Siripongpan Areerat, Sindhupakorn Bura
School of Psychiatric, Institute of Medicine, Suranaree University of Technology, Nakon Ratchasima, Thailand.
School of Orthopedics, Institute of Medicine, Suranaree University of Technology, Nakon Ratchasima, Thailand.
Health Psychol Res. 2022 May 30;10(3):35466. doi: 10.52965/001c.35466. eCollection 2022.
Osteoarthritis Knee (OA) is the leading cause of pain and disability. This may affect the patient's quality of life (QoL) and lead to the onset of mental disorders. The aim of this study was 1) To find the correlation between the severity of OA, depression, and QoL. 2) To compare the severity of OA knee and QoL between urban and rural areas. 199 patients were diagnosed with OA. All patients had self-assessment with questionnaires in terms of 1) demographic data, 2) the knee severity by using Oxford Knee Score, 3) Depression screening by using Patient Health Questionnaire, and 4) World Health Organization Quality of Life Brief-Thai. The results revealed that OA knee patients had excellent (no abnormal symptoms) and good (mild symptoms) levels of severity were 34.2% and 32.2%, respectively. They also had a good level of QoL. The correlation between residential area and other variables were age group (p < 0.01), severity of osteoarthritis (p < 0.01), and depression (p < 0.05). The severity of OA knee and QoL in the mental health aspect was a significant difference in patients in each age group. (p < 0.01 and p < 0.05, respectively). Depression and QoL were not correlated. The conclusion was patients had less severity of osteoarthritis, good QoL, and no anxiety or depression. Residential areas had no impact on QoL but healthcare providers should explain the treatment plan. The next study should focus on the long term of the patient's QoL.
膝骨关节炎（OA）是疼痛和残疾的主要原因。这可能会影响患者的生活质量（QoL）并导致精神障碍的发生。本研究的目的是：1）找出OA严重程度、抑郁和生活质量之间的相关性。2）比较城乡地区膝骨关节炎的严重程度和生活质量。199名患者被诊断为OA。所有患者均通过问卷进行自我评估，内容包括：1）人口统计学数据；2）使用牛津膝关节评分评估膝关节严重程度；3）使用患者健康问卷进行抑郁筛查；4）世界卫生组织生活质量简表（泰国版）。结果显示，膝骨关节炎患者中，病情为优秀（无异常症状）和良好（轻度症状）的比例分别为34.2%和32.2%。他们的生活质量水平也较好。居住地区与其他变量之间的相关性体现在年龄组（p < 0.01）、骨关节炎严重程度（p < 0.01）和抑郁（p < 0.05）方面。各年龄组患者在膝骨关节炎严重程度和心理健康方面的生活质量存在显著差异（分别为p < 0.01和p < 0.05）。抑郁与生活质量无关。结论是患者骨关节炎严重程度较低，生活质量良好，且无焦虑或抑郁。居住地区对生活质量没有影响，但医疗服务提供者应解释治疗方案。后续研究应关注患者生活质量的长期情况。
