在接受关节整形手术的老年患者中,焦虑和抑郁状态:与术后疼痛和风险因素的相关性
Zheng Li1, Jing Liu1, Wen Lei2
1Department of Orthopedics, Changde Hospital, Xiangya School of Medicine, Central South University, The First People's Hospital of Changde City, Changde 415000, Hunan Province, China.
World journal of psychiatry
|September 11, 2025
概括
在全关节整形术 (THA) 后,焦虑和抑郁是常见的,并且与术后疼痛增加有关. 早期查和有针对性的干预对于接受THA的老年患者至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 心理医学 心理医学
背景情况:
- 焦虑,抑郁和疼痛在关节疾病患者中很普遍,影响恢复.
- 这些心理因素经常在接受关节整形手术 (THA) 的老年人中观察到.
研究的目的:
- 为了确定老年THA患者焦虑和抑郁的患病率.
- 为了检查心理困扰和术后疼痛之间的关联.
- 识别导致THA后焦虑和抑郁的危险因素.
主要方法:
- 接受THA治疗的111名老年患者被使用Zung自我评价焦虑量表 (SAS),Zung自我评价抑郁量表 (SDS) 和数值评价量表 (NRS) 进行评估.
- 用皮尔森相关性和后勤回归分析来探索关系并确定预测因素.
主要成果:
- 观察到中度焦虑 (SAS: 44.23),轻度抑郁 (SDS: 46.98) 和中度疼痛 (NRS: 4.93),这些症状都很常见.
- 焦虑和抑郁显著与更高的术后疼痛相关.
- 独立预测因素包括女性性别,疾病持续时间≥2年,酒精使用,NRS得分≥5.
结论:
- 焦虑和抑郁症与老年THA患者的术后疼痛密切相关.
- 建议早期进行心理查和多式联络疼痛管理.
- 突出了针对性干预的特定患者群体 (女性,长期的疾病持续时间,酒精使用,高疼痛得分).
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