Pre-and Post-Operative Anxiety and Depression Levels in Orthopedic Surgery

Raza Askari; Asad Ali Kerawala; Muhammad Hassaan Khan; Nusrat Rasheed; Malik Amna Khatoon

doi:10.37962/jpps.v9i3.441

Raza Askari Department of Orthopaedics, Dow International Medical College, Dow University of Health Sciences.
Asad Ali Kerawala Department of Surgical Oncology, Cancer Foundation Hospital.
Muhammad Hassaan Khan Department of Orthopaedic Surgery, Dow University Hospital, Dow University of Health Sciences.
Nusrat Rasheed Department of Orthopaedics, Dow International Medical College, Dow University of Health Sciences.
Malik Amna Khatoon Department of Orthopaedic Surgery, Dow University Hospital, Dow University of Health Sciences.

DOI: https://doi.org/10.37962/jpps.v9i3.441

Keywords: Anxiety, depression, psychological, orthopedic trauma.

Abstract

Background: Anxiety and depression are the undesired psychological problems, directly associated with patients suffering from orthopedic trauma and underwent for orthopedic surgery.

Objectives: The objective of study was to determine the pre-and post-operative anxiety and depression levels in patients of orthopedic trauma.

Methodology: A descriptive observational study was conducted on 55 patients suffering from orthopedic trauma, selected by consecutive sampling technique from orthopedic department during October 2018 to December 2018. Patients were evaluated for anxiety and depression by using hospital anxiety and depression scale (HADS).

Results: Out of 55 patients suffering from orthopedic trauma, 63.6% were male and 36.4% were female with mean age of 44.93 ± 18.74. 44.5% were suffering from orthopedic trauma due to road accidents, and 43.6% due to ground fall. HADS level of anxiety and depression was 3.56, and 5.16 before surgery in orthopedic patients that increased significantly to 4.31, and 5.75 after surgery. Prevalence of anxiety and depression was 12.7%, and 18.2% in orthopedic patients before surgery that increased to 16.4%, and 23.6% after surgery respectively.

Conclusion: It was concluded that level of anxiety and depression was low in orthopedic trauma patients before surgery that increased after surgery, whereas gender, age, and poverty are directly associated with anxiety and depression.