J Korean Acad Community Health Nurs.  2017 Dec;28(4):494-503. 10.12799/jkachn.2017.28.4.494.

Factors influencing on the Quality of Life in Older Adults after Total Knee Replacement: The Relevance to Pain, Range of Motion, Depression, Social Support and Sense of Coherence

Affiliations
  • 1Department of Nursing, Gumi University, Gumi, Korea. rmjin74@gmail.com
  • 2College of Nursing, Catholic University of Daegu, Daegu, Korea.

Abstract

PURPOSE
This study is to grasp factors influencing the quality of life in older adults after total knee replacement.
METHODS
This study was conducted with 165 older adults who had TKR at four orthopedic hospitals in D city. Data were analyzed using one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression with SPSS 19.0 software.
RESULTS
Pain and depression were negatively correlated with range of motion, social support, while sense of coherence was positively correlated with quality of life. Sense of coherence (43%, β=.40), pain (8%, β=−.30), and depression (3%, β=−.20) on the Physical Component Summary in the quality of life have significant explanatory power of 54%. Sense of coherence (49%, β=.44), social support (6%, β=.25), and depression (3%, β=−.22) on the Mental Component Summary in the quality of life have significant explanatory power of 58%.
CONCLUSION
This study suggests developing a program to improve the quality of life in older adults who had TKR, considering factors such as sense of coherence.

Keyword

Quality of life; Sense of coherence; Pain; Depression; Social support

MeSH Terms

Adult*
Arthroplasty, Replacement, Knee*
Depression*
Hand Strength
Humans
Linear Models
Orthopedics
Quality of Life*
Range of Motion, Articular*
Sense of Coherence*

Reference

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