Postoperative Psychological Distress in Patients with Total Knee Replacement at Tertiary Care Hospital: A Cross Sectional Survey
DOI:
https://doi.org/10.54536/ajpehs.v2i2.2857Keywords:
Anxiety, Depression, Knee Arthroplasty, Pain, Psychological Distress, Total Knee ReplacementAbstract
TKR One of the most popular and effective surgical procedures is total knee replacement (TKR), which significantly reduces pain and improves functional impairment in individuals with knee arthritis A number of psychological issues, such as depression, low self-efficacy, ineffective pain coping mechanisms, somatization, a lack of social support, and patient expectations occurs after a major surgery like TKR. This study aims to determine the level of psychological distress and pain threshold level among post-operative TKR patients. It was a cross sectional study with the sample size of 77. The subjects aged>40 years were enrolled, who had undergone the TKR procedure. After obtaining the informed consent form, the data was collected by filing the NPRS and HADS Performa from the enrolled subjects. Data was analysed via SPSS version 26. The subjects have the mean age of 55.55 with the standard deviation of 11.621. Pearson correlation test was applied to observe the correlation of time duration with NPRS and HADS which showed a negative correlation, interpreting that with the increase in time duration there is decrease in the scores of NPRS and HADS with the P-value of <0.05. There is a decrease in psychological distress with the increase in time duration in patients undergoing total knee replacement surgery. The current study reveals that with time, the level of pain and psychological distress, including anxiety and depression, as well as the pain threshold, decreases in the subjects who undergone through the TKR procedure.
Downloads
References
Ayers, D. C., Franklin, P. D., Trief, P. M., Ploutz-Snyder, R., & Freund, D. (2004). Psychological attributes of preoperative total joint replacement patients: implications for optimal physical outcome. The Journal of arthroplasty, 19(7), 125-130.
Balthasar, A. J., Willemen, J., Vossen, C., Boymans, T., & Lousberg, R. (2023). Time Effect on Acute Postoperative Pain After Total Knee Replacement Surgery: An Exploratory Study Using the Experience Sampling Method. The Clinical journal of pain, 10.1097.
Bistolfi, A., Bettoni, E., Aprato, A., Milani, P., Berchialla, P., Graziano, E., . . . Lee, G. C. (2017). The presence and influence of mild depressive symptoms on post-operative pain perception following primary total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy, 25, 2792-2800.
Choi, Y.-J., & Ra, H. J. (2016). Patient satisfaction after total knee arthroplasty. Knee surgery & related research, 28(1), 1.
Halawi, M. J., Chiu, D., Gronbeck, C., Savoy, L., Williams, V. J., & Cote, M. P. (2019). Psychological distress independently predicts prolonged hospitalization after primary total hip and knee arthroplasty. The Journal of arthroplasty, 34(8), 1598-1601.
Hanusch, B., O’connor, D., Ions, P., Scott, A., & Gregg, P. (2014). Effects of psychological distress and perceptions of illness on recovery from total knee replacement. The bone & joint journal, 96(2), 210-216.
Howells, N., Murray, J., Wylde, V., Dieppe, P., & Blom, A. (2016). Persistent pain after knee replacement: do factors associated with pain vary with degree of patient dissatisfaction? Osteoarthritis and cartilage, 24(12), 2061-2068.
Judge, A., Arden, N. K., Cooper, C., Kassim Javaid, M., Carr, A. J., Field, R. E., & Dieppe, P. A. (2012). Predictors of outcomes of total knee replacement surgery. Rheumatology, 51(10), 1804-1813.
Klement, M. R., Nickel, B. T., Penrose, C. T., Bala, A., Green, C. L., Wellman, S. S., . . . Seyler, T. M. (2016). Psychiatric disorders increase complication rate after primary total knee arthroplasty. The Knee, 23(5), 883-886.
Lenguerrand, E., Wylde, V., Gooberman-Hill, R., Sayers, A., Brunton, L., Beswick, A. D., . . . Blom, A. W. (2016). Trajectories of pain and function after primary hip and knee arthroplasty: the ADAPT cohort study. PloS one, 11(2), e0149306.
Lungu, E., Vendittoli, P., & Desmeules, F. (2016). Preoperative determinants of patient-reported pain and physical function levels following total knee arthroplasty: a systematic review. The open orthopaedics journal, 10, 213.
Patil, S. S., Kane, D., Dhamangaonkar, A., & Avhad, V. (2020). Retrospective analysis of pain relief in total knee replacement surgeries. Anesthesia, Essays and Researches, 14(4), 555.
Schindler, M., Schmitz, S., Reinhard, J., Jansen, P., Grifka, J., & Benditz, A. (2022). Pain course after total knee arthroplasty within a standardized pain management concept: a prospective observational study. Journal of Clinical Medicine, 11(23), 7204.
Sorel, J., Veltman, E., Honig, A., & Poolman, R. (2019). The influence of preoperative psychological distress on pain and function after total knee arthroplasty: a systematic review and meta-analysis. The bone & joint journal, 101(1), 7-14.
Tarakji, B. A., Wynkoop, A. T., Srivastava, A. K., O’Connor, E. G., & Atkinson, T. S. (2018). Improvement in depression and physical health following total joint arthroplasty. The Journal of arthroplasty, 33(8), 2423-2427.
Wylde, V., Dieppe, P., Hewlett, S., & Learmonth, I. (2007). Total knee replacement: is it really an effective procedure for all? The Knee, 14(6), 417-423.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Shehzad Sethi, Um e Habiba, Kainat Suleman, Hisham, Inderyas, Irfan Ullah
This work is licensed under a Creative Commons Attribution 4.0 International License.
