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Abstract：
Background/Objectives: Recent studies imply that psychological factors and sleep quality play a role in the outcomes of surgical procedures, including in orthopedic surgery. The aim of the present study is to evaluate possible correlations between preoperative depression, anxiety, and quality of sleep and functional 6-month postoperative scores in patients having undergone rotator cuff repair (RCR). Methods: All patients included in the study performed the Hospital Anxiety and Depression Scale (HADS) and Pittsburgh Sleep Quality Index (PSQI) questionnaires preoperatively and 36-item Short-Form Health Survey (SF-36), Oxford Shoulder Score (OSS), Shoulder Pain and Disability Index (SPADI), and PSQI questionnaires at the six-month postoperative follow-up. A total of 47 patients were included in the analysis. Results: Statistically significant differences between preoperative anxious and not-anxious groups were found in the postoperative SF-36 Physical Component Summary (PCS) and Mental Component Summary (MCS) scores and PSQI score. The correlation of the preoperative depression score to postoperative outcome measures revealed a strong positive correlation between the preoperative HADS-D score and the 6-month PCS, MCS, and OSS scores. The correlation of preoperative sleep quality to postoperative outcome measures revealed a strong positive correlation between the preoperative PSQI score and 6-month MCS score. Conclusions: Anxious patients had worse postoperative RCR outcomes. Depression may be influenced by factors related to RC pathology; however, there were no statistically significant correlations. Sleep quality generally improves postoperatively, and no significant association was found between bad preoperative sleepers and worse outcomes.
摘要：
背景/目的：最近的研究表明，心理因素和睡眠质量在外科手术的结果中起作用。包括骨科手术.本研究的目的是评估术前抑郁之间可能的相关性，焦虑,接受肩袖修复（RCR）的患者的睡眠质量和术后6个月的功能评分。方法:纳入研究的所有患者术前进行医院焦虑和抑郁量表(HADS)和匹兹堡睡眠质量指数(PSQI)问卷及36项简短健康调查(SF-36),牛津肩评分（OSS），肩痛和残疾指数（SPADI）和PSQI问卷在术后6个月随访。共有47名患者被纳入分析。结果：术前焦虑组和非焦虑组之间在术后SF-36物理成分总结（PCS）和心理成分总结（MCS）评分以及PSQI评分方面存在统计学上的显着差异。术前抑郁评分与术后预后指标的相关性表明，术前HADS-D评分与6个月PCS之间存在强正相关，MCS,和OSS分数。术前睡眠质量与术后结局指标的相关性表明，术前PSQI评分与6个月MCS评分之间存在强正相关。结论：焦虑患者术后RCR结果较差。抑郁症可能受到与RC病理学相关的因素的影响；然而，没有统计学上显著的相关性。睡眠质量通常在术后改善，术前睡眠不良与预后不良之间没有显著关联.
