The efficacy of psychosocial factors in predicting pain and functional outcomes following knee replacement surgery
- School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland
- Correspondence to Pamela Gallagher
School of Nursing and Human Sciences, Dublin City University, Collins Avenue, Dublin 9, Ireland;
Implications for practice and research
■ Psychosocial variables can help to explain patient outcomes following total knee replacement.
■ In particular, lower levels of depressive symptomatology and dysfunctional coping, and higher levels of education, problem-focused coping, internal health locus of control and perceived adequacy of assistance from others were predictive of enhanced outcomes at 6 months postsurgery.
■ Rehabilitation providers should consider the merit of incorporating and evaluating psychosocial screening tools to identify individuals at risk of poor outcomes.
■ Research is needed on the effectiveness of interventions targeting these psychosocial variables.
■ Rehabilitation providers should consider the merit of incorporating interventions such as coping skills training into existing programmes to improve postsurgery outcomes.
Approximately a quarter of individuals who undergo knee replacement …