A prolonged pandemic impacts the mental health of orthopaedic patients

Background and aims Majority of elective orthopaedic operations are postponed to accommodate the reallocation of healthcare resources to combat the pandemic. The aim of this paper is to evaluate the mental state of orthopaedic patients amidst limited orthopaedic management options. The secondary aim...

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Main Authors: Craigven Hao Sheng Sim, Elizabeth Jing Yng Heah, Xia Zhan, Nur Aqilah Muzini, Don Koh, Khai Cheong Wong, Tet Sen Howe, Joyce Suang Bee Koh
Format: Article
Language:English
Published: SAGE Publishing 2023-05-01
Series:Proceedings of Singapore Healthcare
Online Access:https://doi.org/10.1177/20101058231178380
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author Craigven Hao Sheng Sim
Elizabeth Jing Yng Heah
Xia Zhan
Nur Aqilah Muzini
Don Koh
Khai Cheong Wong
Tet Sen Howe
Joyce Suang Bee Koh
author_facet Craigven Hao Sheng Sim
Elizabeth Jing Yng Heah
Xia Zhan
Nur Aqilah Muzini
Don Koh
Khai Cheong Wong
Tet Sen Howe
Joyce Suang Bee Koh
author_sort Craigven Hao Sheng Sim
collection DOAJ
description Background and aims Majority of elective orthopaedic operations are postponed to accommodate the reallocation of healthcare resources to combat the pandemic. The aim of this paper is to evaluate the mental state of orthopaedic patients amidst limited orthopaedic management options. The secondary aim of this paper is to identify areas of significant stressors and to provide avenues for improvements. Methods A survey was administered on patients in outpatient clinics within a tertiary institution from 31 May to 13 June 2021 where government interventions prevented elective orthopaedic surgeries from being performed. Individuals' fatigue level were assessed with Chalder fatigue scale (CFS) and they were surveyed on their areas of stressors. Results A total of 160 orthopaedic patients (67 males and 93 females) were surveyed with an average age of 48.3 years old (range 17–88). 65 out of 160 (40.6%) were deemed to be severely fatigued (CFS > 4) with a higher prevalence amongst females than males (47.3% vs 31.3% respectively.) The top three areas identified as stressors included transmitting to family/friends, travel restrictions/quarantine orders and limitation on recreational/social activities (67.5%, 45.6% and 57.5% respectively). 25.6% of the patients indicated that the increased difficulty in accessing healthcare was a stress factor. Discussion and conclusion There is a high proportion of severe fatigue amongst orthopaedic patients. Combined with postponement of orthopaedic care and treatment, the detrimental effects of a prolong pandemic can be more pronounced on orthopaedic patients. Identified areas of stressors provide avenues for improvements to safeguard the mental health of orthopaedic patients.
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spelling doaj.art-ee74bc64f0e141d198bcd68612ec2d1d2023-05-23T01:03:20ZengSAGE PublishingProceedings of Singapore Healthcare2059-23292023-05-013210.1177/20101058231178380A prolonged pandemic impacts the mental health of orthopaedic patientsCraigven Hao Sheng SimElizabeth Jing Yng HeahXia ZhanNur Aqilah MuziniDon KohKhai Cheong WongTet Sen HoweJoyce Suang Bee KohBackground and aims Majority of elective orthopaedic operations are postponed to accommodate the reallocation of healthcare resources to combat the pandemic. The aim of this paper is to evaluate the mental state of orthopaedic patients amidst limited orthopaedic management options. The secondary aim of this paper is to identify areas of significant stressors and to provide avenues for improvements. Methods A survey was administered on patients in outpatient clinics within a tertiary institution from 31 May to 13 June 2021 where government interventions prevented elective orthopaedic surgeries from being performed. Individuals' fatigue level were assessed with Chalder fatigue scale (CFS) and they were surveyed on their areas of stressors. Results A total of 160 orthopaedic patients (67 males and 93 females) were surveyed with an average age of 48.3 years old (range 17–88). 65 out of 160 (40.6%) were deemed to be severely fatigued (CFS > 4) with a higher prevalence amongst females than males (47.3% vs 31.3% respectively.) The top three areas identified as stressors included transmitting to family/friends, travel restrictions/quarantine orders and limitation on recreational/social activities (67.5%, 45.6% and 57.5% respectively). 25.6% of the patients indicated that the increased difficulty in accessing healthcare was a stress factor. Discussion and conclusion There is a high proportion of severe fatigue amongst orthopaedic patients. Combined with postponement of orthopaedic care and treatment, the detrimental effects of a prolong pandemic can be more pronounced on orthopaedic patients. Identified areas of stressors provide avenues for improvements to safeguard the mental health of orthopaedic patients.https://doi.org/10.1177/20101058231178380
spellingShingle Craigven Hao Sheng Sim
Elizabeth Jing Yng Heah
Xia Zhan
Nur Aqilah Muzini
Don Koh
Khai Cheong Wong
Tet Sen Howe
Joyce Suang Bee Koh
A prolonged pandemic impacts the mental health of orthopaedic patients
Proceedings of Singapore Healthcare
title A prolonged pandemic impacts the mental health of orthopaedic patients
title_full A prolonged pandemic impacts the mental health of orthopaedic patients
title_fullStr A prolonged pandemic impacts the mental health of orthopaedic patients
title_full_unstemmed A prolonged pandemic impacts the mental health of orthopaedic patients
title_short A prolonged pandemic impacts the mental health of orthopaedic patients
title_sort prolonged pandemic impacts the mental health of orthopaedic patients
url https://doi.org/10.1177/20101058231178380
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