International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Post-operative outcomes among knee osteoarthritis patients undergoing simultaneous bilateral total knee arthroplasty","authors":"Dalathorn Wathsuleelanond,&nbsp;Phichpraorn Youngcharoen,&nbsp;Suchira Chaiviboontham","doi":"10.1016/j.ijotn.2025.101175","DOIUrl":"10.1016/j.ijotn.2025.101175","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Simultaneous bilateral total knee arthroplasty (SBTKA) can improve post-surgical outcomes and reduce complications and cost of care. This study aimed to compare: (a) pain intensity levels in patients undergoing SBTKA between and before discharge, and 6 weeks after surgery, and (b) activities of daily living (ADL) and quality of life between the pre-operative period and 6 weeks after surgery.</div></div><div><h3>Material and methods</h3><div>Forty patients who were scheduled for SBTKA at inpatient units in a university-affiliated hospital in Bangkok, Thailand were recruited on the first day of admission using the face-to-face method. The research instruments included a demographic questionnaire, the Numeric Rating Scale (NRS), and the Knee and Osteoarthritis Outcome Score (KOOS): ADL, and knee-related quality of life subscales. The data were analyzed using descriptive statistics, paired <em>t</em>-test, and Wilcoxon Signed Rank Test.</div></div><div><h3>Results</h3><div>The results showed that the pain intensity level at six weeks after surgery was statistically significantly reduced when comparing the pre-discharge from the hospital (p = 0.000). Patients had improvements in their ADL (p = 0.000) and their quality of life (p = 0.000) at six weeks after surgery compared to before surgery.</div></div><div><h3>Conclusions</h3><div>Patients who underwent SBTKA had clinical improvement in terms of pain intensity reduction and enhancement of their ADL and quality of life.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101175"},"PeriodicalIF":1.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A less invasive catheterization protocol for managing urinary retention in patients undergoing hip and knee arthroplasty: A prospective cohort study","authors":"Keetie Kremers-van de Hei ,&nbsp;Bob Evers ,&nbsp;Lotte Weijers ,&nbsp;Diederick Duijvesz ,&nbsp;Berend Willem Schreurs ,&nbsp;Sander Koeter","doi":"10.1016/j.ijotn.2025.101172","DOIUrl":"10.1016/j.ijotn.2025.101172","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative urinary retention is a frequently seen serious complication after surgery. After orthopaedic hip or knee arthroplasty the incidence is relatively high, between 30 and 50% in previous studies. Currently, there is no consensus on the indication for urinary catheterization and a uniform guideline is lacking. This prospective cohort study examined the safety of a modified catheterization protocol with a catheterization threshold of 800 ml instead of 400 ml (usual care) after elective joint arthroplasty using ultrasound bladder scans. The hypothesis was that the incidence of catheterization will be reduced without increasing urinary complications.</div></div><div><h3>Method</h3><div>We prospectively included 305 patients who were treated according to the local fast track arthroplasty protocol in which a modified catheterization protocol was used. Catheterization was only performed at a scan volume of 800 ml or more. Bladder contents were monitored preoperatively, immediately postoperatively and at outpatient follow-up. Urological scores and complications were monitored. The usual care control group was treated according to the usual care protocol with a threshold for catheterization of 400 ml, these results were published in a previous study.</div></div><div><h3>Results</h3><div>The incidence of catheterization for urinary retention was significantly lower in patients who were treated with the less invasive protocol than the usual care control group (11.1% versus 48.8%, p &lt; 0.001). The rate of urologic complications was low using the new protocol (4% urinary tract infection and 0.3% pharmacological interventions).</div></div><div><h3>Conclusion</h3><div>The results of our study provide strong empirical support for modifying catheterization protocols after orthopaedic surgery. A less invasive protocol is safe, provides reduction in workload for nurses, is patient-friendly and reduces costs.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101172"},"PeriodicalIF":1.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The transition of young people to adult services within orthopaedic healthcare -Editorial for May 2025 issue","authors":"Sonya Clarke (Dr)","doi":"10.1016/j.ijotn.2025.101165","DOIUrl":"10.1016/j.ijotn.2025.101165","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101165"},"PeriodicalIF":1.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of an Iranian herbal medicine formula for postoperative constipation in trauma patients with hip and lower limb fractures: A triple-blind, placebo-controlled randomized clinical trial","authors":"Rezvan Ghafarzadegan ,&nbsp;Mohammadreza Zarei ,&nbsp;Nahid Norouzi ,&nbsp;Neda Mirbagher Ajorpaz ,&nbsp;Seyedeh Mahsa Lotfi ,&nbsp;Sayyed Mehdi Rasooli Manesh ,&nbsp;Hossein Akbari ,&nbsp;AliReza Abedi","doi":"10.1016/j.ijotn.2025.101163","DOIUrl":"10.1016/j.ijotn.2025.101163","url":null,"abstract":"<div><h3>Aim of the study</h3><div>This trial aimed to evaluate the efficacy of the “Herbal Laxative Capsule” (HLC) formulation in alleviating symptoms of postoperative constipation (POC) in patients undergoing surgeries for traumatic fractures of the hip or lower extremities. The HLC is a novel polyherbal formulation that integrates both scientifically validated botanicals, such as <em>Cassia angustifolia</em> and <em>Aloe barbadensis</em>, with traditionally employed herbs like <em>Foeniculum vulgare</em>, <em>Coriandrum sativum</em>, and <em>Carum carvi</em>, all of which are recognized for their laxative properties.</div></div><div><h3>Materials and methods</h3><div>A triple-blind, placebo-controlled, randomized clinical trial was conducted at an academic hospital in Kashan, Iran. A total of 61 orthopedic patients with POC were randomized to receive either HLC (n = 31) in the treatment group or a placebo (n = 30) in the placebo group. Both were administered as 520 mg capsules, taken twice daily for one week. The primary outcomes included assessments of constipation severity and stool consistency, while the secondary outcomes evaluated patient satisfaction using validated clinical scales.</div></div><div><h3>Results</h3><div>The treatment group demonstrated a statistically significant reduction in constipation severity and improvement in stool consistency compared with the placebo group (P &lt; 0.001). No significant adverse effects were reported. Additionally, patient satisfaction was notably higher in the treatment group (P &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The HLC formulation demonstrated significant efficacy in effectively managing POC, which is often opioid-induced constipation (OIC), in orthopedic patients. These findings suggest that HLC could serve as a promising alternative to conventional laxatives, warranting further investigation in larger-scale clinical trials.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101163"},"PeriodicalIF":1.5,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discharge transition experience and nursing needs of elderly patients with hip fracture: A qualitative systematic review","authors":"Chun Huang ,&nbsp;Jian Song ,&nbsp;Lingli Peng ,&nbsp;Zirong Tao","doi":"10.1016/j.ijotn.2025.101162","DOIUrl":"10.1016/j.ijotn.2025.101162","url":null,"abstract":"<div><h3>Background</h3><div>Unmet nursing needs during hospital discharge for elderly patients with hip fractures may lead to increased readmission rates and mortality.</div></div><div><h3>Objective</h3><div>To investigate the discharge transition experience and nursing needs of elderly patients with hip fracture.</div></div><div><h3>Methods</h3><div>Five electronic databases (PubMed, Web of science, Ovid, CINAHL, Embase) were searched from Jan. 1st, 2014 to Nov. 1st, 2024. Qualitative studies that reported the experiences, perceptions, and needs of elderly patients with hip fractures during the discharge transition were included. Two authors independently screened, and extracted themes. The Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research was used to evaluate the quality of literature. Themes were generated by the thematic analysis method of data from the original study.</div></div><div><h3>Results</h3><div>A total of 11 qualitative studies were included. And three themes were identified: (1) challenges of transition and rehabilitation, (2) adaptation and coping, (3) ensuring patient-centered rehabilitation and discharge care.</div></div><div><h3>Conclusion</h3><div>It is crucial for healthcare staff to address the discharge transition experiences and nursing needs of elderly patients with hip fracture. Additionally, the findings of this review offer valuable insights for healthcare policymakers and administrators to enhance support for patients during the discharge process.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101162"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LITERATURE REVIEWS – Skin traction in orthopaedic care: Efficacy, management and clinical practices across the life course","authors":"Sonya Clarke,&nbsp;Shareena Bibi Mohd Arif,&nbsp;Carmen Queiros","doi":"10.1016/j.ijotn.2025.101160","DOIUrl":"10.1016/j.ijotn.2025.101160","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101160"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial February 2025 issue – Authors Prof Rebecca Jester and Paul McLiesh","authors":"","doi":"10.1016/j.ijotn.2024.101156","DOIUrl":"10.1016/j.ijotn.2024.101156","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101156"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk prediction of functional disability among middle-aged and older adults with arthritis: A nationwide cross-sectional study using interpretable machine learning","authors":"Qinglu Li ,&nbsp;Wenting Shi ,&nbsp;Nan Wang ,&nbsp;Guorong Wang","doi":"10.1016/j.ijotn.2025.101161","DOIUrl":"10.1016/j.ijotn.2025.101161","url":null,"abstract":"<div><h3>Background</h3><div>Arthritis is a common chronic disease among middle-aged and older adults and is strongly related to functional decline.</div></div><div><h3>Methods</h3><div>The research sample and data were derived from the China Health and Retirement Longitudinal Study (CHARLS) 2015. We employed the least absolute shrinkage and selection operator (LASSO) and multifactor logistic regression analysis to identify features for model construction. We proposed six machine learning (ML) predictive models. The optimal model was selected using various learning metrics and was further interpreted using the SHapley Additive exPlanations (SHAP) method.</div></div><div><h3>Results</h3><div>A total of 5111 subjects were included in the analysis, of which 1955 developed functional disability. Among the six models, XGBoost showed the best performance, achieving a test set area under the curve (AUC) of 0.74. SHAP analysis ranked the features by their contribution as follows: waist circumference, handgrip strength, self-reported health status, age, body pains, depression, history of falls, sleeping duration, and availability of care resources. SHAP dependence plots indicated that individuals over 60 with increased waist circumference (&gt;85 cm), short sleeping duration (&lt;5 h), and lower handgrip strength (&lt;25 kg) had a higher probability of functional disability.</div></div><div><h3>Conclusion</h3><div>This study presents an interpretable machine learning-based model for the early detection of functional disability in patients with arthritis and informs the development of care strategies aimed at delaying functional disability in this population.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101161"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143312461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and cost-effectiveness of semi-occlusive bandages in finger amputation treatment","authors":"Andrea Cosentino ,&nbsp;Gianni Odorizzi ,&nbsp;Wilhelm Berger","doi":"10.1016/j.ijotn.2025.101158","DOIUrl":"10.1016/j.ijotn.2025.101158","url":null,"abstract":"<div><div>Finger amputations, commonly resulting from trauma, require effective management to restore function, prevent infection, and expedite healing. Surgical interventions, such as replantation and flap reconstruction, are often the standard treatment but can be costly and unnecessary for certain injuries, especially distal amputations. Semi-occlusive bandages (SOBs) offer a cost-efficient, effective alternative for managing distal fingertip amputations. This review introduces the classifications of finger amputations using Tamai and Allen systems, discusses their applicability to SOBs, and highlights benefits such as faster healing, reduced pain, and lower infection risks. Recent studies have validated SOBs’ efficacy, affordability, and high patient satisfaction in various clinical contexts. While evidence supports SOBs as a first-line treatment in appropriate cases, further research is needed to evaluate their cost-effectiveness across diverse healthcare settings.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101158"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143182870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and reliability of the Danish version of the Hospital Anxiety and Depression Scale (HADS) in patients with major lower extremity amputations: A psychometric study","authors":"Charlotte Abrahamsen ,&nbsp;Ulla Riis Madsen ,&nbsp;Ann Pia Søe Jensen ,&nbsp;Karin Bundgaard ,&nbsp;Charlotte Myhre Jensen ,&nbsp;Pia Kjær Kristensen","doi":"10.1016/j.ijotn.2025.101157","DOIUrl":"10.1016/j.ijotn.2025.101157","url":null,"abstract":"<div><h3>Background</h3><div>Patients undergoing major lower extremity amputation (LEA) due to vascular disease face an increased risk of post-surgery anxiety and depression. <em>The Hospital Anxiety and Depression Scale (HADS),</em> widely used to identify anxiety and depressive symptoms, has been translated into Danish, but its content validity has not previously been tested in LEA patients. This study aims to test the validity and reliability of HADS in this population.</div></div><div><h3>Method</h3><div>This methodological study involved cognitive interviews with 10 major LEA patients to assess content validity and HADS responses from 100 patients to evaluate the floor and ceiling effects, construct validity, and internal consistency reliability. Data were collected from seven orthopedic departments across Denmark.</div></div><div><h3>Results</h3><div>In this hospital-based study, 20% had anxiety symptoms and 18% had depressive symptoms before discharge. Patients found the questionnaire relevant but had concerns about the one-week timeframe and the comprehensibility of certain items (“butterflies in the stomach” in item 9 and the term “things” in items 2 and 12). Floor effects were present across all items, with no ceiling effects. Confirmatory factor analysis supported both the original two-factor and a three-factor structure. Internal consistency reliability was good for both subscales.</div></div><div><h3>Conclusion</h3><div>This study supports the validity and reliability of the Danish version of HADS for assessing anxiety and depression in patients with major lower extremity amputation (LEA). The questionnaire serves as a valuable tool for addressing psychosocial challenges, enabling patients to reflect on their mental health and recognize potential symptoms needing medical attention in the future.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101157"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}