Thực trạng và một số yếu tố liên quan đến chất lượng cuộc sống của người bệnh sau phẫu thuật thay khớp háng tại Bệnh viện E năm 2025

Abstract Objesctives: Describe the current situation and evaluate some factors related to the quality of life of patients after total hip replacement surgery at E Hospital in 2024 - 2025. Subjects and methods: A cross-sectional descriptive study was conducted on 108 patients who underwent hip replacement surgery at E Hospital from October 2024 to April 2025. Results:. The average quality of life (QoL) score of patients after hip replacement surgery was 69.3 ± 24.5 points, with physical and mental health scores being 64.7 ± 26.7 and 73.9 ± 32.2 points, respectively, indicating a suboptimal level. Female patients had twice the risk of decreased QoL compared to male patients after surgery (OR 1.9; 95% CI: 0.6 - 6.0; p < 0.05). Patients with a history of stroke had twice the risk of reduced QoL compared to those without a stroke history (OR 1.9; 95% CI: 1.5 - 7.4; p < 0.05). Individuals with a normal physical condition were less affected in terms of QoL compared to the other two groups (p < 0.05). Patients undergoing total hip replacement had a threefold increased risk of decreased QoL compared to those with partial hip replacement (OR 3.1; 95% CI: 0.9 - 6.1; p < 0.05). Patients with a disease duration of more than 6 months had a fivefold higher risk of reduced QoL compared to those with ≤ 6 months (OR 15.1; 95% CI: 1.3 - 6.8; p < 0.05). Regarding secondary complications: patients with pneumonia had a twelvefold higher risk of decreased QoL (OR 12.5; 95% CI: 1.5 - 40.8; p < 0.05), those with urinary tract infections had a fifteenfold higher risk (OR 15.5; 95% CI: 1.7 - 50.3; p < 0.05), and those with pressure ulcers had a sevenfold higher risk compared to patients without complications (OR 7.4; 95% CI: 2.5 - 30.8; p < 0.05). Conclusion: The mean quality of life score among patients after hip replacement surgery was 69.3 ± 24.5 points. Female patients had a twofold higher risk of reduced QoL compared to males. Patients with a history of stroke experienced a twofold greater reduction in QoL than those without such history. Total hip replacement was associated with a threefold greater decrease in QoL compared to partial hip replacement. A disease duration of more than six months was linked to a fivefold reduction compared to durations of six months or less. Additionally, the presence of secondary complications was significantly associated with poorer QoL outcomes: a twelvefold decrease with pneumonia, a fifteenfold decrease with urinary tract infections, and a sevenfold decrease with pressure ulcers, compared to patients without such complications Keywords: Quality of life, patients, hip replacement surgery.