¿Influye la ansiedad y depresión preoperatorias en los resultados de la artroplastia de rodilla?

Ortiz, Manuel Jiménez; Ruiz, Alfonso Espinosa; Delgado, C. Martínez; Sánchez, Pablo Barrena; Valle, J

doi:10.1016/j.reuma.2018.06.008

Cited by 5 publications

(2 citation statements)

References 21 publications

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“…Conversely, Ortiz et al reported contrasting findings, suggesting that preoperative anxiety and depression assessed using the HADS had no impact on the functional outcomes of TKA. Interestingly, patients with higher levels of anxiety experienced greater pain relief than those with higher levels of depression [43]. However, the relationship between knee pain, anxiety, and depression is complex, and TKA can be a beneficial intervention for improving both conditions, as highlighted by Blackburn et al [44].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Neuropathic Pain after Total Knee Arthroplasty: Do Yellow Flags Matter?

Colovic,

Draschl,

Reinbacher

et al. 2023

JCM

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Up to 20% of total knee arthroplasty (TKA) patients continue to experience chronic postsurgical pain. Various factors have been identified as potential contributors, including so-called “yellow flags”, encompassing symptoms of depression, anxiety, and catastrophizing, which were examined in this study to assess their predictive value concerning functional outcomes after TKA. Methods: Fifty TKA patients were categorized into high-risk and low-risk groups based on clinical assessment, demographic data, medication, and patient-reported outcome measures (DN4, SF-36, WOMAC, NRS, Fibromyalgia Survey Questionnaire, Pain Catastrophizing Scale, and Hospital Anxiety and Depression Scale). Postoperative outcomes within six months after TKA were then compared. Results: Both groups exhibited significant (p < 0.001) improvements in all WOMAC and NRS subscales, as well as in the physical function, role physical, pain, and energy/fatigue subdomains of the SF-36 after six months, while the high-risk group showed lower WOMAC scores regarding stiffness (19.0 ± 18.3 vs. 27.2 ± 20.7, p < 0.001) and pain (13.5 ± 13.3 vs. 15.1 ± 16.3, p = 0.029). The high-risk group showed significantly worse preoperative DN4 scores (1.8 ± 1.3 vs. 3.0 ± 1.1, p = 0.002) than the low-risk group, which persisted for one day (2.3 ± 1.2 vs. 3.5 ± 1.5, p = 0.005) and six weeks (2.2 ± 1.9 vs. 3.6 ± 2.3, p = 0.041) postoperatively. Conclusions: Our results indicate that pre-existing yellow flags contribute to a more challenging early postoperative phase, underscoring the importance of considering individual patient characteristics and psychological factors to optimize TKA outcomes.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Neuropathic Pain after Total Knee Arthroplasty: Do Yellow Flags Matter?

Colovic,

Draschl,

Reinbacher

et al. 2023

JCM

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“…( 21 ) However, another study( 22 ) states that the conventional informative intervention used by nurses and the rest of the health staff does not diminish anxiety in patients. Jiménez et al .,( 23 ) found that patients with osteoarthritis of knees feel commonly anxious and that after surgery the level of anxiety drops, but that this change is also related with the degree of satisfaction with the procedure. Another aspect also related with reduced anxiety is that of maintaining empathic and collaborative communication with patients, through informative and persuasive intervention.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a nursing intervention to diminish preoperative anxiety in patients programmed for knee replacement surgery: Preventive controlled and randomized clinical trial

Garzón¹

2019

Invest Educ Enferm

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Objective. This work was conducted to determine the effectiveness of a nursing intervention, based on the motivational interview, to diminish preoperative anxiety in patients programmed for knee replacement surgery.Methods. Preventive type controlled and randomized clinical trial, on a sample of 56 patients programmed for knee replacement surgery in a clinic in Girardot (Colombia). Random assignment was made: an intervention group (n=28) and a control group (n=28). The six-question Amsterdam Preoperative Anxiety and Information Scale was applied before and after the intervention. The scale has a total score ranging from 5 to 30; the higher the score, the greater the preoperative anxiety. The nursing intervention was conducted in three sessions of motivational interview each lasting 40 min, during the six weeks prior to the surgical procedure; the control group received conventional management of education in the health institution.Results. The mean score of preoperative anxiety was equal in the pre-intervention evaluation in both groups (19.76 in the experimental versus 22.02 in the control =22.02; p<0.226), while during the post-intervention, the anxiety score was lower in the intervention group compared with the control group (15.56 and 20.30, respectively; p<0.013).Conclusion. Nursing intervention based on the motivational interview was effective in diminishing preoperative anxiety in patients programmed for knee replacement surgery.Descriptors: anxiety; arthroplasty, replacement, knee; control groups; motivational interview; orthopedics; perioperative nursing.How to cite this article: Cómo citar este artículo: Medina-Garzón M. Medina-Garzón M. Effectiveness of a Nursing Intervention to Diminish Preoperative Anxiety in Patients Programmed for Knee Replacement Surgery: Preventive Controlled and Randomized Clinical Trial. Invest. Educ. Enferm. 2019; 37(2):e07.ReferencesMeléndez C, Garza R, Castañeda H, González JF, Turrubiates J. Percepción del paciente quirúrgico acerca de la seguridad en el ámbito hospitalario. Rev. Cuid. 2015; 6(2):1054–61. Bori G, Gómez EL, Combalia A, Trilla A, Prat A, Bruguera M, et al. Clinical safety and professional liability claims in Orthopaedic Surgery and Traumatology. Rev. Esp. Cir. Ortop. Traumatol. 2016; 60(2):89–98. Wilson C, Mitchelson A, Tzeng T, El-Othmani M, Saleh J, Vasdev S, et al. Caring for the surgically anxious patient: a review of the interventions and a guide to optimizing surgical outcomes. Am. J. Surg. 2016; 212(1):151–9. Díez E, Arrospide A, Mar J, Alvarez U, Belaustegi A, Lizaur B, et al. Efectividad de una intervención preoperatoria de enfermería sobre el control de la ansiedad de los pacientes quirúrgicos. Rev. Enferm. Clin. 2012; 22(1):18–26. Kerper LF, Spies CD, Salz A-L, Wei-Gerlach E, Balzer F, Neumann T, et al. 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Alianza mundial para la seguridad del paciente. Ginebra: OMS; 2008; Available from: http://whqlibdoc.who.int/hq/2008/WHO_IER_PSP_2008.07_spa.pdf Terrazas M, Flores GJ, Zenil NT, Landa E, Reséndiz AM. Estrategias de afrontamiento para el manejo del estrés y su relación con el nivel de obesidad y calidad de vida en pacientes candidatos a cirugía bariátrica. Rev. Gac. Med. Mex. 2018; 154(5):569–74. Wilson CJ, Mitchelson AJ, Tzeng TH, El-Othmani MM, Saleh J, Vasdev S, et al. Caring for the surgically anxious patient: a review of the interventions and a guide to optimizing surgical outcomes. Rev. Am. J. Surg. 2016; 212(1):151–9. Miller WR, Rollnick S. Meeting in the middle: motivational interviewing and self-determination theory. Int. J. Behav. Nutr. Phys. Act. 2012; 9(1):25. Bandinelli L, Gonçalves H, Fonseca R. entrevista motivacional e sua aplicabilidade em diferentes contextos: uma revisão sistemática. Diaphora. 2013; 13(1):26–34. Gantiva C. Efectos psicológicos y psicofisiológicos de la entrevista motivacional en consumidores de tabaco [Doctoral Dissertation]. Universidad de Granada; 2015. Available on: http://hdl.handle.net/10481/40131 Vergara M, Morales J, Morales A, Canca JC, Rivas F, Reinaldo JA. Validation of the Spanish version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Heal. Qual. Life Outcomes. 2017; 15:120. Rojas M, Azevedo DO. Estrategia de enfermería para disminuir los niveles de ansiedad en pacientes sometidos a intervención quirúrgica en el Hospital Universitario Antonio Patricio de Alcalá, Cumana, Venezuela. Saber. 2013; 25(3):273–8. Sadati L, Pazouki A, Mehdizadeh A, Shoar S, Tamannaie Z, Chaichian S. Effect of preoperative nursing visit on preoperative anxiety and postoperative complications in candidates for laparoscopic cholecystectomy: a randomized clinical trial. Scand. J. Caring. Sci. 2013; 27(4):994–8. Amini K, Alihossaini Z, Ghahremani Z. Randomized Clinical Trial Comparison of the Effect of Verbal Education and Education Booklet on Preoperative Anxiety. J. Perianesth. Nurs. 2019; 34(2):289–96. Zarei B, Valiee S, Nouri B, Khosravi F, Fathi M. The effect of multimedia-based nursing visit on preoperative anxiety and vital signs in patients undergoing lumbar disc herniation surgery: A randomised clinical trial. J. Perioper. Pract. 2018; 28(1–2):7–15. Zuckoff A. “Why won’t my patients do what’s good for them?” Motivational interviewing and treatment adherence. Surg. Obes. Relat. Dis. 2012; 8(5):514–2. Boisvert S, Proulx-Belhumeur A, Gonçalves N, Doré M, Francoeur J, Gallani MC. Revisão integrativa sobre intervenções de enfermagem voltadas para a promoção do auto-cuidado entre pacientes portadores de insuficiência Cardíaca. Rev. Latino-Am. Enfermagem. 2015; 23(4):753–68. Jiménez M, Espinosa A, Martínez C, Barrena P, Salido JA. ¿Influye la ansiedad y depresión preoperatorias en los resultados de la artroplastia de rodilla? 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New-Onset Depression After Total Knee Arthroplasty: Consideration of the At-Risk Patient

Schwartz¹,

Wilson²,

Farley³

et al. 2021

The Journal of Arthroplasty

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¿Influye la ansiedad y depresión preoperatorias en los resultados de la artroplastia de rodilla?

Cited by 5 publications

References 21 publications

Evaluation of Neuropathic Pain after Total Knee Arthroplasty: Do Yellow Flags Matter?

Evaluation of Neuropathic Pain after Total Knee Arthroplasty: Do Yellow Flags Matter?

Effectiveness of a nursing intervention to diminish preoperative anxiety in patients programmed for knee replacement surgery: Preventive controlled and randomized clinical trial

New-Onset Depression After Total Knee Arthroplasty: Consideration of the At-Risk Patient

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