [DOI: 10.7812/TPP/17-084.] [PMID: 29309269]
4. Miettinen HJA, Mäkirinne-Kallio N, Kröger H, Miettinen SSA. Health-Related Quality of Life after Hip and Knee Arthroplasty Operations. Scand J Surg. 2021;110(3):427-433. [DOI: 10.1177/1457496920952232. Epub 2020 Aug 31] [PMID: 32862793]
5. Świtoń A, Wodka-Natkaniec E, Niedźwiedzki Ł, Gaździk T, Niedźwiedzki T. Activity and Quality of Life after Total Hip Arthroplasty. Ortop Traumatol Rehabil. 2017;19(5):441-450. [DOI: 10.5604/01.3001.0010.5823.] [PMID: 29154234]
6. Quah C, Holmes D, Khan T, Cockshott S, Lewis J, Stephen A. The variability in Oxford hip and knee scores in the preoperative period: is there an ideal time to score? Ann R Coll Surg Engl. 2018;100(1):16-20. [DOI: 10.1308/rcsann.2017.0090. Epub 2017 Sep 15.] [PMID: 29022778]
7. Sinclair ST, Emara AK, Orr MN, McConaghy KM, Klika AK, Piuzzi NS. Comorbidity indices in orthopaedic surgery: a narrative review focused on hip and knee arthroplasty. EFORT Open Rev. 2021;6(8):629-640. [DOI: 10.1302/2058-5241.6.200124.] [PMID: 34584773]
8. Buirs LD, Van Beers LW, Scholtes VA, Pastoors T, Sprague S, Poolman RW. Predictors of physical functioning after total hip arthroplasty: a systematic review. BMJ Open. 2016;6(9):e010725. [DOI: 10.1136/bmjopen-2015-010725.] [PMID: 27601486]
9. Ryu IS, Shim JL. The Relationship between Compassion Satisfaction and Fatigue with Shift Nurses' Patient Safety-Related Activities. Iran J Public Health. 2022;51(12):2724-2732. [DOI: 10.18502/ijph.v51i12.11463.] [PMID: 36742240]
10. Wang MC, Chan PH, Paxton EW, Bellows J, Koplan K, Rabrenovich V, et al. Factors Influencing Patient Satisfaction With Care and Surgical Outcomes for Total Hip and Knee Replacement. Perm J. 2021;25:21.043. [DOI: 10.7812/TPP/21.043.] [PMID: 35348097]
11. Saueressig T, Owen PJ, Zebisch J, Herbst M, Belavy DL. Evaluation of Exercise Interventions and Outcomes After Hip Arthroplasty: A Systematic Review and Meta-analysis. JAMA Netw Open. 2021;4(2):e210254. [DOI: 10.1001/jamanetworkopen.2021.0254.] [PMID: 33635329]
12. Nagappa M, Querney J, Martin J, John-Baptiste A, Subramani Y, Lanting B, et al. Perioperative Satisfaction and Health Economic Questionnaires in Patients Undergoing an Elective Hip and Knee Arthroplasty: A Prospective Observational Cohort Study. Anesth Essays Res. 2021;15(4):413-438. [DOI: 10.4103/aer.aer_5_22. Epub 2022 Mar 30.] [PMID: 35422546]
13. Zečević-Luković T, Mladenović K, Kostić N, Đonović N, Milenković, B, Mladenović R. Dislocation after placement of primary unilateral total hip arthroplasty - hip geometry and risk factors - a matched cohort study. Serbian archive for all medicine, 2020;148(11-12), 711-717. [DOI: https://doi.org/10.2298/SARH190927051Z]
14. Ray GS, Ekelund P, Nemes S, Rolfson O, Mohaddes M. Changes in health-related quality of life are associated with patient satisfaction following total hip replacement: an analysis of 69,083 patients in the Swedish Hip Arthroplasty Register. Acta Orthop. 2020;91(1):48-52. [DOI: 10.1080/17453674.2019.1685284. Epub 2019 Nov 4.] [PMID: 31680594]
15. Statistical office of Montenegro - MONSTAT (2022), Directorate for Statistics of Montenegro, Statistical Yearbook, Podgorica, 189. Available from: https://www.monstat.org/uploads/files/publikacije/godisnjak%202022/25.pdf
16. Lyman S, Lee YY, McLawhorn AS, Islam W, MacLean CH. What Are the Minimal and Substantial Improvements in the HOOS and KOOS and JR Versions After Total Joint Replacement? Clin Orthop Relat Res. 2018;476(12):2432-2441. [DOI: 10.1097/CORR.0000000000000456.] [PMID: 30179951]
17. Matthias J, Bostrom MP, Lane JM. A Comparison of Risks and Benefits Regarding Hip Arthroplasty Fixation. J Am Acad Orthop Surg Glob Res Rev. 2021;5(11):e21.00014. [DOI: 10.5435/JAAOSGlobal-D-21-00014.] [PMID: 34726640]
18. Jain D, Bendich I, Nguyen LL, Nguyen LL, Lewis CG, Huddleston JI, et al. Do Patient Expectations Influence Patient-Reported Outcomes and Satisfaction in Total Hip Arthroplasty? A Prospective, Multicenter Study. J Arthroplasty. 2017;32(11):3322-3327. [DOI: 10.1016/j.arth.2017.06.017. Epub 2017 Jun 16.] [PMID: 28693888]
19. Wang MC, Chan PH, Paxton EW, Bellows J, Koplan K, Rabrenovich V, et al. Factors Influencing Patient Satisfaction With Care and Surgical Outcomes for Total Hip and Knee Replacement. Perm J. 2021;25:21.043. [DOI: 10.7812/TPP/21.043.] [PMID: 35348097]
20. Eftekhary N, Feng JE, Anoushiravani AA, Schwarzkopf R, Vigdorchik JM, Long WJ. Revision Versus Primary Hospital Consumer Assessment of Healthcare Providers and Systems Scores in Total Joint Arthroplasty. J Arthroplasty. 2019;34(7S):S84-S90. [DOI: 10.1016/j.arth.2018.11.019. Epub 2018 Nov 20.] [PMID: 30545652]
21. Stapleton E, Frane N, Lentz J, Yngstrom K, Healy C, Cohn R, et al. Impact of a Resident-Guided Rounding Initiative on the Hospital Consumer Assessment of Healthcare Providers and Systems Survey Scores in Orthopaedic Surgery Inpatients. J Am Acad Orthop Surg Glob Res Rev. 2019;3(4):e041. [DOI: 10.5435/JAAOSGlobal-D-18-00041.] [PMID: 31334476]
22. Mistry JB, Gwam CU, Chughtai M, Khlopas A, Ramkumar P, Piuzzi NS, et al. Factors Influencing Patients' Hospital Rating After Total Joint Arthroplasty. Orthopedics. 2017;40(6):377-380. [DOI: 10.3928/01477447-20171019-03.] [PMID: 29116323]
23. Ethgen O, Bruyère O, Richy F, Dardennes C, Reginster JY. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86(5):963-74. [DOI: 10.2106/00004623-200405000-00012.] [PMID: 15118039]
24. Frassanito L, Vergari A, Nestorini R, Cerulli G, Placella G, Pace V, et al. Enhanced recovery after surgery (ERAS) in hip and knee replacement surgery: description of a multidisciplinary program to improve management of the patients undergoing major orthopedic surgery. Musculoskelet Surg. 2020;104(1):87-92. [DOI: 10.1007/s12306-019-00603-4. Epub 2019 May 3.] [PMID: 31054080]
25. Institute for Public Health of Montenegro (2017). Research on the quality of life, lifestyles and health risks of the inhabitants of Montenegro 2017: national research report. Podgorica. Available from: https://www.ijzcg.me/me/izvjestaji/izvjestaj-o-kvalitetu-zivota-zivotnim-stilovima-i-rizicima
26. Arbab D, van Ochten JHM, Schnurr C, Bouillon B, König D. Assessment of reliability, validity, responsiveness and minimally important change of the German Hip dysfunction and osteoarthritis outcome score (HOOS) in patients with osteoarthritis of the hip. Rheumatol Int. 2017;37(12):2005-2011. [DOI: 10.1007/s00296-017-3834-y. Epub 2017 Oct 5.] [PMID: 28983666]
27. Jansson MM, Harjumaa M, Puhto AP, Pikkarainen M. Patients' satisfaction and experiences during elective primary fast-track total hip and knee arthroplasty journey: A qualitative study. J Clin Nurs. 2020;29(3-4):567-582. [DOI: 10.1111/jocn.15121. Epub 2019 Dec 8.] [PMID: 31769559]
28. Sinclair ST, Emara AK, Orr MN, McConaghy KM, Klika AK, Piuzzi NS. Comorbidity indices in orthopaedic surgery: a narrative review focused on hip and knee arthroplasty. EFORT Open Rev. 2021;6(8):629-640. [DOI: 10.1302/2058-5241.6.200124.] [PMID: 34584773]
29. Petrović D, Dimić S, Božović A, Tabaković D, Jovanović S, et al. The influence of comorbidities on the postoperative course and mortality in patients with hip fracture', Serbian archive of medicine, 2022;150(7-8) 433-438. [DOI: https://doi.org/10.2298/SARH211229052P]
30. Institute for Public Health of Serbia "Dr. Milan Jovanovic Batut", Republic of Serbia (2020), Analysis of user satisfaction with health care in state health institutions of the Republic of Serbia in 2019. Available from:
https://www.batut.org.rs/download/izvestaji/Analiza%20zadovoljstva%20korisnik%202019.pdf .
Objavljeno
2024/06/30
Broj časopisa
Rubrika
Originalni naučni članak