ABSTRACT
This study aimed to determine whether psychological factors affect health-related quality of life (HRQL) and recovery of knee function in total knee replacement (TKR) patients. A total of 119 TKR patients (male: 38; female: 81) completed the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), State Trait Anxiety Inventory (STAI), Eysenck Personality Questionnaire-revised (EPQR-S), Knee Society Score (KSS), and HRQL (SF-36). At 1 and 6 months after surgery, anxiety, depression, and KSS scores in TKR patients were significantly better compared with those preoperatively (P<0.05). SF-36 scores at the sixth month after surgery were significantly improved compared with preoperative scores (P<0.001). Preoperative Physical Component Summary Scale (PCS) and Mental Component Summary Scale (MCS) scores were negatively associated with extraversion (E score) (B=-0.986 and -0.967, respectively, both P<0.05). Postoperative PCS and State Anxiety Inventory (SAI) scores were negatively associated with neuroticism (N score; B=-0.137 and -0.991, respectively, both P<0.05). Postoperative MCS, SAI, Trait Anxiety Inventory (TAI), and BAI scores were also negatively associated with the N score (B=-0.367, -0.107, -0.281, and -0.851, respectively, all P<0.05). The KSS function score at the sixth month after surgery was negatively associated with TAI and N scores (B=-0.315 and -0.532, respectively, both P<0.05), but positively associated with the E score (B=0.215, P<0.05). The postoperative KSS joint score was positively associated with postoperative PCS (B=0.356, P<0.05). In conclusion, for TKR patients, the scores used for evaluating recovery of knee function and HRQL after 6 months are inversely associated with the presence of negative emotions.
Subject(s)
Aged , Female , Humans , Male , Middle Aged , Anxiety/psychology , Arthroplasty, Replacement, Knee/psychology , Depression/psychology , Emotions/physiology , Quality of Life/psychology , Recovery of Function/physiology , Anxiety Disorders/psychology , Extraversion, Psychological , Health Status , Mental Status Schedule , Multivariate Analysis , Patient Outcome Assessment , Personality Inventory , Postoperative Period , Surveys and QuestionnairesABSTRACT
But : Evaluer les resultats a mi-parcours de l'osocardiomyotomie de Heller par voie transthoracique avec la mise en place du systeme anti-reflux par un lambeau diaphragmatique pour le megaoesophage idiopathique. Patients et methodes : Il s'agissait d'une etude prospective ayant concerne 21 patients (14 femmes et 7 hommes) operes pour un megaoesophage idiopathique durant une periode de 3 ans. La voie d'abord a ete la voie transthoracique gauche pour tous nos patients. Un systeme anti-reflux avait ete realise en utilisant un lambeau diaphragmatique sur toute la longueur de la myotomie de l'oesophage thoracique. Resultats : L'age moyen etait de 32 ans (extremes : 16 et 68 ans). Les suites immediates etaient simples. Apres l'intervention nous avons assiste a une disparition complete de la dysphagie chez 21 patients (100 %) (p 0;001) et une reprise ponderale consequente. Les suites a court terme etaient marquees par la survenue d'un reflux gastro-osophagien clinique chez 1 patient (4.76 %) qui avait beneficie d'un systeme anti-reflux (p 0;05). Conclusion : L'osocardiomyotomie de Heller par voie transthoracique associee a la mise en place systematique d'un systeme anti-reflux par lambeau diaphragmatique donne de bons resultats