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Forbes Tıp Dergisi
By Hamit Çağlayan KAHRAMAN, Burcu BAKAR KAHRAMAN, Ahmet Selim KARAMOLLA and 2 others.
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Orthopedic surgery patients may experience substantial physical and psychological burden, including pain, anxiety, depressive symptoms, and surgical fear, which may influence perioperative recovery. To compare preoperative surgical fear between trauma-related and elective orthopedic surgery patients and to examine associations of short- and long-term surgical fear with anxiety, depressive symptoms, and pain.
Consecutive patients aged ≥18 years undergoing trauma-related or elective orthopedic surgery at University of Health Sciences Türkiye, Fatih Sultan Mehmet Training and Research Hospital were enrolled. Participants completed the surgical fear questionnaire (SFQ), the hospital anxiety and depression scale (HADS), and the visual analog scale (VAS) one day before surgery.
A total of 142 patients were analyzed (trauma, n=64; elective, n=78). Preoperative length of stay and VAS scores were higher in the trauma group. No statistically significant differences between groups were detected for short-term, long-term, or total SFQ scores. Short-term fear correlated with HADS anxiety (ρ=0.480, q<0.001), whereas long-term fear correlated with both HADS anxiety (ρ=0.476, q<0.001) and HADS depression (ρ=0.435, q<0.001). In multivariable analyses using HC3 robust standard errors, higher HADS anxiety and female sex were independently associated with greater short-term fear, whereas higher HADS anxiety and HADS depression were independently associated with greater long-term fear. Trauma/elective status was not independently associated with either of the fear dimensions.
Short- and long-term surgical fear were more strongly associated with psychological characteristics than with surgical indication. Anxiety was associated with both fear dimensions; female sex was associated with short-term fear, and depressive symptoms were associated with long-term fear. These findings support consideration of psychological assessment in preoperative orthopedic care.
Published in Forbes Tıp Dergisi. The abstract is shown as published and remains the work of its authors; read the full article at the source.
forbestip.org/articles/preoperative-surgical-fear-anxiety-depression-and-pain-in
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