DEPRESSION AND PAIN IN ELDERLY WITH KNEE OSTEOARTHRITIS PAIN.

Abstract

Aim Of The Study:The study aims to review depression and pain in the elderly with knee Osteoarthritis. Material And Methods: Subjects fullling selection criteria were recruited from the Department of Orthopaedics Surgery, KGMU, Lucknow, India. 1. Mobile numbers of subjects from the records available were obtained from JANUARY 2018 to JANUARY 2020 2. Topics were contacted over the telephone and recruited according to the nomination standards for the study. The call was recorded after taking consent. 3. Subjects were contacted during the daytime 10 am -2 pm. 4. Subjects were approached three times. 5. The survey was completed in a maximum of 2 sessions,15 minutes each (if the subject was not comfortable answering in a single session). 6. Proper introduction of the Doctor calling them and the purpose of the telephone was given to the subjects. 7. Telephone subjects were interviewed based on the sociodemographic questionnaire. 8. Following the basic interview, subjects were evaluated using scales that include PHQ-9, SF-12 and WOMAC. ( Antonio Escobar, 2006) 9. HRQoL was measured by SF-12 which includes general health, limitation of activities, physical health, emotional health and social activities. ( MoheddineYounsi, 2015 ) 10. PHQ-9 to assess the diagnosis and severity of depression was applied. 11. WOMAC scale was applied which gives the status of pain, stiffness and physical disabilities. 12. Each assessment took 20-30 minutes. 13. If subjects and attenders ask for advice regarding the treatment were addressed properly following guidance from consultants. 14. For the subjects with depression, the advice was given to consult the geriatric mental health helpline number of KGMU. The specimen length assumed for this study is 90 (30 in each group in KL grade 2/3/4). Results: This study shows that depression was extensively observed among sufferers with knee OA. Patients with knee OA analyzed with these comorbidities encountered more pain and discomfort, had systematic hospital calls, took more medication, and documented less optimal results. Being a cross-sectional, telephonic survey, this study shows results accordingly.( Anirudh Sharma, et al., 2020). Conclusion: Depression seems to have adverse impacts on the sufferers with knee OA. Physicians or caregivers are highly instructed to contemplate these comorbidities in patients with knee OA. KOA studies usually comprise pain and function scores but haven't routinely incorporated psychosocial variables estimating QoL(Prtha Kudesia, et al., 2020). This study concludes that there is a considerable difference in pain and general health-related quality of life (HRQoL). Pain and HRQoL worsen with higher grading of KOA. Eventually, a holistic customised surveillance method is essential to enhance patient results.( Roman Sosnowski, et al., 2017).