Total Diz Artroplastisi Yapılan Hastaların Taburculuk Öncesi Ağrı, Fonksiyonel Durum, Anksiyete ve Depresyon Düzeylerinin İncelenmesi

Öz

Amaç: Çalışmamızın amacı; total diz artroplastisi yapılan postoperatif erken dönemdeki hastaların; taburculuk öncesi ağrı, fonksiyonel durum, anksiyete-depresyon düzeylerini incelemekti. Materyal ve Metot: Retrospektif çalışmamıza 60-85 yaş aralığındaki 58 hasta katıldı. Hastaların takip dosyalarından; fiziksel özelliklerine, ağrı şiddetlerine, fonksiyonel durumlarına ve anksiyete-depresyon düzeylerine ilişkin verileri kullanıldı. Bulgular: Olguların cinsiyetlerine göre ölçüm skorları karşılaştırıldığında ağrı ve fiziksel fonksiyon parametrelerinde istatistiksel olarak anlamlı fark bulunmadı (p:0.49; p:0,20). Hastane anksiyete ve depresyon düzeyleri karşılaştırıldığında, kadınların erkeklere göre daha yüksek skor aldığı saptandı (p:0,00). Olguların ağrı şiddetleriyle diz skoru arasında anlamlı ilişki bulunmazken; anksiyete-depresyon düzeyleriyle arasında pozitif yönlü-orta düzeyde ilişki olduğu görüldü (r1:0,520, r2:0,514; p<0,01). Diz skoruyla anksiyete-depresyon düzeyleri arasındaysa negatif yönlü-orta düzeyde bir ilişki olduğu bulundu (r1:-0,469, r2: -0,482; p<0,01). Sonuç: Çalışmamızın sonuçları, olguların fiziksel ve psikolojik durumlarının ilişkili olduğunu gösterdi. Hastaların taburculuk öncesi postoperatif erken dönemde, her iki parametrenin de göz önünde bulundurularak değerlendirilmesi; hastaların taburculuk sonrası takiplerinde etkin rol oynayarak başarılı bir hastalık yönetim süreci sağlayacaktır.

Anahtar Kelimeler

• Disfonksiyon
• diz protezi
• osteoartrit

Investigation of Pain, Function, Anxiety, and Depression Levels in Patients with Total Knee Arthroplasty Before Discharge

Öz

Objective: We aimed to investigate the pain, function, and anxiety-depression levels in patients who had undergone total knee arthroplasty (TKA) in the early postoperative period. Materials and Methods: Fifty-eight patients between the ages of 60-85 with TKA were included. From the follow-up files of the patients, data on physical characteristics, pain intensity, function, and anxiety-depression levels were used. Results: When the measurement scores were compared according to gender, no statistically significant difference was found in pain (p:0.49) and physical function (p:0.20). When anxiety-depression levels were compared, it was found that females got higher scores than males (p:0.00). While there was no significant relationship between the pain and knee scores; it was found that there was a moderate positive correlation between pain and anxiety-depression levels (r1:0.520, r2:0.514; p<0.01). There was a statistically significant moderate negative correlation between knee scores and anxiety-depression levels (r1:-0.469, r2:-0.482; p<0.01). Conclusions: This study showed that the physical and psychological states are interrelated. Evaluation in the postoperative period by considering both parameters; will provide a successful disease management process by playing an active role in the follow-up of patients.

Anahtar Kelimeler

• Dysfunction
• knee prosthesis
• osteoarthritis

Kaynakça

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