Assessment Of Patient Problems Encountered With Total Hip Replacement At Baghdad Teaching Hospitals
Faris Fauze Ahmed, Dr. Halima Yusuf Al-Rubaie
Keywords: Total hip replacement, physical problems, psychosocial problems.
Abstract: Background: Total hip replacements conduct highly effective in relieving pain dysfunction for patients who suffer from hip inflammation and a variety of reasons, however, after several decades of success in hip replacement there was also an increase in cases of fractures after you perform a detailed switch and attributed this The increase in the prevalence of a large fraction of the increase in the number of switch detailed and increasing age and poverty operations. Objectives: The study aims toAssess the pre operation physical and psychosocial problems of patients with total hip replacement. To Assess the post operation physical and psychosocial problems of patients with total hip replacement. To find out the relationship between pre _ post physical and psychosocial problems with (age, gender, duration of illness and type of operation). Design of the study: A descriptive design study was carried out in Nursing Home hospital and Ghazi AL-Hariri for specialized surgical hospitals starting from January, 13th 2015 to September, 1st 2015, The study Sample: A non- probability (purposive) sample of 50 patients undergoing total hip replacement surgery who have several problems before and after surgery. The study Instrument: The study instrument was composed of three parts which as socio demographic information was included; age group, gender, marital status, level of education, occupational, economic, part two consist of medical information was comprised of (7 ) items, and part three contain physical and psychosocial problems through Hamilton anxiety scale consist of 84 items. Validity and Reliability: The content validity of the instrument was established through a panel of (14) experts, the reliability of the items was based on the internal consistency of the questionnaire was assessed by calculating Cronbach s' Coefficient alpha which as= 0.73. Statistical Analysis: The researchers used the appropriate statistical methods for data analysis which include the descriptive data analysis, and inferential data analysis. Result: the findings revealed that the males that 54.0%, High percent of them 28.0% at 48-57 years old, 82.0% were married 38.0% of them at Graduated from primary school, 42.0% house wife, and majority of them 84.0% were high score of socio-economic status.
 Abdulkarim, A.; Ellanti, P.; Motterlini, N.; Fahey, T.; and O'Byrne, JM.: Cemented versus uncemented fixation in total hip replacement: a systematic review and meta-analysis of randomized controlled trials. Orthopedic Review journal, Vol.5 (1), 2013, PP: 34-43.
 Okoro, T.; Lemmey, AB.; Maddison, P.; and Andrew, JG.: An appraisal of rehabilitation regimes used for improving functional outcome after total hip replacement surgery, Journal of Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology, Vol.4, 2012, PP:2-8.
 Goyal, R.; Singh S.; Shukla, RN.; and Singhal, A.: Management of a case of ankylosing spondylitis for total hip replacement surgery with the use of ultrasound-assisted central neuraxial blockade, Indian Journal of Anaesthesia, Vol.57(1), 2013, PP:69-71.
 Gossec, L.; Paternotte, S.; Maillefert, JF.; Combescure, C.; Conaghan, PG.; Davis, AM.; Gunther, KP.; Hawker, G.; Hochberg, M.; Katz, JN.; Kloppenburg, M.; Lim, K.; Lohmander, LS.; Mahomed, NN.; March, L.; Pavelka, K.; Punzi, L.; Roos, EM.; Sanchez-Riera, L.; Singh, JA.; Suarez-Almazor, ME.; Dougados, M.: The role of pain and functional impairment in the decision to recommend total joint replacement in hip and knee osteoarthritis: an international cross-sectional study of 1909 patients. Report of the OARSI-OMERACT Task Force on total joint replacement, National Library of Medicine, Vol. 19(2), 2010, pp:147-54.
 Javed, A.; O’Donnell, JM.: Arthroscopic femoral osteochondroplasty for cam femoroacetabular impingement in patients over 60 years of age, The Bone & Joint Journal, vol. 93(3), 2011, pp:326-331.
 Arden, NK.; Kiran, A.; Judge, A.; Biant, LC.; Javaid, MK.; Murray, DW.; Carr, AJ.; Cooper, C.; Field, RE.: What is a good patient reported outcome after total hip replacement?, National Library of Medicine, Vol. 19(2), 2011, pp: 155-62.
 Apold, H.; Meyer, HE.; Espehaug, B.; Nordsletten, L.; Havelin, LI.; Flugsrud, GB.: Weight gain and the risk of total hip replacement a population-based prospective cohort study of 265,725 individuals, Osteoarthritis and Cartilage Journal, Vol.19(7), 2011, pp:809–815.
 Mohamed, SJ.; Mecheser, AE.: Assessment of Patients’ Knowledge Toward Total Hip Replacement Home – Care, Iraqi J Pharm Sci, Vol. 21(1), 2012, PP:30-40.
 Innmann, MM.; Weiss, S.; Andreas, F.; Merle, C.; Streit, MR.: Sports and physical activity after cementless total hip arthroplasty with a minimum follow-up of 10 years, National Library of Medicine, 2015 .
 Balasubramanian, A.; Tosi, LL.; Lane, J.; Douglas, R.; Ho, PR.; O'Malley, CD.: Declining rates of osteoporosis management following fragility fractures in the U.S., 2000 through 2009, Bone and Joint Surgery, vol. 96(7), 2014, p:52.
 Hagiwara, S.; Nakamura, J.; Watanabe, A.; Kishida, S.; Ohtori, S.; Omae, T.; Miyamoto, S.; Orita, S.; Takahashi, K.: Corticosteroids and low bone mineral density affect hip cartilage in systemic lupus erythematosus patients: Quantitative T2 mapping, National Library of Medicine, 2015.
 Ban, Z.; Huang, F.; Gu, Q.; Xu, B.; Li, Y.; Li, Z.: Methods of offside reconstruction in total hip arthroplasty for severe osteoarthritis, National Library of Medicine, vol. 28(8), 2014, pp:947-50.
 Anne, L.; Rothman, KJ.; Garavaglia, G.; Barea, C.; Christofilopoulos, B.; Stern, R.; Hoffmeyer, R.: Strong Association between Smoking and the Risk of Revision in a Cohort Study of Patients with Metal-on-Metal Total Hip Arthroplasty, JOURNAL OF ORTHOPAEDIC RESEARCH, 2014, pp:762-766.