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Abstract：
This research sought to assess the perceived levels of participation and autonomy in senior patients who had received total hip arthroplasty (THA) or total knee arthroplasty (TKA) in Hangzhou, China. Furthermore, the study aimed to identify the factors linked to these outcomes.
This investigation will utilize a cross-sectional study design to assess perceived participation and autonomy among older adults total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients. The research was conducted in Hangzhou, China, at a tertiary hospital.
Convenient sampling was utilized to select 139 patients who underwent THA or TKA between March 2022 and March 2023 and met the inclusion criteria at a tertiary hospital in Hangzhou. The Impact on Participation and Autonomy Questionnaire, Hip/Knee Injury and Osteoarthritis Outcome Score (HOOS/KOOS), 5-Item Geriatric Depression Scale, Multidimensional Scale of Perceived Social Support, and Elders Health Empowerment Scale were used to assess perceived participation, hip/knee-related symptoms and functional restrictions, depression symptoms, social support, and health empowerment.
The mean score for perceived participation and autonomy was 22.554 (SD: 13.042). The mean scores for participation in indoor autonomy, outdoor autonomy, family roles, and social relations were 0.654 (SD: 0.608), 1.324 (SD: 0.792), 1.053 (SD: 0.657), and 0.664 (SD: 0.542), respectively. Negative correlations were observed between perceived participation/autonomy scores and HOOS/KOOS, social support, and health empowerment scores. Conversely, a positive correlation was found between perceived participation/autonomy scores and depression scores. The detrimental effect of HOOS/KOOS, social support, and health empowerment scores on perceived participation and autonomy was notable, while the impact of depressive symptoms was comparatively minor.
Older Chinese patients, at first six months post THA/TKA surgery, reported higher levels of perceived participation compared to individuals with other conditions, such as stroke patients. Functional limitations resulting from hip/knee-related symptoms, as well as social support and health empowerment, emerged as significant influencing factors for perceived participation and autonomy. This research enhances our comprehension of the elements influencing perceived participation among older adults individuals who have undergone THA/TKA procedures.
This investigation will utilize a cross-sectional study design to assess perceived participation and autonomy among older adults total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients. The research was conducted in Hangzhou, China, at a tertiary hospital.
Convenient sampling was utilized to select 139 patients who underwent THA or TKA between March 2022 and March 2023 and met the inclusion criteria at a tertiary hospital in Hangzhou. The Impact on Participation and Autonomy Questionnaire, Hip/Knee Injury and Osteoarthritis Outcome Score (HOOS/KOOS), 5-Item Geriatric Depression Scale, Multidimensional Scale of Perceived Social Support, and Elders Health Empowerment Scale were used to assess perceived participation, hip/knee-related symptoms and functional restrictions, depression symptoms, social support, and health empowerment.
The mean score for perceived participation and autonomy was 22.554 (SD: 13.042). The mean scores for participation in indoor autonomy, outdoor autonomy, family roles, and social relations were 0.654 (SD: 0.608), 1.324 (SD: 0.792), 1.053 (SD: 0.657), and 0.664 (SD: 0.542), respectively. Negative correlations were observed between perceived participation/autonomy scores and HOOS/KOOS, social support, and health empowerment scores. Conversely, a positive correlation was found between perceived participation/autonomy scores and depression scores. The detrimental effect of HOOS/KOOS, social support, and health empowerment scores on perceived participation and autonomy was notable, while the impact of depressive symptoms was comparatively minor.
Older Chinese patients, at first six months post THA/TKA surgery, reported higher levels of perceived participation compared to individuals with other conditions, such as stroke patients. Functional limitations resulting from hip/knee-related symptoms, as well as social support and health empowerment, emerged as significant influencing factors for perceived participation and autonomy. This research enhances our comprehension of the elements influencing perceived participation among older adults individuals who have undergone THA/TKA procedures.
摘要：
■本研究旨在评估在杭州接受全髋关节置换术（THA）或全膝关节置换术（TKA）的老年患者的参与感和自主性。中国。此外，本研究旨在确定与这些结果相关的因素.
■本研究将利用横断面研究设计来评估老年人全髋关节置换术（THA）和全膝关节置换术（TKA）患者的参与感和自主性。这项研究是在杭州进行的，中国,在三级医院。
■采用方便抽样方法，选择了在2022年3月至2023年3月期间在杭州某三级医院接受THA或TKA且符合纳入标准的139例患者。对参与和自主性的影响问卷，髋/膝损伤和骨关节炎结果评分（HOOS/KOOS），5项老年抑郁量表，感知社会支持的多维量表，老年人健康赋权量表用于评估感知参与，髋关节/膝关节相关症状和功能限制，抑郁症状,社会支持,和健康赋权。
■感知参与度和自主性的平均得分为22.554（SD：13.042）。参与室内自治的平均分数，户外自主性,家庭角色,社会关系为0.654(SD：0.608)，1.324（标准差：0.792），1.053（标准差：0.657），和0.664（标准差：0.542），分别。感知参与/自主得分与HOOS/KOOS之间呈负相关，社会支持,和健康赋权分数。相反，感知参与/自主得分与抑郁得分呈正相关.HOOS/KOOS的不利影响，社会支持,健康赋权在感知参与和自主方面的得分值得注意，而抑郁症状的影响相对较小。
■中国老年患者，在THA/TKA手术后的前六个月，与其他条件的个人相比，报告的感知参与水平更高，比如中风患者。髋关节/膝关节相关症状导致的功能限制，以及社会支持和健康赋权，成为感知参与和自主性的重要影响因素。这项研究增强了我们对影响接受THA/TKA手术的老年人参与的因素的理解。
■本研究将利用横断面研究设计来评估老年人全髋关节置换术（THA）和全膝关节置换术（TKA）患者的参与感和自主性。这项研究是在杭州进行的，中国,在三级医院。
■采用方便抽样方法，选择了在2022年3月至2023年3月期间在杭州某三级医院接受THA或TKA且符合纳入标准的139例患者。对参与和自主性的影响问卷，髋/膝损伤和骨关节炎结果评分（HOOS/KOOS），5项老年抑郁量表，感知社会支持的多维量表，老年人健康赋权量表用于评估感知参与，髋关节/膝关节相关症状和功能限制，抑郁症状,社会支持,和健康赋权。
■感知参与度和自主性的平均得分为22.554（SD：13.042）。参与室内自治的平均分数，户外自主性,家庭角色,社会关系为0.654(SD：0.608)，1.324（标准差：0.792），1.053（标准差：0.657），和0.664（标准差：0.542），分别。感知参与/自主得分与HOOS/KOOS之间呈负相关，社会支持,和健康赋权分数。相反，感知参与/自主得分与抑郁得分呈正相关.HOOS/KOOS的不利影响，社会支持,健康赋权在感知参与和自主方面的得分值得注意，而抑郁症状的影响相对较小。
■中国老年患者，在THA/TKA手术后的前六个月，与其他条件的个人相比，报告的感知参与水平更高，比如中风患者。髋关节/膝关节相关症状导致的功能限制，以及社会支持和健康赋权，成为感知参与和自主性的重要影响因素。这项研究增强了我们对影响接受THA/TKA手术的老年人参与的因素的理解。
