Mental Health and Total Knee Arthroplasty

S. G. Connell
{"title":"Mental Health and Total Knee Arthroplasty","authors":"S. G. Connell","doi":"10.2106/jbjs.jopa.21.00028","DOIUrl":null,"url":null,"abstract":"Background: Patients undergoing total knee arthroplasty (TKA) tend to do very well; however, there is still a percentage of the population who will remain dissatisfied despite a successful surgery. Orthopaedic surgeons do not currently recommend mental health evaluations or support as standard of care when discussing TKA. The objective was to determine the role of orthopaedic surgeons and mental health referrals or recommendations. Methods: A quantitative retrospective study was performed on TKA patients in 2019 by 2 high-volume joint surgeons. A survey was sent through e-mail asking demographic questions and questions specific to coping skills and feelings of pain, fear, anger, or anxiety, which is referred to as mental health in this study. The response rate was 41% with n = 110 participants. Descriptive statistics was used to show the data trends. Results: Most of the people reported that seeing a counselor or therapist would not have been helpful with TKA recovery, with many feeling that they did not need support in this area. Women reported more difficulty with coping skills and were more responsive to seeing a counselor or therapist if recommended by their surgeon. Eighty-three percent of the 60- to 79-year-olds felt that orthopaedic surgeons should make referrals or provide resources for mental health support. Conclusion: The results show that more evidence is needed to determine the role of which orthopaedic surgeons play when it comes to mental health recommendations and referrals.","PeriodicalId":93583,"journal":{"name":"Journal of orthopedics for physician assistants","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of orthopedics for physician assistants","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2106/jbjs.jopa.21.00028","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Patients undergoing total knee arthroplasty (TKA) tend to do very well; however, there is still a percentage of the population who will remain dissatisfied despite a successful surgery. Orthopaedic surgeons do not currently recommend mental health evaluations or support as standard of care when discussing TKA. The objective was to determine the role of orthopaedic surgeons and mental health referrals or recommendations. Methods: A quantitative retrospective study was performed on TKA patients in 2019 by 2 high-volume joint surgeons. A survey was sent through e-mail asking demographic questions and questions specific to coping skills and feelings of pain, fear, anger, or anxiety, which is referred to as mental health in this study. The response rate was 41% with n = 110 participants. Descriptive statistics was used to show the data trends. Results: Most of the people reported that seeing a counselor or therapist would not have been helpful with TKA recovery, with many feeling that they did not need support in this area. Women reported more difficulty with coping skills and were more responsive to seeing a counselor or therapist if recommended by their surgeon. Eighty-three percent of the 60- to 79-year-olds felt that orthopaedic surgeons should make referrals or provide resources for mental health support. Conclusion: The results show that more evidence is needed to determine the role of which orthopaedic surgeons play when it comes to mental health recommendations and referrals.
心理健康与全膝关节置换术
背景:接受全膝关节置换术(TKA)的患者往往表现很好;然而,尽管手术成功,仍有一定比例的人仍然不满意。在讨论TKA时,骨科医生目前不推荐心理健康评估或支持作为标准护理。目的是确定骨科医生和心理健康转诊或建议的作用。方法:对2019年2名大容量关节外科医生对TKA患者进行定量回顾性研究。通过电子邮件发送了一份调查问卷,询问人口统计学问题,以及关于应对技能和痛苦、恐惧、愤怒或焦虑的感受的具体问题,这些问题在本研究中被称为心理健康。应答率为41%,n = 110名参与者。使用描述性统计来显示数据趋势。结果:大多数人报告说,咨询师或治疗师对TKA的恢复没有帮助,许多人觉得他们不需要在这方面的支持。据报道,女性在应对技能方面更困难,如果外科医生推荐,她们更愿意去看咨询师或治疗师。在60岁至79岁的人中,83%的人认为骨科医生应该转诊或提供心理健康支持资源。结论:研究结果表明,需要更多的证据来确定骨科医生在心理健康建议和转诊中所起的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信