Biopsychosocial complexity in patients scheduled for elective TKA surgery: A feasibility pilot study with the INTERMED self-assessment questionnaire

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2024-03-11 DOI:10.1016/j.ijotn.2024.101094

M.L. van der Linde , D.C. Baas , T.H. van der Goot , A.M.J.S. Vervest , C. Latour

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引用次数: 0

Abstract

Objective

Primary aim; to determine the feasibility of implementation of the INTERMED Self-Assessment (IM-SA) in adult patients scheduled for total knee arthroplasty (TKA). Secondary aim; to measure biopsychosocial complexity, referral to psychiatry or psychology in cases of complexity and to gain insight into the relation between biopsychosocial complexity and length of stay (LOS), method of discharge (MOD) and polypharmacy.

Methods

A feasibility study was conducted with 76 participants in a general hospital in the Netherlands. Feasibility was determined by the number of completed questionnaires, time spent completing the questionnaire and the attitude of staff and patients towards the IM-SA.

A cut off point ≥19 on the IM-SA was used to determine the prevalence of biopsychosocial complexity. A case file study was performed to check if referral to psychiatry or psychology had taken place.

The Spearman's Rank Correlation Coefficient or Phi was used to determine if there was a relation between biopsychosocial complexity and LOS, MOD and polypharmacy.

Results

All participants completed the IM-SA. The average time spent completing the questionnaire was 11.46 min (SD 5.74). The attitude towards the IM-SA was positive.

The prevalence of biopsychosocial complexity was 11.84%. Referral to psychiatry or psychology did not take place.

There was no relation between complexity and LOS (Spearman's rho (r) = 0.079, p = 0.499, MOD (Phi = 0.169, p = 0.173) and polypharmacy (Phi = 0.007, p = 0.953).

Conclusion

Biopsychosocial complexity can be identified in TKA patients during the pre-operative phase by using the IM-SA. Implementation of the IM-SA in a Dutch general hospital is feasible.

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计划进行择期 TKA 手术的患者的生物心理社会复杂性：使用 INTERMED 自我评估问卷的可行性试点研究

目的主要目的：确定在计划接受全膝关节置换术（TKA）的成年患者中实施 INTERMED 自我评估（IM-SA）的可行性。次要目的：测量生物心理社会复杂性、复杂病例的精神病学或心理学转诊情况，并深入了解生物心理社会复杂性与住院时间（LOS）、出院方式（MOD）和多药治疗之间的关系。方法：在荷兰一家综合医院对 76 名参与者进行了可行性研究。可行性根据完成问卷的数量、完成问卷所花费的时间以及员工和患者对 IM-SA 的态度来确定。IM-SA 临界点≥19 用于确定生物心理社会复杂性的流行程度。使用斯皮尔曼等级相关系数（Spearman's Rank Correlation Coefficient）或Phi值来确定生物心理社会复杂性与住院时间（LOS）、住院日（MOD）和多药治疗（polypharmacy）之间是否存在关系。完成问卷所花费的平均时间为 11.46 分钟（标准差为 5.74）。参与者对 IM-SA 的态度是积极的。复杂性与 LOS（Spearman's rho (r) = 0.079，p = 0.499）、MOD（Phi = 0.169，p = 0.173）和多药（Phi = 0.007，p = 0.953）之间没有关系。在荷兰综合医院实施 IM-SA 是可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Orthopaedic and Trauma Nursing NURSING-

CiteScore

2.60

自引率

14.30%

发文量