Articles Vol. 66 No. CĐ11-NCKH 22/08/2025

11. QUALITY OF LIFE IN PATIENTS AFTER UNDERGOING TOTAL KNEE ARTHROPLASTY AT VIET DUC HOSPITAL 2025

Nguyen Thi Huong1,2, Le Manh Son1,2, Nguyen Cong Khan3,4
1 Viet Duc University Hospital
2 Bệnh viện Hữu nghị Việt Đức
3 Thang Long University
4 Trường Đại học Thăng Long
Corresponding author: huongnguyen109.hn@gmail.com
DOI: 10.52163/yhc.v66iCD11.2803
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Abstract

Objective: This study aimed to describe and analyze the factors associated with health-related quality of life among patients six months after undergoing total knee arthroplasty at Viet Duc University Hospital in 2025.

Subject and methods: A descriptive cross-sectional study was conducted on a sample of 108 patients who had undergone total knee arthroplasty. The WHOQOL-BREF instrument was utilized to assess. Relevant sociodemographic and clinical factors were also collected to examine their association with health-related quality of life.

Results: The mean health-related quality of life score of patients after total knee arthroplasty was 60.62 ± 4.25. Among the domains, the highest health-related quality of life score was observed in the social relationships domain (65.97 ± 2.31), followed by the environment domain (63.19 ± 6.06), the physical health domain (57.97 ± 8.38), and the lowest was the psychological domain (55.36 ± 5.35). Factors including age, education level, comorbidities, anxiety, depression, pain, joint stiffness, and difficulty in performing daily activities were found to be significantly associated with the health-related quality of life of patients six months after total knee arthroplasty.

Conclusion: Total knee arthroplasty can improve the health-related quality of life of patients with osteoarthritis. Information on factors-especially those that are significantly associated with health-related quality of life after surgery-can be considered to guide treatment based on individual patient characteristics. A better understanding of health-related quality of life and its associated factors can provide valuable insights into the effectiveness of interventions and lead to improved patient care.

References
[1]
Hùng N.V. Bệnh học Nội khoa, tập 2. Nhà xuất bản Y học, 2020. Google Scholar
[2]
Trần N.A, Nguyễn T.N.L. Phác đồ chẩn đoán và điều trị các bệnh cơ xương khớp thường gặp. Nhà xuất bản Giáo dục Việt Nam, 2005. Google Scholar
[3]
Ngô Q.H và cộng sự. Đánh giá kết quả thay khớp gối toàn phần điều trị thoái hóa khớp gối tại Bệnh viện Quân y 175. Tạp chí Y Dược thực hành 175, 2023, 28 (9). Google Scholar
[4]
Askari A et al. Predictors of health-related quality of life after total knee arthroplasty: a case-control study. Scientific Reports, 2024, 14 (1): p. 14176. Google Scholar
[5]
Chang J et al. Patient-Reported Quality of Life Before and After Total Knee Arthroplasty: A Multicenter Observational Study. Patient Prefer Adherence, 2022, 16: p. 737-748. Google Scholar
[6]
Casper D.S et al. Unicompartmental Knee Arthroplasty Provides Significantly Greater Improvement in Function than Total Knee Arthroplasty Despite Equivalent Satisfaction for Isolated Medial Compartment Osteoarthritis. J Arthroplasty, 2019, 34 (8): p. 1611-1616. Google Scholar
[7]
Hannan A et al. Prevalence of Post-Surgical Pain and Quality of Life After Total Knee Replacement: Post-Surgical Pain and Quality of Life After Total Knee Replacement. Pakistan Journal of Health Sciences, 2024, 5 (10): p. 136-141. Google Scholar
[8]
Leem S.H et al. Quality of life of persons after total knee replacement surgery. Physical Therapy Rehabilitation Science, 2019, 8: p. 170-174. Google Scholar
[9]
Ingleshwar A et al. Psychosocial Determinants of Total Knee Arthroplasty Outcomes 2 Years After Surgery. In arthritis and rheumatism, 2013. Wiley-blackwell 111 River st, Hoboken 07030-5774, NJ USA. Google Scholar
[10]
Kornilov N et al. Higher physical activity and lower pain levels before surgery predict non-improvement of knee pain 1 year after TKA, 2018, 26: p. 1698-1708. Google Scholar
[11]
Al Thaher Y et al. Health-Related Quality of Life and Outcome after Total Knee Replacement: Results from a Cross-Sectional Survey in Jordan. Adv Orthop, 2021: p. 5506809. Google Scholar
[12]
Bakshi A et al. Health Related Quality of Life in Osteoarthritis Patients with Total Knee Replacement: A Longitudinal Cohort Study. Journal of Clinical and Diagnostic Research, 2021. Google Scholar
[13]
Woo B.J et al, Improvements in functional outcome and quality of life are not sustainable for patients ≥ 68 years old 10 years after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2021, 29 (10): p. 3330-3336. Google Scholar
[14]
Shetty S et al. Factors determinant of quality of life after total knee arthroplasty in knee osteoarthritis: A systematic review. Journal of Bodywork and Movement Therapies, 2024, 40: p. 1588-1604. Google Scholar
[15]
Desmeules F et al. Determinants of pain, functional limitations and health-related quality of life six months after total knee arthroplasty: results from a prospective cohort study, 2013, 5: p. 1-11. Google Scholar
[16]
Snell D.L et al. Associations between comorbidity and quality of life outcomes after total joint replacement. Qual Life Res, 2021. 30 (1): p. 137-144. Google Scholar
[17]
Siviero P et al. Quality of life outcomes in patients undergoing knee replacement surgery: longitudinal findings from the QPro-Gin study. BMC Musculoskelet Disord, 2020, 21 (1): p. 436. Google Scholar
[18]
Zhou Y.Y et al. Education level has an effect on the recovery of total knee arthroplasty: a retrospective study. BMC Musculoskelet Disord, 2022, 23 (1): p. 1072. Google Scholar
[19]
Bindawas S.M. Total knee arthroplasty status and patient-reported, knee-related quality of life over a 4-year follow-up period: data from the osteoarthritis initiative. Patient Prefer Adherence, 2018, 12: p. 477-482. Google Scholar
[20]
Charles Lozoya S et al. Obesity, depression and factors associated to the quality of life in total knee arthroplasty. Cir Cir, 2020, 88 (2): p. 143-149. Google Scholar
[21]
Jiménez Ortiz M et al. Do preoperative anxiety and depression influence the outcome of knee arthroplasty? Reumatol Clin (Engl Ed), 2020, 16 (3): p. 216-221. Google Scholar
[22]
Hiyama Y.T et al. Wada, Association between disease-specific anxiety at discharge and functional outcome in patients after total knee arthroplasty. Knee, 2019, 26 (2): p. 477-483. Google Scholar
[23]
Heijbel S et al. Patient-Reported Anxiety or Depression Increased the Risk of Dissatisfaction Despite Improvement in Pain or Function Following Total Knee Arthroplasty: A Swedish Register-Based Observational Study of 8,745 Patients. The Journal of Arthroplasty, 2024, 39 (11): p. 2708-2713. Google Scholar
[24]
Seagrave K.G et al. Association between pre-operative anxiety and/or depression and outcomes following total hip or knee arthroplasty, 2021, 29 (1): p. 2309499021992605. Google Scholar
[25]
Sunadi A et al. Kurniawati, Factors Correlated with the Quality of Life after Total Knee Arthroplasties: A Literature Review. Malays Orthop J, 2024, 18 (1): p. 1-10. Google Scholar
[26]
da Silva R.R et al. Quality of life after total knee arthroplasty: systematic review. Rev Bras Ortop, 2014, 49 (5): p. 520-7. Google Scholar
[27]
Brandes M et al. Changes in physical activity and health-related quality of life during the first year after total knee arthroplasty. Arthritis Care Res (Hoboken), 2011, 63 (3): p. 328-34. Google Scholar