The Impact of Psychological Health on Patient Recovery After Arthroplasty

Zhen Zhang; Qiqi Xing; Da Zhong; Yixiao Pan; Tailai He; Yihe Hu; Long Wang

doi:10.3389/fpsyt.2022.817716

The Impact of Psychological Health on Patient Recovery After Arthroplasty

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

Authors

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

¹ Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, China.
² Hunan Engineering Research Center of Biomedical Metal and Ceramic Implants, Xiangya Hospital, Central South University, Changsha, China.
³ Department of Orthopedics, First Afliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
⁴ Hunan Key Laboratory of Aging Biology, Xiangya Hospital, Central South University, Changsha, China.
⁵ National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.

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.