Cao Jing-Jing, Yin Chuan-Lei, Li Xiao-Mei, Sha Xiao-Juan, Li Liang, Sun Cheng-Yong, Zhang Li-Li
Department of Trauma Orthopedics, Dongying People's Hospital, Dongying 257091, Shandong Province, China.
Department of Orthopedics, Dongying District People's Hospital, Dongying 257400, Shandong Province, China.
World J Psychiatry. 2025 Aug 19;15(8):103302. doi: 10.5498/wjp.v15.i8.103302.
Total hip arthroplasty (THA) is an increasingly common treatment for older patients with hip osteoarthritis. Psychological stress is common before THA, although its clinical effects on selected parameters such as joint function, quality of life, and postoperative complications remain unclear.
To investigate the effects of preoperative psychological stress on selected parameters in older patients who underwent THA.
Ninety older patients who underwent THA between January 2023 and August 2024 were divided into two groups by their preoperative self-rated anxiety scale and self-rated depression scale scores, including high-stress ( = 42) and low-stress ( = 48). The postoperative joint function, short form-36 health survey (SF-36) score, incidence of postoperative complications, and other indicators were compared between the two groups. Pearson's correlation coefficient analysis of the relationship among preoperative psychological stress, quality of life, and postoperative complications was performed.
Postoperative joint function and quality of life were lower in the high-stress group than they were in the low-stress group ( < 0.05). The incidence of postoperative complications was higher in the high-stress group (29.27%) than it was in the low-stress group (9.30%) ( < 0.05). Correlation analysis revealed that psychological stress was correlated with the Harris hip and SF-36 scores. Total scores on the scale, including physical function, physical pain, general health, mental health, social function, vitality, and emotional function, were negatively correlated ( < 0.05).
Preoperative psychological stress results in adverse effects on quality of life and complications in older patients undergoing THA. Therefore, pre-operative psychological interventions should be strengthened to improve post-operative outcomes.
全髋关节置换术（THA）是治疗老年髋骨关节炎患者越来越常用的方法。THA术前心理压力很常见，但其对关节功能、生活质量和术后并发症等特定参数的临床影响仍不清楚。
探讨术前心理压力对接受THA的老年患者特定参数的影响。
将2023年1月至2024年8月期间接受THA的90例老年患者根据术前自评焦虑量表和自评抑郁量表评分分为两组，包括高压力组（n = 42）和低压力组（n = 48）。比较两组术后关节功能、简明健康状况调查（SF-36）评分、术后并发症发生率等指标。对术前心理压力、生活质量和术后并发症之间的关系进行Pearson相关系数分析。
高压力组术后关节功能和生活质量低于低压力组（P < 0.05）。高压力组术后并发症发生率（29.27%）高于低压力组（9.30%）（P < 0.05）。相关分析显示，心理压力与Harris髋关节评分和SF-36评分相关。量表总分，包括身体功能、身体疼痛、总体健康、心理健康、社会功能、活力和情感功能，呈负相关（P < 0.05）。
术前心理压力对接受THA的老年患者的生活质量和并发症产生不利影响。因此，应加强术前心理干预以改善术后结局。
