Pain catastrophizing and associated factors in preoperative total knee arthroplasty in Lanzhou, China: a cross-sectional study

BMC Musculoskeletal Disorders

Jirong Zhao¹  Ying Zhang²  Xingsheng Wang³  Xinman Dou⁴  Binglin Ye⁵  Xiangfu Wang⁵  Tong Ma⁵  Chenxu Li⁵  Haixia Chen⁶  Juhong Pei⁷ 

[1] Clinical college of Traditional Chinese Medicine, Gansu university of Chinese medicine;Department of Anesthesia and Surgery, Gansu Provincial Hospital of Traditional Chinese Medicine;Department of Emergency, Gansu Provincial Hospital of Traditional Chinese Medicine;Department of Nursing, Lanzhou University Second Hospital;Department of Spine Minimally Invasive Orthopedics, Gansu Provincial Hospital of Traditional Chinese Medicine;Oncology Surgery Department, Lanzhou University Second Hospital;The First Clinical Medical College, Lanzhou University;

关键词: Pain catastrophizing;    Anxiety;    Pain;    Associated Factors;    Total Knee Arthroplasty;   

DOI  :  10.1186/s12891-022-05435-1

来源: DOAJ

【 摘 要 】

Abstract Background Pain catastrophizing in preoperative total knee arthroplasty (TKA) patients is associated with several poorly characterised factors in the literature. This study investigated the current state and associated factors of preoperative pain catastrophizing in patients undergoing TKA. Methods This descriptive cross-sectional study was conducted at the orthopedics ward of two tertiary hospitals in Lanzhou, China. Pain catastrophizing was measured using the Chinese versions of the Pain Catastrophizing Scale, Short Form-36 (physical function domain), Numerical Rating Scale, Oxford Knee Score, Hospital Anxiety and Depression Scale, and Life Orientation Test-Revised. Results The study included 360 participants. Preoperative TKA pain catastrophizing in all patients was high, with a mean score of 24.92 (SD: 12.38). The stepwise multiple linear regression analysis revealed anxiety (β = 0.548, P < 0.01), education level (β =  − 0.179, P < 0.01), physical function (β =  − 0.156, P < 0.01), and pain intensity during activity (β = 0.105, P = 0.015) as associated factors for pain catastrophizing, possibly explaining 51.2% of the total variation (F = 95.149, P < 0.01). Conclusion Anxiety was the most relevant factor for pain catastrophizing in patients with preoperative TKA. Lower education levels, poor physical function, and stronger pain intensity during the activity were also associated with pain catastrophizing.

【 授权许可】

Unknown