Kafkas J Med Sci 2017; 7(2):139–143 doi: 10.5505/kjms.2017.68726 ARAŞTIRMA MAKALESİ / RESEARCH ARTICLE Preoperative and Postoperative Factors Affecting Patient Satisfaction After Total Knee Arthroplasty

Öz

Aim:

Our study aimed to evaluate patient satisfaction 12 weeks

after total knee arthroplasty (TKA) and determine preoperative and

postoperative factors which influence short term patient satisfac-

tion following TKA.

Material and Method:

Patients who underwent 40 primary TKAs

were included. Patients were assessed by using Western Ontario

and McMaster Universities Osteoarthritis Index (WOMAC), Short

Form-36 (SF36), Visual Analog Scale (VAS)-pain, 50-meter walk-

ing test preoperatively and 12 weeks after TKA. The duration of

walking was measured while the patients walked 50 m. Both pre

and postoperative flexion and extension range of motion (ROM) of

the knee were recorded. Postoperatively patient satisfaction was

evaluated.

Results:

Preoperatively, there was no difference between satis-

fied and dissatisfied patients in terms of age, VAS-pain, SF36

sub scores, WOMAC sub scores, active and passive flexion and

extension ROMs (p>0.05). Postoperatively, VAS-pain and SF36

general health and physical-emotional sub scores were lower

and passive knee flexion was higher in satisfied patient group

(p<0.05). Among clinical parameters, only postoperative VAS-

pain had a significant negative impact on patient satisfaction

(p<0.05). Other parameters including age, gender, pre and post-

operative active flexion and extension ROMs, preoperative VAS-

pain, WOMAC and 50-metre walking duration had no impact on

patient satisfaction (p>0.05).

Conclusion:

Preoperative pain, disability and quality of life

had no effect on postoperative short term patient satisfaction.

Postoperative pain severity, knee flexion ROM degree and de-

terioration in quality of life had significant negative impact on

postoperative patient satisfaction. Larger studies are necessary

to further clarify the factors associated with dissatisfaction fol-

lowing TKA.

Anahtar Kelimeler

• arthroplasty; satisfaction; quality of life

Total Diz Artroplastisi Sonrası Hasta Memnuniyetini Etkileyen Preoperatif ve Postoperatif Faktörler

Öz

Amaç:

Bu çalışmada total diz artroplastisinden (TDA) 12 hafta

sonra hasta memnuniyetinin değerlendirilmesi ve TDA sonrası kısa

dönem hasta memnuniyetini etkileyen preoperatif ve postoperatif

faktörlerin saptanması amaçlanmıştır.

Materyal ve Metot:

Primer TDA yapılan 40 hasta çalışmaya alındı.

Hastalar Western Ontario ve Mc Masters Üniversiteleri Osteoartrit

İndeksi, Kısa Form-36 (SF36), Görsel Analog Skala (Visual Analog

Scale, VAS)-ağrı, 50 metre yürüme testi ile ameliyat öncesi ve

TDA’dan 12 hafta sonra değerlendirildi. Pre ve postoperatif diz

fleksiyon ve ekstansiyon eklem hareket açıklıkları (EHA) kaydedildi.

Postoperatif hasta memnuniyeti değerlendirildi.

Bulgular:

Preoperatif dönemde gruplar arasında memnun ve

memnun olmayan hastalar arasında yaş, VAS-ağrı, SF36 alt skorla-

rı, aktif ve pasif EHA’lar açısından fark yoktu (p>0,05). Postoperatif

dönemde memnun hasta grubunda VAS-ağrı ve SF36 genel sağlık

ve fiziksel-emosyonel rol alt skorları düşük, pasif diz fleksiyonu ise

yüksekti (p<0,05). Klinik parametreler arasında sadece postope-

ratif VAS-ağrının hasta memnuniyeti üzerine belirgin negatif etkisi

vardı (p<0,05). Yaş, cinsiyet, pre ve postoperatif aktif fleksiyon ve

ekstansiyon EHA’ları, preoperatif VAS-ağrı, WOMAC ve 50 metre

yürüme süresinin hasta memnuniyeti üzerine etkisi yoktu (p>0,05).

Sonuç:

Preoperatif ağrı, disabilite ve yaşam kalitesinin postoperatif

kısa dönem hasta memnuniyeti üzerine etkisi yoktu. Postoperatif dö

-

nemdeki ağrı şiddeti, diz fleksiyon EHA derecesi ve yaşam kalitesinde

bozulmanın hasta memnuniyeti üzerine belirgin negatif etkisi mevcut

-

tu. TDA sonrası memnuniyetsizlikle ilişkili faktörlerin geniş ölçüde net

-

leştirilmesi için daha çok hasta içeren çalışmalara gereksinim vardır.

Anahtar Kelimeler

• artroplasti; memnuniyet; yaşam kalitesi

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