Krista Koekenbier1, Helena Leino-Kilpi2, Esther Cabrera3, Natalia Istomina4, Åsa Johansson Stark5, Jouko Katajisto6, Chryssoula Lemonidou7, Evridiki Papastavrou8, Sanna Salanterä2, Arun Sigurdardottir9, Kirsi Valkeapää10, Sini Eloranta11. 1. Department of Nursing science, University of Turku, FI-20014 Turun yliopisto, Finland. 2. Department of Nursing science, University of Turku, FI-20014 Turun yliopisto, Finland; Hospital district of Southwest Finland, 20521 Turku, Finland. 3. Tecnocampus Mataro, School of Health Sciences de la Mercè, 10-12, Barcelona. 4. Department of Nursing, Klaipeda University, Lt-92294, Klaipėda, Lithuania. 5. Department of Social and Welfare studies, Faculty of Health sciences, Linköping University, Campus Norrköping, Medicinska fakulteten, 581 83 Linköping, Sweden. 6. Department of Mathematics and Statistics, University of Turku, FI-20014, Turun yliopisto, Finland. 7. Faculty of Nursing, University of Athens, Greece. 8. Cyprus University of Technology, P.O. Box 50329, 3603, Limassol, Cyprus. 9. School of Health sciences, University of Akureyri Akureyi, Norðurslóð, Akureyri, Iceland. 10. Department of Nursing science, University of Turku, FI-20014 Turun yliopisto, Finland; Lahti University of Applied Sciences, FI-15101, Lahti, Finland. 11. Department of Nursing science, University of Turku, FI-20014 Turun yliopisto, Finland; Hospital district of Southwest Finland, 20521 Turku, Finland. Electronic address: sinelo@utu.fi.
Abstract
AIMS: Assess the association between patient education (i.e. empowering knowledge) and preoperative health-related quality of life, 6 months postoperative health-related quality of life, and the increase in health-related quality of life in osteoarthritis patients who underwent total hip or total knee arthroplasty. METHOD: This is a cross-cultural comparative follow-up study using structured instruments to measure the difference between expected and received patient education and self-reported health-related quality of life (EQ-5D) in Finland, Greece, Iceland, Spain and Sweden. RESULTS: The health-related quality of life was significantly increased 6 months postoperatively in all countries due to the arthroplasties. In the total sample, higher levels of empowering knowledge were associated with a higher health-related quality of life, both pre- and postoperatively, but not with a higher increase in health-related quality of life. On the national level, postoperative health-related quality of life was associated with higher levels of empowering knowledge in Finland, Iceland and Sweden. The increase in health-related quality of life was associated with levels of empowering knowledge for Greece. CONCLUSIONS: Overall, it can be concluded that the level of empowering knowledge was associated with high postoperative health-related quality of life in the total sample, even though there is some variation in the results per country.
AIMS: Assess the association between patient education (i.e. empowering knowledge) and preoperative health-related quality of life, 6 months postoperative health-related quality of life, and the increase in health-related quality of life in osteoarthritispatients who underwent total hip or total knee arthroplasty. METHOD: This is a cross-cultural comparative follow-up study using structured instruments to measure the difference between expected and received patient education and self-reported health-related quality of life (EQ-5D) in Finland, Greece, Iceland, Spain and Sweden. RESULTS: The health-related quality of life was significantly increased 6 months postoperatively in all countries due to the arthroplasties. In the total sample, higher levels of empowering knowledge were associated with a higher health-related quality of life, both pre- and postoperatively, but not with a higher increase in health-related quality of life. On the national level, postoperative health-related quality of life was associated with higher levels of empowering knowledge in Finland, Iceland and Sweden. The increase in health-related quality of life was associated with levels of empowering knowledge for Greece. CONCLUSIONS: Overall, it can be concluded that the level of empowering knowledge was associated with high postoperative health-related quality of life in the total sample, even though there is some variation in the results per country.