| Abstract [eng] |
The Author: Uršulia Galinskaja Work Leader: medical doctor Dainė Janonienė, Vilnius University Faculty of Medicine, Rehabilitation, Physical and Sports Medicine Department. Keywords: rehabilitation, occupational therapy, quality of life, hip, replacement, home environment, adaptation. The aim of research work: identify relation between quality of life and adaptation of home environment after hip replacement. Tasks of work: 1. Assess the pain and quality of life before and after rehabilitation after hip replacement. 2. Assess home environment adaptation during the outlying period after hip replacement. 3. Assess relations between of the quality of life and home environment adaptation during the outlying period. Materials and methods: The survey was conducted in the sanatorium VšĮ ,,Pušyno kelias“. Period: 2016-11-02 – 2017-03-20. The survey was attended by 45 subjects after primary hip replacement. 26 men and 19 women. The average of age was 66.89 ± 6.224. The youngest participants were 60 years old, the oldest - 80 years old. To determine the intensity of pain a questionnaire with a visual analogue scale of pain was used. To find out the changes in quality of life after hip replacement, the following 5 components of the questionnaire EQ-5D were evaluated: mobility, self-care, usual daily activities, pain/discomfort, anxiety/depression. Home environment adaptation was evaluated during the outlying period, 1 month after operation. The questionnaire was drawn up on the basis of the part about the movement TFK classification, in the books "Environment for All" and "Environment adaptation for people with disabilities“. The questionnaire was drawn after review of Lithuanian books and the selection of certain components in said books. Statistical data processing package SPSS 17.0 (Statistical Package for Social Science) was used to process the data of the survey. The following methods were used while conducting the research: Cronbach alfa coefficent, Pearson's chi square, Sperman correlation coefficient. Results: After summing up the data, it can be stated, that most of the patients adapted their living environment and bought the necessary tools to help with their daily tasks. While analysing the intensity of pain and the quality of life before and after the rehabilitation, it was confirmed, that statistically, the pain intensity had diminished while movenment and health improved. After looking into the relation between home environment adaptation and quality of life, it was noted, that the more the environment was adapted, the more quality of life improved. Conclusions: 1. Most of the examined patients have adapted their bathroom (75,6 proc.) and toilet (55,6 proc.) areas, bought the required compensating (60 proc.) and helping (55,6 proc.) tools. 2. During the rehabilitation, statistically the intensity of pain decresed substantially (p=0,018), movement improved (p=0,020) and patients rated their life quality as better (p=0,006). 3. Life quality and health improve the more the home environment is adapted. |
