scholarly journals Marital Relationship and Quality of Life in Couples Following Hip Replacement Surgery

Life ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 401
Author(s):  
Michael Tanzer ◽  
Christopher Pedneault ◽  
Esther Yakobov ◽  
Adam Hart ◽  
Michael Sullivan

For the majority of patients with osteoarthritis, total hip (THA) arthroplasty results in a significant reduction in pain, emotional distress, and disability and a significant improvement in their quality of life. Little is known about how these recovery-related changes impact the spouse or the marital relationship. Methods: Twenty-nine couples whose spouse underwent a THA (29 THA) participated in a semi-structured retrospective interview designed for this study. They were each asked to recall the level of pain before and after surgery and to provide a numerical rating score for questions pertaining to the level of disability in seven different activities of daily living. Couples were also asked to list in order of importance the five ways in which the surgery affected their overall quality of life. Results: The spouses estimated their partner’s pain, both pre- and postoperatively, to be significantly higher level than the patient’s perception. The spouses perceived a greater improvement in family/home responsibilities, recreation and social activities, and in their occupation than that noted by the partner. After the arthroplasty, the spouses indicated that their lives had improved with respect to doing more activities/leisure (72%), because their partner had less suffering (59%), they had more independence/less caregiving (55%), it improved their marital relationship (52%), they had a better social/family life (28%), and they were able to travel (28%). Conclusions: This study indicates that THA result in a significant improvement in quality of life not only for the patients, but also for their spouses.

2017 ◽  
Vol 38 (3) ◽  
pp. 119-127
Author(s):  
Sandra Pennbrant ◽  
Jeanette Gustafsson Törn ◽  
Helena Munthe

Sexual activity is an important aspect of quality of life and contributes to healing and recovery. Adequate information may minimize post-operative risks and improve wellbeing. The aim of this literature review was to identify and review articles regarding the information on sexual activity after hip replacement provided to or obtained by patients and partners prior to their hip replacement surgery. The literature search was performed in the following databases: CINAHL, PubMed/Medline, MEDLINE (via Ebscoost) and Scopus. The results underline the importance of providing hip replacement patients and partners with relevant information, to reduce their concerns and improve their satisfaction and quality of life. Such information could promote person-centered care for patient and partner, and increase long-term cost-effectiveness for the healthcare organization. Information to patients and partners on post-hip-replacement sexual limitations has not been closely studied. Further research is needed to help healthcare providers promote patients’ and partners’ sexual health and quality of life and improve wellbeing.


1995 ◽  
Vol 23 (6) ◽  
pp. 683-686 ◽  
Author(s):  
J. P. Arnold ◽  
M. Haeger ◽  
J. P. Bengtson ◽  
A. Bengtsson ◽  
B. Lisander

Ten patients undergoing hip replacement surgery were studied regarding activation of complement and leukocytes in association with collection of wound drainage blood. The blood was collected postoperatively but not reinfused due to the possible risks with reinfusion of blood containing inflammatory mediators. Blood samples for analysis of complement activation (TCC), leukocyte activation (PMN elastase) and cytokines (Interleukin-6) were drawn preoperatively from the patients. Blood samples were also drawn intraoperatively from the wound. Samples were also drawn from the collected wound drainage blood, before and after blood was passed through a microporous filter. There were elevated concentrations of TCC, PMN elastase and IL-6 in the collected wound drainage blood before and after the filter. The filtration did not significantly reduce the concentrations of these factors. In the wound blood the concentrations were higher compared to those found in the systemic blood preoperatively, but lower compared to concentrations found in the collected drainage blood. The study demonstrates that the collection of wound drainage whole blood is associated with activation of complement, release of PMN elastase and cytokines.


2020 ◽  
Vol 12 (8) ◽  
pp. 1194-1204
Author(s):  
Daliang Kong ◽  
Chao Du ◽  
Chuangang Peng

In view of the problems in hip replacement, a new gel material is developed and incorporated into cemented femoral prosthesis. The material precipitates hydroxyapatite (HA) onto silk fibroin (SF) by biomimetic method, namely silk fibroin hydroxyapatite (SF–HA). Through X-ray diffraction (XRD) and scanning electron microscope (SEM) analysis, HA precipitates on SF. Taking the gel time as the standard, 5 groups of gel materials are selected. Through in vitro degradation experiments, the degradation rate of these materials is 45%∼55%. Cell experiments (mouse L929 cells, osteoblasts HO-F) show that these cells have no cytotoxicity and support the growth of osteoblasts. In addition, in the vivo experiment (two groups), one group was treated with gelatin materials and the other group is treated with bone cement prosthesis transplantation directly. Comparing the indexes before and after operation, it proves that the new gel material has great application value in hip replacement surgery.


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