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. 2022 Jun 30:13:817716.
doi: 10.3389/fpsyt.2022.817716. eCollection 2022.

The Impact of Psychological Health on Patient Recovery After Arthroplasty

Zhen Zhang  1   2 , Qiqi Xing  1   2 , Da Zhong  1   2 , Yixiao Pan  1   2 , Tailai He  1   2 , Yihe Hu  2   3 , Long Wang  1   2   4   5
Affiliations

The Impact of Psychological Health on Patient Recovery After Arthroplasty

Zhen Zhang et al. Front Psychiatry. .

Abstract

Purpose: The purpose of this study was to determine the relationship between psychological health and postoperative recovery and satisfaction in patients undergoing total joint arthroplasty (TJA).

Methods: We prospectively enrolled patients undergoing TJA from July 2019 to December 2020. A psychological evaluation was conducted according to the Hospital Anxiety and Depression Scale (HADS). Based on the preoperative HADS scores, we grouped the patients into two groups: the symptomatic group and the asymptomatic group. Data on the Harris Hip Score (HHS), Knee Society Knee Scoring System (KSS), Forgotten Joint Score-12 (FJS-12), Short Form-12 (SF-12), and Numeric Rating Scale (NRS) for pain in these two groups were collected preoperatively and postoperatively. Then, these data were analyzed by Statistical Package for Social Sciences (SPSS) version 19.

Results: The final cohort consisted of 80 patients. Patients undergoing TJA had significantly decreased HADS and NRS scores and improved HHS, KSS, SF-12, and FJS-12 scores (all p < 0.001). Compared with the symptomatic group, the asymptomatic group showed better postoperative recovery (p < 0.05), especially after total knee arthroplasty (TKA) (p < 0.05). Good postoperative recovery positively impacted the patients' postoperative psychological state.

Conclusion: Finally, the psychological state can affect recovery after TJA, and successful TJA can help improve patients' psychological states, especially after TKA.

Keywords: hospital anxiety and depression scale; postoperative recovery; postoperative satisfaction; psychological health; total joint arthroplasty.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Flowchart for the study design.
FIGURE 2
FIGURE 2
Changes in HADS scores before and six months after surgery. ****p < 0.001.
FIGURE 3
FIGURE 3
Evaluation index results before and after surgery.
FIGURE 4
FIGURE 4
Postoperative satisfaction of patients: A(+): patients with anxiety; D(+): patients with depression; A(–): patients without anxiety; D(–): patients without depression. **p < 0.01, ****p < 0.001.
FIGURE 5
FIGURE 5
Influencing factors of the SOC-13 score.
See this image and copyright information in PMC

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References

    1. Bachmann M, Bolliger L, Ilchmann T, Clauss M. Long-term survival and radiological results of the Duracon total knee arthroplasty. Int Orthop. (2014) 38:747–52. 10.1007/s00264-013-2154-4 - DOI - PMC - PubMed
    1. Jonsson H, Olafsdottir S, Sigurdardottir S, Aspelund T, Eiriksdottir G, Sigurdsson S, et al. Incidence and prevalence of total joint replacements due to osteoarthritis in the elderly: risk factors and factors associated with late life prevalence in the AGES-Reykjavik Study. BMC Musculoskelet Disord. (2016) 17:14. 10.1186/s12891-016-0864-7 - DOI - PMC - PubMed
    1. Shan L, Shan B, Graham D, Saxena A. Total hip replacement: a systematic review and meta-analysis on mid-term quality of life. Osteoarthritis Cartilage. (2014) 22:389–406. 10.1016/j.joca.2013.12.006 - DOI - PubMed
    1. Anakwe RE, Jenkins PJ, Moran M. Predicting dissatisfaction after total hip arthroplasty: a study of 850 patients. J Arthroplasty. (2011) 26:209–13. 10.1016/j.arth.2010.03.013 - DOI - PubMed
    1. Clement ND, MacDonald D, Burnett R. Primary total knee replacement in patients with mental disability improves their mental health and knee function: a prospective study. Bone Joint J. (2013) 95-B:360–6. 10.1302/0301-620X.95B3.29563 - DOI - PubMed

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