Psychometric properties of Japanese version15D and cultural characteristics of quality of life undergoing patients with hip and knee arthroplasty

Kanako Yakushiji , Satomi Tanaka , Harri Sintonen , Heidi Siira , Yuriko Matsunaga-Myoji , Yasuko Tabuchi , Pirjo Kaakinen , Maria Kääriäinen , Kimie Fujita
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Abstract

Background

Health-related quality of life (HRQoL) following total hip and knee arthroplasty (THA/TKA) may decline more in Asian countries due to lifestyle and housing factors compared with patients in Western countries.

Aims

To evaluate the psychometric properties of the Japanese version of 15D and clarify the characteristics of HRQoL in Japanese patients who underwent THA/TKA compared with Finnish patients.

Methods

This longitudinal study included 182 patients between 2019 and 2021. Patients' HRQoL was measured using the 15D preoperatively and 3 months postoperatively. Student's t-tests were used to compare lifestyles between Japan and Finland.

Results

The Japanese version of the 15D showed good internal consistency, reliability, construct validity, and responsiveness. Patients with many steps inside their house had worse HRQoL in the dimensions of mobility, distress, and vitality in Japan. There were significant differences in mobility, distress, vitality, and sexual activity dimensions between Japan and Finland 3 months postoperatively.

Conclusions

The lower HRQoL in Japan in the dimensions of mobility, distress, and vitality is likely due to Japan's traditional housing structure with many steps. Identifying differences in cultural and psychological characteristics, as well as by residential setting, will enable health care providers to help patients improve their HRQoL.
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髋关节和膝关节置换术患者生活质量日文版 15D 的心理计量特性和文化特征。
背景:目的:评估日文版15D的心理测量学特性,并明确与芬兰患者相比,接受全髋关节和膝关节置换术(THA/TKA)的日本患者的HRQoL特征:这项纵向研究包括2019年至2021年期间的182名患者。患者的 HRQoL 在术前和术后 3 个月使用 15D 进行测量。采用学生 t 检验比较日本和芬兰的生活方式:结果:日文版 15D 显示出良好的内部一致性、可靠性、结构效度和反应性。在日本,屋内台阶较多的患者在行动能力、痛苦和活力方面的 HRQoL 较差。日本和芬兰患者在术后3个月的活动能力、痛苦、活力和性活动方面存在明显差异:结论:日本人在行动能力、痛苦和活力方面的 HRQoL 较低,这可能是由于日本的传统住房结构有很多台阶。识别文化和心理特征以及居住环境的差异将有助于医疗服务提供者帮助患者改善其 HRQoL。
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CiteScore
2.60
自引率
14.30%
发文量
34
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