Table 1 Health Survey Summary Form SF-36 Department of Orthopaedic Surgery, Qilu Hospital, Shandong University Name: Hospitalization No.: Clinical Diagnosis: Operation: No. 1 Record Time: Year Month Day 1.Overall, your health condition is: ①very good ②very good ③good ④fair ⑤poor 2.Compared with one year ago, you think your health condition is: ①better than one year ago ②better than one year ago ③about the same as one year ago ④worse than one year ago ⑤ much worse than a year ago (weight or score 1, 2, 3, 4 and 5 in order) Health and daily activities 3.The following questions are related to daily activities. Please think about whether your health condition limits these activities. If there are limitations, to what extent? (1) Heavy physical activities. Such as running and lifting weights, participating in strenuous sports, etc.: ① very restricted ② somewhat restricted ③ no restriction at all (weight or score in order of 1, 2, 3; same below) (2) moderate activities. Such as moving a table, sweeping the floor, playing tai chi, doing simple gymnastics, etc.: ① very restrictive ② somewhat restrictive ③ no restriction (3) Hand-carried daily necessities. Such as grocery shopping, shopping, etc.: ① great restrictions ② some restrictions ③ no restrictions (4) up several flights of stairs: ① great restrictions ② some restrictions ③ no restrictions (5) up a flight of stairs: ① great restrictions ② some restrictions ③ no restrictions (6) bending, kneeling, squatting: ① great restrictions ② some restrictions ③ no restrictions (7) walking a distance of more than 1500 meters: ① great restrictions ② some restrictions ③ no restrictions ( (8) Walking 1000 meters: ① great restrictions ② some restrictions ③ no restrictions (9) Walking 100 meters: ① great restrictions ② some restrictions ③ no restrictions (10) Bathing and dressing yourself: ① great restrictions ② some restrictions ③ no restrictions 4. In the past 4 weeks, have you had any of the following problems with your work and daily activities because of your health? (1) Reduced time for work or other activities: ①Yes ②No (weight or score 1, 2; same below) (2) Only part of what I wanted to do could be completed: ①Yes ②No (3) Restrictions on the kind of work or activities I wanted to do: ①Yes ②No (4) Increased difficulties in completing work or other activities (e.g., extra effort required): ①Yes ②No (5) In the past 4 weeks, did your work and daily activities Have you had any of the following problems with your work and daily activities in the past 4 weeks due to emotional reasons (such as depression or apprehension)? (1) Reduced time for work or activities: ①Yes ②No (weight or score is 1, 2; same below) (2) Could only finish part of what I wanted to do: ①Yes ②No (3) Did not do things as carefully as usual: ①Yes ②No 6. In the past 4 weeks, to what extent did your poor health or mood affect your normal social interactions with family, friends, neighbors or the community? ① No influence at all ② A little influence ③ Moderate influence ④ Great influence ⑤ Very great influence (weight or score in order of 5, 4, 3, 2, 1) 7.Did you have physical pain in the past 4 weeks? ① No pain at all ② A little pain ③ Moderate pain ④ Severe pain ⑤ Very severe pain (weight or score in order of 6, 5.4, 4.2, 3.1, 2.2, 1) 8.Did your body pain affect your work and housework in the past 4 weeks? ① No effect at all ② A little effect ③ Moderate effect ④ Great effect ⑤ Very great effect (If 7 without 8 without, the weight or score is 6, 4.75, 3.5, 2.25, 1.0 in order; if 7 with 8 without, it is 5, 4, 3, 2, 1) How do you feel 9.The following questions are about your own feelings in the past 1 month, for each of the things mentioned in the questions, what is your situation? What kind of situation? (where 1,4,5,8 are weighted or scored as 6,5,4,3,2,1 in order. The rest 2,3,6,7,9,10 are weighted or scored as 1,2,3,4,5,6 in order.) (1) You feel full of life: ① all the time ② most of the time ③ more time ④ some of the time ⑤ little of the time ⑥ no such feeling (2) You are a sensitive person: ① all the time ②Most of the time ③More of the time ④Some of the time ⑤Small of the time ⑥No such feeling (3) You are in a very bad mood and nothing can cheer you up: ①All of the time ②Most of the time ③More of the time ④Some of the time ⑤Small of the time ⑥No such feeling (4) You are mentally calm: ①All of the time ②Most of the time ③More of the time ④Some of the time ⑤Small of the time ⑥No such feeling (5) You are full of energy: ①All the time ②Most of the time ③More of the time ④Part of the time ⑤Small of the time ⑥No such feeling (6) You are depressed: ①All the time ②Most of the time ③More of the time ④Part of the time ⑤Small of the time ⑥No such feeling (7) You feel exhausted: ①All the time ②Most of the time ③More of the time (8) You are a happy person: ① all the time ② most of the time ③ more time ④ some of the time ⑤ some of the time ⑥ no such feeling (9) You feel bored: ① all the time ② most of the time ③ more time ④ some of the time ⑤ some of the time ⑥ no such feeling (weighting or scoring in order of 1, 2, 3, 4, 5, 6) (weight or score in order of 1, 2, 3, 4, 5, 6) 10.Unhealthy affects your social activities (such as visiting friends and relatives): ①All the time ②Most of the time ③More of the time ④Part of the time ⑤Smaller part of the time ⑥No such feeling Overall health 11.Please see each of the following questions, which answer best fits your situation? (1) I seem to get sick more easily than others: ① Absolutely true ② Mostly true ③ Not sure ④ Mostly wrong ⑤ Absolutely wrong` (weight or score in order of 1, 2, 3, 4, 5) (2) I am as healthy as others around me: ① Absolutely true ② Mostly true ③ Not sure ④ Mostly wrong ⑤ Absolutely wrong (weight or score in order of 5, 4, 3, 2, 1) (3) I think my (3) I think my health is getting worse: ① absolutely correct ② mostly correct ③ not sure ④ mostly wrong ⑤ absolutely wrong (weight or score in order of 1, 2, 3, 4, 5) (4) My health is very good: ① absolutely correct ② mostly correct ③ not sure ④ mostly wrong ⑤ absolutely wrong (weight or score in order of 5, 4, 3, 2, 1)