膝関節整形手術を受けた高齢患者の機能状態に対するうつ病の影響

Tomas Ignacio Nicolino¹, Maximiliano Smietniansky², Bruno Boietti³

¹Division of Knee, Department of Orthopaedics, Hospital Italiano de Buenos Aires, Buenos Aires 1109, Argentina.

World journal of methodology

|September 3, 2025

まとめ

鬱病は,高齢のラテンアメリカ人の膝関節整形手術 (TKA) の1年後の機能的結果に影響を与えなかった. 鬱病の術前スクリーニングと治療は他の健康面を改善するかもしれません

科学分野:

整形外科
高齢者医療
精神科

背景:

膝関節整形手術 (TKA) を受けた患者の22~26%に抑うつ症状が起こります.
TKA後の機能状態に対するうつ病の影響は議論されている.
この研究は,ラテンアメリカの人口における関連を扱っています.

研究の目的:

TKAの1年後の老人のうつ病と機能状態の関連を調査する.
うつ病がTKA後の機能改善の低下と関連しているかどうかを判断する.
ラテンアメリカのコホートで最初の分析を提供するために.

主な方法:

TKAを患った65歳以上の患者100人を対象とした遡及コホート研究.
うつ病はYesavageのスコアとPatient Health Questionnaire-9を用いてスクリーニングされた.
手術後1年後の膝の社会スコア (KSS) による機能能力の評価

主要な成果:

患者の22%がうつ病に陽性だった.
鬱病の患者は認知障害と弱さを示した.
鬱病と非鬱病のグループでは,手術後の機能的KSSや改善の有意な差は認められなかった.
線形回帰では,うつ病とKSSの変化との関連は示されなかった.

結論:

骨格関節炎患者のうつ病は,TKAを禁忌にすべきではありません.
鬱病の診断と治療は痛みを和らげます
うつ病の治療は妄想や認知障害や弱さのリスクを軽減します

キーワード:

うつ病高齢者機能的地位膝関節炎膝関節整形手術

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