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  4. Empowering knowledge and its connection to health-related quality of life: A cross-cultural study: A concise and informative title: Empowering knowledge and its connection to health-related quality of life
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Empowering knowledge and its connection to health-related quality of life: A cross-cultural study: A concise and informative title: Empowering knowledge and its connection to health-related quality of life

Journal
Applied Nursing Research
Date Issued
February 2016
Author(s)
Koekenbier, Krista  
Leino-Kilpi, Helena  
Cabrera, Esther  
Istomina, Natalia  
Stark, Åsa Johansson  
Katajisto, Jouko  
Lemonidou, Chryssoula  
Papastavrou, Evridiki  
Salanterä, Sanna  
Sigurdardottir, Arun  
Valkeapää, Kirsi  
Eloranta, Sini  
DOI
10.1016/j.apnr.2015.05.004
Abstract
Abstract
AIMS:
Assess the association between patient education (i.e. empowering knowledge) and preoperative health-related quality of life, 6months 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 6months 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.
Subjects

Cross-cultural

Empowering knowledge

Empowerment

Health-related qualit...

Osteoarthritis

Patient-centered educ...

Affiliation
University of Turku  
Hospital District of Southwest Finland  
School of Health Sciences de la Mercè  
Klaipeda University  
Linköping University  
University of Turku  
National and Kapodistrian University of Athens  
Cyprus University of Technology  
University of Akureyri  
Lahti University of Applied Sciences  
Handle
https://hdl.handle.net/20.500.14279/8510
Funding
This study was financially supported by the following: Finland—University of Turku; the Academy of Finland; the Finnish Association of Nursing Research; the Finnish Foundation of Nursing Education; EVO funds at the Intermunicipal Hospital District of Southwest Finland; Spain—Colegio Oficial de Enfermeria de Barcelona; Sweden—the Swedish Rheumatism Association and the County Council of Östergötland; and Iceland—the Landspitali University Hospital Research Fund; the Akureyri Hospital Science Fund; the University of Akureyri Science Fund; the KEA fund, Akureyri; the Icelandic Nurses' Association Science Fund.
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