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Chronic Illness, Vol. 3, No. 3, 219-227 (2007)
DOI: 10.1177/1742395307084405

Anxiety and health-related quality of life of patients undergoing total hip arthroplasty for osteoarthritis

Liisa Montin

Department of Nursing Science, University of Turku, 20014, Finland, liisa.montin{at}utu.fi

Helena Leino-Kilpi

Department of Nursing Science, University of Turku, 20014, Finland, Turku University Hospital, Turku, 20521, Finland

Jouko Katajisto

Department of Statistics, University of Turku, Turku, 20014, Finland

Jyri Lepistö

ORTON Orthopaedic Hospital, Invalid Foundation, Tenholantie 10, 00280, Helsinki, Finland

Jyrki Kettunen

ORTON Research Institute, Invalid Foundation, Tenholantie 10, 00280, Helsinki, Finland

Tarja Suominen

Department of Nursing Science, University of Turku, 20014, Finland, Department of Nursing Science, University of Kuopio, Kuopio, 70211, Finland

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.

Discussion: 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.

Key Words: Anxiety • Health-related quality of life • Osteoarthritis • Total hip arthroplasty


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