Authors (including presenting author) :
CHAN HY(1), WONG YP(1), LEE MSC(1), CHAN TC(1), WONG SPV(1), LEE ML(1), CHAN PK(2), CHIU KY(3)
Affiliation :
(1) Occupational Therapy Department, Queen Mary Hospital
(2) Department of Orthopaedics and Traumatology, Queen Mary Hospital
(3) Department of Orthopaedics and Traumatology, The University of Hong Kong
Introduction :
Total joint replacement pathway has been established in Queen Mary Hospital (QMH) for many years. Occupational therapists (OT) play an important role in both the prehabilitation and rehabilitation phase. Intense activities of daily living (ADL) training has been provided during in-patient stay to facilitate early discharge and reintegration into the community.
Objectives :
This project aims to explore the change in the quality of life of patients following total joint replacement rehabilitation.
Methodology :
An observational study was conducted. All patients referred in the total joint replacement pathway from 1st April 2020 to 31st March 2021 at QMH in Hong Kong were recruited. EQ-5D-5L was used to measure the quality of life of patients. All patients completed the questionnaire before operation, at 1-month and 3-months post-operation. Repeated Measures ANOVA was used for analysis. Individual patient goals were also set before the operation.
Result & Outcome :
A total of 204 cases (131 females, 73 males) were recruited, mean age 69.29 ± 11.98 years (mean+SD). The mean post-operation length of stay (LOS) was 7.31 ± 8.67 (mean+SD). Mean scores of EQ-5D-5L index were 0.71, 0.75, 0.82 at pre-operation, at 1-month and at 3-months post-operation respectively, with statically significant difference (p< 0.005).
At 3-month follow-up, 38.7% (79) of patients fully achieved their goals, 32.3% (66) partially achieved their goals and 28.9% (59) did not achieve the goals.
Improvement was shown in patient’s quality of life after total joint replacement and over 70% of patients either partially or fully achieved their goals.
