AUTHOR=Zhang Zhen , Xing Qiqi , Zhong Da , Pan Yixiao , He Tailai , Hu Yihe , Wang Long 

TITLE=The Impact of Psychological Health on Patient Recovery After Arthroplasty

JOURNAL=Frontiers in Psychiatry

VOLUME=13

YEAR=2022

URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.817716

DOI=10.3389/fpsyt.2022.817716

ISSN=1664-0640

ABSTRACT=<sec><title>Purpose</title><p>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).</p></sec><sec><title>Methods</title><p>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.</p></sec><sec><title>Results</title><p>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 <italic>p</italic> &lt; 0.001). Compared with the symptomatic group, the asymptomatic group showed better postoperative recovery (<italic>p &lt;</italic> 0.05), especially after total knee arthroplasty (TKA) (<italic>p &lt;</italic> 0.05). Good postoperative recovery positively impacted the patients’ postoperative psychological state.</p></sec><sec><title>Conclusion</title><p>Finally, the psychological state can affect recovery after TJA, and successful TJA can help improve patients’ psychological states, especially after TKA.</p></sec>