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Care of the older person
Cohart Study
The efficacy of psychosocial factors in predicting pain and functional outcomes following knee replacement surgery
  1. Philip Jefferies,
  2. Laura Coffey,
  3. Pamela Gallagher
  1. School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland
  1. Correspondence to Pamela Gallagher
    School of Nursing and Human Sciences, Dublin City University, Collins Avenue, Dublin 9, Ireland; Pamela.Gallagher{at}dcu.ie

https://doi.org/10.1136/ebnurs-2012-100563

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    Commentary on: Lopez-Olivo MA, Landon GC, Siff SJ, et al. Psychosocial determinants of outcomes in knee replacement. Ann Rheum Dis 2011;70:1775–81.OpenUrlAbstract/FREE Full Text

    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.

    Context

    Approximately a quarter of individuals who undergo knee replacement …

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    Footnotes

    • Competing interests None.