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Yakushiji K, Tanaka S, Sintonen H, Siira H, Matsunaga-Myoji Y, Tabuchi Y, Kaakinen P, Kääriäinen M, Fujita K. Psychometric properties of Japanese version15D and cultural characteristics of quality of life undergoing patients with hip and knee arthroplasty. Int J Orthop Trauma Nurs 2024; 55:101138. [PMID: 39383619 DOI: 10.1016/j.ijotn.2024.101138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2024] [Revised: 10/01/2024] [Accepted: 10/04/2024] [Indexed: 10/11/2024]
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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Affiliation(s)
- Kanako Yakushiji
- Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka City, Japan.
| | - Satomi Tanaka
- Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka City, Japan
| | - Harri Sintonen
- Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Heidi Siira
- Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland
| | | | | | - Pirjo Kaakinen
- Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland
| | - Maria Kääriäinen
- Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland
| | - Kimie Fujita
- Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka City, Japan
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Herrero Jaén S, González Aguña A, Fernández Batalla M, Gonzalo de Diego B, Sierra Ortega A, Rocha Martínez MDM, Barchino Plata R, Jiménez Rodríguez ML, Santamaría García JM. Validation of the Health Index in the Postoperative Period: Use of the Nursing Outcome Classification to Determine the Health Level. Healthcare (Basel) 2024; 12:862. [PMID: 38667624 PMCID: PMC11050318 DOI: 10.3390/healthcare12080862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2024] [Revised: 03/19/2024] [Accepted: 04/18/2024] [Indexed: 04/28/2024] Open
Abstract
BACKGROUND The postoperative period is the recovery time after surgery and is defined as an individual process whose purpose is to return the person to the state of normality and integrity that they had prior to surgery. AIM Demonstrate the modification of the level of health of people in the early postoperative period through the development and validation of the Health Index Instrument, which is built from the Nursing Outcomes Classification (NOC) standardized language. DESIGN The design used a mixed method, which involved a first phase of instrument development and a second phase of instrument validation. METHODS The methods was based on focus group techniques with text analysis techniques, internal validation with a group of care language experts, external validation with a group of clinical nursing experts and a clinical validation with quantitative and qualitative analysis. A panel of experts in Language of Care evaluated the (NOC) labels and their correlation with the 11 Health Variables to construct the instrument. The instrument developed was subjected to external validation with a panel of clinical nurse experts in post-anesthesia care. The clinical validation included a cross-sectional descriptive study in a postoperative unit. The final sample of the cross-sectional descriptive study was 139 cases. RESULTS Of the 89 NOCs proposed in the preliminary construction phase of the instrument, 36 passed through the first round. Of those 36 NOCs, 25 passed through to the second round with a review performance and 11 directly as approved. The total number of approved NOCs were 4. The results of the research show that there are changes in the global score of the health level and in each health variable. It is observed that there was a significant increase in the scores of the health variables at admission and discharge (p < 0.001). CONCLUSIONS The results of the data analysis show that six groups present a similar pattern of evolution of the health variables. A correlation was found between the time of stay in the unit with the scores obtained in the health variables, the physical functioning, comfort status and the presence of symptoms being particularly significant.
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Affiliation(s)
- Sara Herrero Jaén
- Mejorada del Campo Health Centre, Community of Madrid Health Service (SERMAS), 28840 Madrid, Spain
- Research Group MISKC, Department of Computer Science, University of Alcala, Polytechnic Building, University Campus, Barcelona Road Km. 33.6, 28805 Alcalá de Henares, Spain; (A.G.A.); (M.F.B.); (B.G.d.D.); (A.S.O.); (R.B.P.); (M.L.J.R.); (J.M.S.G.)
| | - Alexandra González Aguña
- Research Group MISKC, Department of Computer Science, University of Alcala, Polytechnic Building, University Campus, Barcelona Road Km. 33.6, 28805 Alcalá de Henares, Spain; (A.G.A.); (M.F.B.); (B.G.d.D.); (A.S.O.); (R.B.P.); (M.L.J.R.); (J.M.S.G.)
- Santa Cristina University Hospital, Community of Madrid Health Service (SERMAS), 28009 Madrid, Spain
| | - Marta Fernández Batalla
- Research Group MISKC, Department of Computer Science, University of Alcala, Polytechnic Building, University Campus, Barcelona Road Km. 33.6, 28805 Alcalá de Henares, Spain; (A.G.A.); (M.F.B.); (B.G.d.D.); (A.S.O.); (R.B.P.); (M.L.J.R.); (J.M.S.G.)
| | - Blanca Gonzalo de Diego
- Research Group MISKC, Department of Computer Science, University of Alcala, Polytechnic Building, University Campus, Barcelona Road Km. 33.6, 28805 Alcalá de Henares, Spain; (A.G.A.); (M.F.B.); (B.G.d.D.); (A.S.O.); (R.B.P.); (M.L.J.R.); (J.M.S.G.)
- Meco Health Centre, Community of Madrid Health Service (SERMAS), 28880 Madrid, Spain
| | - Andrea Sierra Ortega
- Research Group MISKC, Department of Computer Science, University of Alcala, Polytechnic Building, University Campus, Barcelona Road Km. 33.6, 28805 Alcalá de Henares, Spain; (A.G.A.); (M.F.B.); (B.G.d.D.); (A.S.O.); (R.B.P.); (M.L.J.R.); (J.M.S.G.)
- Meco Health Centre, Community of Madrid Health Service (SERMAS), 28880 Madrid, Spain
| | | | - Roberto Barchino Plata
- Research Group MISKC, Department of Computer Science, University of Alcala, Polytechnic Building, University Campus, Barcelona Road Km. 33.6, 28805 Alcalá de Henares, Spain; (A.G.A.); (M.F.B.); (B.G.d.D.); (A.S.O.); (R.B.P.); (M.L.J.R.); (J.M.S.G.)
- Computer Science Department, University of Alcala, 28805 Madrid, Spain
| | - María Lourdes Jiménez Rodríguez
- Research Group MISKC, Department of Computer Science, University of Alcala, Polytechnic Building, University Campus, Barcelona Road Km. 33.6, 28805 Alcalá de Henares, Spain; (A.G.A.); (M.F.B.); (B.G.d.D.); (A.S.O.); (R.B.P.); (M.L.J.R.); (J.M.S.G.)
- Computer Science Department, University of Alcala, 28805 Madrid, Spain
| | - José María Santamaría García
- Research Group MISKC, Department of Computer Science, University of Alcala, Polytechnic Building, University Campus, Barcelona Road Km. 33.6, 28805 Alcalá de Henares, Spain; (A.G.A.); (M.F.B.); (B.G.d.D.); (A.S.O.); (R.B.P.); (M.L.J.R.); (J.M.S.G.)
- Meco Health Centre, Community of Madrid Health Service (SERMAS), 28880 Madrid, Spain
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Gao L, Chen W, Qin S, Yang X. The impact of preoperative interview and prospective nursing on perioperative psychological stress and postoperative complications in patients undergoing TACE intervention for hepatocellular carcinoma. Medicine (Baltimore) 2024; 103:e35929. [PMID: 38215108 PMCID: PMC10783411 DOI: 10.1097/md.0000000000035929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 10/12/2023] [Indexed: 01/14/2024] Open
Abstract
TACE has become one of the main methods for the treatment of liver cancer. The study aimed to investigate the effects of preoperative interview and prospective nursing in patients with hepatic carcinoma undergoing transcatheter chemoembolization (TACE). Eighty-six patients with hepatocellular carcinoma who underwent TACE intervention treatment at our hospital between 2020 and 2023 were selected and randomly assigned to 2 groups using computerized randomization. The control group (n = 43) received routine nursing care, while the study group (n = 43) received preoperative interviews in combination with prospective nursing during the procedure. The patients' heart rate, mean arterial pressure, and blood pressure variations were recorded, along with their mood changes after intervention. The postoperative pain and satisfaction levels were compared between the 2 groups of patients, and the incidence of postoperative complications was observed. The heart rate, systolic blood pressure, and diastolic blood pressure of the 2 groups of patients were compared 1 day before the operation (P > .05). Compared to 1 day before the operation, there was no significant change for the study group at 10 minutes after entering the room. However, the control group showed an increase. Both groups showed an increase in heart rate, systolic blood pressure, and diastolic blood pressure after the operation, with the study group having lower values than the control group (P < .05). The levels of tension, fatigue, anxiety, energy, anger, depression, self-esteem, and POMS index were compared between the 2 groups before intervention (P > .05). After intervention, there were significant differences between the 2 groups(P < .05). Immediately after the operation, the NRS scores of the 2 groups of patients were compared (P > .05). Compared to the control group, the study group showed a decrease in NRS scores at 12, 24, and 48 hours after the operation (P < .05). The nursing satisfaction rate of the study group patients was 97.67% (42/43), which was higher than the nursing satisfaction rate of the control group of 76.74% (33/43) (P < .05). Compared to routine nursing, preoperative visits and prospective nursing interventions can effectively alleviate patients' psychological stress reactions, relieve pain, reduce the incidence of complications, and improve patients' satisfaction with nursing care.
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Affiliation(s)
- Leilei Gao
- Department of Radiology, Xingtai People’s Hospital, Interventional Catheter Room, Xingtai, Hebei, People’s Republic of China
| | - Wei Chen
- Department of Radiology, Xingtai People’s Hospital, Interventional Catheter Room, Xingtai, Hebei, People’s Republic of China
| | - Shuaixin Qin
- Department of Neurosurgery, Xingtai People’s Hospital, Xingtai, Hebei, People’s Republic of China
| | - Xi Yang
- Department of Radiology, Xingtai People’s Hospital, Interventional Catheter Room, Xingtai, Hebei, People’s Republic of China
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Pulkkinen M, Jousela I, Sintonen H, Engblom J, Salanterä S, Junttila K. A randomized clinical trial of a new perioperative practice model on anxiety and health-related quality of life in arthroplasty patients. Nurs Open 2021; 8:1593-1605. [PMID: 33576579 PMCID: PMC8186686 DOI: 10.1002/nop2.776] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2020] [Revised: 01/11/2021] [Accepted: 01/15/2021] [Indexed: 11/23/2022] Open
Abstract
Aims To explore the effectiveness of a new perioperative practice model on anxiety and health‐related quality of life in patients undergoing total hip arthroplasty and total knee arthroplasty under spinal anaesthesia. Design A randomized clinical trial. Methods Control group participants (N = 222) received standard perioperative care, meaning they were cared for by various nurses during their perioperative process without postoperative visits. Intervention group participants (N = 231) were assigned one named anaesthesia nurse during their entire perioperative process who visited them postoperatively. Both groups responded to two self‐reported questionnaires: the generic 15D health‐related quality of life instrument and the State‐Trait Anxiety Inventory (STAI) measuring anxiety two to three weeks pre‐operatively and three months postoperatively. Results There were no statistically significant differences between the groups at baseline or at follow‐up in health‐related quality of life or anxiety.
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Affiliation(s)
- Maria Pulkkinen
- Helsinki University HospitalHelsinki UniversityHelsinkiFinland
- Department of Nursing ScienceUniversity of TurkuTurkuFinland
| | - Irma Jousela
- Helsinki University HospitalHelsinki UniversityHelsinkiFinland
- University of Eastern FinlandKuopioFinland
| | - Harri Sintonen
- Department of Public HealthUniversity of HelsinkiHelsinkiFinland
| | - Janne Engblom
- Department of Mathematics and StatisticsUniversity of TurkuTurkuFinland
- School of EconomicsUniversity of TurkuTurkuFinland
| | - Sanna Salanterä
- Department of Nursing ScienceUniversity of TurkuTurkuFinland
- Turku University HospitalTurkuFinland
| | - Kristiina Junttila
- Helsinki University HospitalHelsinki UniversityHelsinkiFinland
- Department of Nursing ScienceUniversity of TurkuTurkuFinland
- Nursing Research CenterHelsinki University HospitalHelsinkiFinland
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