在全膝关节整形术后,焦虑和抑郁是否有变化?
Krishna R Tripuraneni1, Mike B Anderson2, Jason M Cholewa2
1New Mexico Orthopaedic Associates, Albuquerque, New Mexico.
The Journal of arthroplasty
|February 12, 2024
概括
在全膝关节整形术 (TKA) 后,焦虑和抑郁明显减少. 患者对日常活动的准备和手术前心理状态是影响这些手术后积极心理健康结果的关键因素.
科学领域:
- 整形外科 整形外科 整形外科
- 心理学 心理学 心理学
- 健康 结果 研究 研究 结果
背景情况:
- 心理健康,特别是焦虑和抑郁症,可能会受到重大外科手术的影响.
- 了解全膝关节整形术 (TKA) 后心理健康的变化对于全面的患者护理至关重要.
研究的目的:
- 为了确定TKA后焦虑和抑郁水平是否发生变化.
- 确定与TKA后焦虑和抑郁症变化相关的术前因素.
主要方法:
- 一项前性多中心队列研究,涉及1852名接受TKA的参与者.
- 患者在术前和术后1个月和3个月完成了EuroQol5维5级 (EQ-5D-5L) 问卷.
- 后勤回归分析被用来评估焦虑和抑郁症变化的预测因素.
主要成果:
- 从手术前 (62.2%) 到手术后3个月 (77.1%) 观察到没有报告焦虑或抑郁情绪的患者显著增加.
- 没有准备恢复日常活动或体育娱乐的患者表现出明显更高的焦虑和抑郁症恶化率.
- 手术前的焦虑/抑郁,EQ-5D-5L得分,以及对日常生活的准备是改善心理结果的重要预测因素.
结论:
- 膝关节整形术与焦虑和抑郁症的显著减少有关.
- 手术后的心理健康与手术前的心理健康状况以及患者恢复日常活动的准备程度密切相关.
- 医疗保健提供者应专注于术前心理评估和管理患者对恢复活动的期望,以优化心理健康结果.
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