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KMID : 0604719960030010037
Journal of Rheumatology Health
1996 Volume.3 No. 1 p.37 ~ p.49
A Comparative Study of the Handicaps in and Satisfaction with the Ordinary Life before and after the Plastic Operation for Artificial Joint Replacement-Centering around Those Who suffer from Joint Diseases


Abstract
The joint diseases threaten modern people's healthy life, They bring about a long pain, an anasarca, loss of joint function or even deformation and rigidity of joint, limiting people's ordinary activities much.
The chronic joint patients may be subject to some hypochondria caused by anxiety for their life, social isolation, financial problem and physical disability.
Therefore, this population should continue to be duely taken care of by medical personnels.
In particular, nurses should adequately help these people to recover and improve their health through suitable adaptations.
With such basic conceptions in mind, this study was aimed at reviewing these patients' conditions in their ordinary life be-fore and after a plastic operation for artificial joint replacement as well as their satisfaction with their life.
For this purpose, those patients who underwent some plastic operations for artificial joint replacement at university hospitals in Seoul from January 2, 1993 to June 30, 1995 were selected as the population of this study. Among them, 87 people
were
randomly sampled to answer a questionnaire designed specially.
For the surveying tools, Jette's (1980) scale was applied to address the sample people's inconveniences experienced and supports received in their ordinary life, while the scale of Wood, Wylie & Sheafer was used to measure their satisfaction with
their
life.
The collected data were analyzed for percentiles, means, SD, t-test and Pearson's correlations.
@ES The results of survey can be summarized as follows ;
@EN As a result of t-test the frequencies of other people's support before and after the plastic operation, it was disclosed that those who underwent the operation were supported less frequently.
In addition, as a result of t-testing their satisfaction with life before and after the operation, it was found that the operation increased their satisfaction with life significantly.
Meanwhile, as a result of t-test inconveniences, frequencies of supports and life satisfaction before and after the plastic operation for artificial knee replacement, it was disclosed that only the inconveniences were significantly reduced after
the
operation.
In contrast, the t-test the variables before and after the plastic operation for artificial hip replacement, it was found that only the frequencies of other people's supports were significant reduced after the operation.
Furthermore, the differences 6 months, one year and two years after the plastic operation for artificial joint replacement were t-tested on the variables. As a result, it was disclosed that people's inconvenience, frequencies of supports and life
satisfaction were not improved 6 months after the operation but their frequencies of supports decreased significantly one year after, while their inconveniences and life satisfaction were significantly improved two years after.
As a result of analyzing the variables with Pearson's correlations, inconveniences and frequency of supports were negatively correlated significantly with the life satisfaction.
In conclusion, the plastic operation for artificial joint replacement significantly improved people's living inconveniences, reduced their frequency of other people's support and enhanced their satisfaction with life.
To break down, the plastic operation for artificial knee replacement improved patients' inconveniences, while the plastic operation for artificial hip replacement not only improved patients' inconveniences but reduced the frequencies of other
people's
support also.
Finally, the finding that the plastic operation for artificial joint replacement brought about the improvement two years after suggests that this period is needed for the patients to adapt themselves to the post-operation conditions.
KEYWORD
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