100 -5 (79) 2025 - Rizaev Zh.A., Tilyakov Kh.A. - EARLY REHABILITATION AND ILLNESS ACCEPTANCE AS DETERMINANTS OF QUALITY OF LIFE AFTER HIP JOINT ARTHROPLASTY

EARLY REHABILITATION AND ILLNESS ACCEPTANCE AS DETERMINANTS OF QUALITY OF LIFE AFTER HIP JOINT ARTHROPLASTY

Rizaev Zh.A. - Samarkand State Medical University

Tilyakov Kh.A. - Scientific Research Institute of Rehabilitology and Sports Medicine at Samarkand State Medical University

Tilyakov A.B. - Tashkent Pediatric Medical Institute

Juraev I.G. - Samarkand State Medical University

Resume

Objective: The study aimed to assess the impact of early rehabilitation and disease acceptance level on the quality of life in patients undergoing total hip arthroplasty (THA). Materials and Methods: This prospective study included 128 patients treated at a specialized orthopedic and traumatology department. The main indications for surgery were osteoarthritis of the hip (77.34%) and femoral neck fracture (22.66%). Inclusion criteria involved patients over 18 years old, COVID-19 negative status, ability to provide informed consent, and general medical stability. Patients with severe comorbidities, psychiatric disorders, or BMI > 40 kg/m² were excluded. Most patients received uncemented Excia prostheses (69.53%). Functional and psychological outcomes were evaluated using the Barthel Index (BI), Harris Hip Score (HHS), Visual Analog Scale (VAS), Acceptance of Illness Scale (AIS), and WHOQOL-BREF. Assessments were conducted preoperatively, on postoperative day 12, and six weeks after surgery. Results: Significant improvements were observed in all functional and psychometric scales across the three time points. Pain levels (VAS) decreased notably, while joint function (HHS), independence (BI), and illness acceptance (AIS) improved progressively. The most substantial gains were reported in the physical domain of the WHOQOL-BREF at six weeks post-op. Correlation analysis revealed strong statistical relationships between pain reduction and quality of life scores, as well as between disease acceptance and subjective health perceptions. Conclusion: Early postoperative rehabilitation and a high level of disease acceptance positively influence recovery of function and overall quality of life following hip replacement surgery. The findings underscore the value of a multidisciplinary approach that integrates physical and emotional support throughout the rehabilitation process

Keywords: hip joint arthroplasty, rehabilitation, quality of life, Harris Hip Score, visual analogue scale for pain (VAS), Acceptance of Illness Scale (AIS), WHOQOL-BREF, illness acceptance, functional activity, postoperative period

First page

501

Last page

511

For citation:Rizaev Zh.A., Tilyakov Kh.A., Tilyakov A.B., Juraev I.G. - EARLY REHABILITATION AND ILLNESS ACCEPTANCE AS DETERMINANTS OF QUALITY OF LIFE AFTER HIP JOINT ARTHROPLASTY//New Day in Medicine 5(79)2025 501-511 https://newdayworldmedicine.com/en/new_day_medicine/5-79-2025

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