Benditz Achim, Jansen Petra, Schaible Jan, Roll Christina, Grifka Joachim, Götz Jürgen
Department of Orthopedics, University Medical Center Regensburg, Asklepios Klinikum Bad Abbach, Bad Abbach.
Department of Sport Science, University of Regensburg, Regensburg, Germany.
Ther Clin Risk Manag. 2017 Feb 21;13:237-244. doi: 10.2147/TCRM.S127868. eCollection 2017.
Recovery after total hip arthroplasty (THA) is influenced by several psychological aspects, such as depression, anxiety, resilience, and personality traits. We hypothesized that preoperative depression impedes early functional outcome after THA (primary outcome measure). Additional objectives were perioperative changes in the psychological status and their influence on perioperative outcome. This observational study analyzed depression, anxiety, resilience, and personality traits in 50 patients after primary unilateral THA. Hip functionality was measured by means of the Harris Hip Score. Depression, state anxiety, and resilience were evaluated preoperatively as well as 1 and 5 weeks postoperatively. Trait anxiety and personality traits were measured once preoperatively. Patients with low depression and anxiety levels had significantly better outcomes with respect to early hip functionality. Resilience and personality traits did not relate to hip functionality. Depression and state anxiety levels significantly decreased within the 5-week stay in the acute and rehabilitation clinic, whereas resilience remained at the same level. Our study suggests that low depression and anxiety levels are positively related to early functionality after THA. Therefore, perioperative measurements of these factors seem to be useful to provide the best support for patients with risk factors.
全髋关节置换术（THA）后的恢复受多种心理因素影响，如抑郁、焦虑、心理韧性和人格特质。我们假设术前抑郁会妨碍THA术后的早期功能结局（主要结局指标）。其他目标是心理状态的围手术期变化及其对围手术期结局的影响。这项观察性研究分析了50例初次单侧THA术后患者的抑郁、焦虑、心理韧性和人格特质。通过Harris髋关节评分评估髋关节功能。术前以及术后1周和5周评估抑郁、状态焦虑和心理韧性。特质焦虑和人格特质在术前测量一次。抑郁和焦虑水平低的患者在早期髋关节功能方面的结局明显更好。心理韧性和人格特质与髋关节功能无关。在急性和康复诊所住院的5周内，抑郁和状态焦虑水平显著下降，而心理韧性保持在同一水平。我们的研究表明，低抑郁和焦虑水平与THA术后的早期功能呈正相关。因此，对这些因素进行围手术期测量似乎有助于为有风险因素的患者提供最佳支持。
