Pain, Physical Activity, and Quality of Life among Older Adults with Knee and Hip Conditions: A Comparative Study

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Nanthikarn Saengthon
Suparb Aree-Ue
Phichpraorn Youngcharoen
Viroj Kawinwonggowit


The aim of this prospective study was to compare pain, physical activity, and quality of life among older adults undergoing hip and knee surgery between pre- and post-surgery. The ninety-five older adults (aged sixty years old and over) with hip fracture or hip-knee conditions scheduled for surgery and admitted at the general orthopaedic, private orthopaedic, intermediate orthopaedic, traumatic, and Somdej Pra Thep wards, a tertiary care hospital in Bangkok, were invited to participate in this study. The older adults who met inclusion criteria were recruited in this study. The participants were asked to sign an informed consent before they were interviewed by using the Numeric Rating Scale, the Modified Barthel Activities of Daily Index, and the Osteoarthritis of Knee Hip Quality of Life Questionnaire. Data were collected at the admission before surgery, before discharge to home, and the 6-week postoperative follow-up at the outpatient orthopaedic department. Descriptive statistic and inferential statistical analysis (paired t-test) were performed to analyze the data. A p-value of .05 was set for a statistically significant level.

            The results of this study show that there is a statically significant improvement of pain 6 weeks after surgery compared to before discharge (p-value = 0.03). This improvement was also observed in the quality of life 6 weeks after surgery compared to before surgery (p-value = 0.02). For the physical activity, the difference between 6 weeks before and after surgery was not statistically significant (p-value = 0.86)

            This study concluded that the findings from this study are beneficial for the healthcare team to understand the changes in pain and quality of life among older adults undergoing knee and hip surgery, and shed light on how to initiate any interventions to promote postoperative physical activity among this population. A long term monitoring change, more than 6-week follow-up, in pain, physical activity, and quality of life is also recommended.




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Saengthon N, Aree-Ue S, Youngcharoen P, Kawinwonggowit V. Pain, Physical Activity, and Quality of Life among Older Adults with Knee and Hip Conditions: A Comparative Study. Rama Nurs J [Internet]. 2019Apr.22 [cited 2020Jun.7];25(1):74-6. Available from:
Author Biographies

Suparb Aree-Ue, Ramathibodi School Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Corresponding Author, Associate professor, Gerontological Nursing, Ramathibodi School Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Phichpraorn Youngcharoen, Ramathibodi School Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Lecturer, Gerontological Nursing, Ramathibodi School Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Viroj Kawinwonggowit, Orthopedic Surgery, Department of Orthopedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Professor, Orthopedic Surgery, Department of Orthopedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University


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