title: Anxiety and health-related quality of life of patients undergoing total hip arthroplasty for osteoarthritis.
abstract: OBJECTIVE
  Osteoarthritis in a hip not only causes pain and decreases physical function, which are the most common reasons for total hip arthroplasty, but also causes anxiety and reduces patients' health-related quality of life (HRQoL). The objective of this study was to evaluate patients' anxiety and its possible relationship with HRQoL before and after surgery.
  
  
  METHODS
  In this longitudinal follow-up study, the State Trait Anxiety Inventory was used to measure patients' (n = 100) level of anxiety before surgery and at 1 month, 3 months and 6 months post-operatively. The Sickness Impact Profile was used to measure patients' total HRQoL before surgery and post-operatively at 3 and 6 months.
  
  
  RESULTS
  Before surgery, patients' trait and state anxiety were moderate. Patients' pre-operative trait anxiety impaired HRQoL both before and after surgery. After surgery, state anxiety remained at a moderate level, although a few minor peaks were observed, but no relationship between state anxiety and HRQoL was found.
  
  
  CONCLUSIONS
  Patients' needs and characteristics should be carefully assessed when planning post-operative care and support. Nurses should be aware of factors that may relate to anxiety and also consider different methods of supporting patients' recovery.
authors: Department of Nursing Science, University of Turku, 20014, Finland. liisa.montin@utu.fi
authors: Liisa
authors: L
authors: Montin
authors: Helena
authors: H
authors: Leino-Kilpi
authors: Jouko
authors: J
authors: Katajisto
authors: Jyri
authors: J
authors: Lepistö
authors: Jyrki
authors: J
authors: Kettunen
authors: Tarja
authors: T
authors: Suominen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005387:Finland; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery*; D011788:Quality of Life