ORIGINAL PAPER
Factors affecting the maintenance of occupational activity over a 2–3-year period after total hip replacement
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1
Uniwersytet Rzeszowski / University of Rzeszow, Rzeszów, Poland (Wydział Medyczny, Instytut Fizjoterapii / Medical Department, Institute of Physiotherapy)
2
Szpital Specjalistyczny im. Świętej Rodziny / The Holy Family Specialistic Hospital, Rudna Mała, Poland
3
Centrum Rehabilitacji REHAMED-CENTER / Rehabilitation Center REHAMED-CENTER, Tajęcina, Poland
Online publication date: 2018-01-04
Corresponding author
Agnieszka Bejer
Uniwersytet Rzeszowski, Wydział Medyczny, Instytut Fizjoterapii, ul. Warszawska 26A, 35-205 Rzeszów
Med Pr Work Health Saf. 2018;69(2):191-8
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ABSTRACT
Background: The purpose of this paper was to assess the occupational activity in patients after hip replacement over a 2–3-year
post operational period and to analyze the effect of selected factors (age, gender, body mass index (BMI), functional state and
self-assessed health status) on this activity. Material and Methods: In the research 107 people (56 women and 51 men) participated.
The average age of the subject’s was 55.1 years. A standardized author’s survey questionnaire, including questions about
personal and clinical data, occupational activity and self-assessment of health status, was applied. The body mass and height were
measured and the BMI index was calculated. The 100 points Harris Hip Score (HHS) was used to assess the functional state in
the respondents. Results: After the operation about 60% of the patients were not occupationally active; 44 (41.1%) respondents
received the state health benefit, 18 (16.8%) respondents were eligible for pension benefit, and 2 (1.9%) respondents were unemployed
with benefit. No one unemployed before the operation undertook work afterwards. Neither gender nor the character of
the job or BMI exerted statistically significant effect on the occupational activity after the operation. Significant differences were
noted in undertaking the occupational activity after the operation in patients with different level of functional efficiency assessed
with the use of HHS (p = 0.0350) and different level of self-assessed health statuse (p = 0.0057). Conclusions: More than half of the
respondents have not returned to work after total hip replacement, while people doing intellectual work most frequently returned
to occupation after surgery. Age, functional efficiency, and self-assessed health status of the patient had a significant influence on
their return to work. Med Pr 2018;69(2):191–198