Chinese Journal of Tissue Engineering Research ›› 2017, Vol. 21 ›› Issue (7): 1015-1019.doi: 10.3969/j.issn.2095-4344.2017.07.006

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Association between psychological resilience and acute mental disorders after total knee arthroplasty

Yuan Wei, Zhao Hui, Ding Zhe-ru, Wu Yu-li, Wu Hai-shan, Qian Qi-rong   

  1. Department of Orthopedics, Changzheng Hospital, the Second Military Medical University, Shanghai 200003, China
  • Revised:2016-11-17 Online:2017-03-08 Published:2017-04-11
  • Contact: Wu Hai-shan, Professor, Chief physician, Doctoral supervisor, Department of Orthopedics, Changzheng Hospital, the Second Military Medical University, Shanghai 200003, China
  • About author:Yuan Wei, Studying for doctorate, Attending physician, Department of Orthopedics, Changzheng Hospital, the Second Military Medical University, Shanghai 200003, China

Abstract:

BACKGROUND: Postoperative acute mental disorders refer to patients without mental disorders suffer from neurological dysfunction after surgery.

OBJECTIVE: To analyze the association between psychological resilience and postoperative acute mental disorders after total knee arthroplasty (TKA).
METHODS: Convenience sampling, the Chinese Version of Connor and Davidson’s resilience scale (CD-RISC), was used to measure the levels of psychological resilience in 832 patients undergoing TKA. The questionnaire covered three dimensions: tenacity, self-improvement and optimism. The incidence of postoperative acute mental disorders was observed after operation.
RESULTS AND CONCLUSION: (1) The CD-RISC scores of the patients with TKA surgery were (57.64±10.07), lower than the average scores of the elderly community in China. 20 (2.4%) patients had postoperative acute mental disorders. (2) Pearson correlation analysis demonstrated the negative correlation between the levels of
resilience and the incidence of postoperative acute mental disorders (r= -2.43, P < 0.05). (3) Patients with lower psychological resilience levels had a higher incidence of postoperative acute mental disorders. Developing psychological resilience may become an important strategy to reduce the occurrence of postoperative acute mental disorders.

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程

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