International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Factors influencing and predicting the trajectory of care dependence among older hip fracture patients after total hip arthroplasty: a longitudinal study","authors":"Lu Wang ,&nbsp;Zhuoqing Wu ,&nbsp;Hong Zhou ,&nbsp;Yanrui Ren","doi":"10.1016/j.ijotn.2025.101236","DOIUrl":"10.1016/j.ijotn.2025.101236","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to describe the development trajectory of care dependence in elderly total hip arthroplasty patients over a one-year survival period, identify heterogeneous care dependence trajectories, analyze the factors influencing the different underlying characteristics, further explore their predictors, and construct nomograms for prediction.</div></div><div><h3>Methods</h3><div>This study was conducted in three tertiary hospitals, 210 elderly patients over 60 who underwent total hip arthroplasty completed a one-year follow-up. Clinical evaluation and data collection were performed at surgical hospitalization and 1,6 and 12 months postoperatively. Latent growth mixed models(LGMM) were performed to explore the trajectories of change in patients' care dependence and identify heterogeneous trajectories. The multivariate logistic regression model was used to determine their predictors, and a nomogram was further constructed based on the predictors.</div></div><div><h3>Results</h3><div>The LGMM identified four classes of care dependency trajectories:“high dependency”,“dependency rising”,“dependency relief”,and“dependency decreasing”. The first two were referred to as “high-risk care dependency group” and the latter two were”low-risk care dependency group”. Regression analyses revealed age, education levels,comorbidity, postoperative complications, and whether to use an analgesic pump were independent predictors of heterogeneous care dependence trajectories, and a nomogram was constructed based on these predictors.</div></div><div><h3>Conclusions</h3><div>Older total hip arthroplasty patients have different heterogeneous trajectories of care dependency during one-year postoperative survival. Therefore, early assessment to predict the occurrence of heterogeneous trajectories of care dependency is important to improve the prognosis of elderly total hip arthroplasty patients and to help them return to independent living as soon as possible.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101236"},"PeriodicalIF":2.1,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208127","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 factors for postoperative delirium in hip fractures in the elderly","authors":"Hui Gao ,&nbsp;Kai Zheng ,&nbsp;Hongxia Zhu ,&nbsp;Yaozeng Xu ,&nbsp;Xiaolan Feng","doi":"10.1016/j.ijotn.2025.101235","DOIUrl":"10.1016/j.ijotn.2025.101235","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify the risk factors for postoperative delirium (POD) in elderly patients with hip fracture and to examine the interrelationships among these factors.</div></div><div><h3>Methods</h3><div>Data of 210 elderly patients (≥65 years) who underwent surgical treatment for hip fractures from Jan 2023 to Dec 2023 were retrospectively analyzed. The patients were divided into the POD group and non-POD group based on whether they developed POD. The univariate analysis and binary multiple logistic regression were performed to determine the pre-, intra- and postoperative risk factors related to POD. The study was reported following the STROBE checklist.</div></div><div><h3>Results</h3><div>Among 210 patients, 26 were diagnosed with POD, representing 12.4 % of the cohort. The average POD time was 1.62 ± 0.75 days postoperatively. The incidence of POD was highest on the first day after surgery. The univariate comparison showed that the age, atrial fibrillation ratio, stroke history ratio, preoperative CAM-CR score, postoperative transferred to ICU ratio was higher in POD group compared with non-POD group. The general anaesthesia ratio in non-POD group was higher than POD group. The multivariate logistic regression showed that preoperative CAM-CR ≥ 15 score, age ≥80 years, atrial fibrillation, stroke history, fracture-surgery interval ≥7 days and postoperative transferred to ICU were independent risk factors of POD.</div></div><div><h3>Conclusion</h3><div>The potential risk factors of POD for hip fractures in the elderly include age≥80 years, preoperative CAM-CR ≥ 15 score, atrial fibrillation, stroke history, fracture-surgery interval ≥7 days and postoperative transferred to ICU.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101235"},"PeriodicalIF":2.1,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158244","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":"Specialised orthopaedic surgical nurses: Reducing operative time and improving outcomes in hip fracture surgery","authors":"Brijesh Sathian ,&nbsp;Hanadi Al Hamad ,&nbsp;Javed Iqbal ,&nbsp;Syed Muhammad Ali","doi":"10.1016/j.ijotn.2025.101233","DOIUrl":"10.1016/j.ijotn.2025.101233","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101233"},"PeriodicalIF":2.1,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259358","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":"From surgery to struggle: Recovery journeys after periprosthetic knee fractures","authors":"Javed Iqbal,&nbsp;Brijesh Sathian,&nbsp;Syed Muhammad Ali","doi":"10.1016/j.ijotn.2025.101234","DOIUrl":"10.1016/j.ijotn.2025.101234","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101234"},"PeriodicalIF":2.1,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118707","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 – Impact of multidisciplinary teams on fracture care in older people","authors":"Sonya Clarke,&nbsp;Shareena Bibi Mohd Arif,&nbsp;Carmen Queiros","doi":"10.1016/j.ijotn.2025.101231","DOIUrl":"10.1016/j.ijotn.2025.101231","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101231"},"PeriodicalIF":2.1,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049490","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":"Application of a comprehensive clinical care pathway in patients undergoing total hip arthroplasty","authors":"Yanfang Zhang,&nbsp;Ke Sun,&nbsp;Hui Li","doi":"10.1016/j.ijotn.2025.101232","DOIUrl":"10.1016/j.ijotn.2025.101232","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aims to design a comprehensive management plan for patients undergoing hip replacement surgery to determine whether it can reduce hospitalization days, lower hospitalization costs, reduce postoperative pain, and improve joint function.</div></div><div><h3>Methods</h3><div>We searched PubMed, Web of Science, Cochrane Library, China Knowledge Network, Wanfang Database, Wipu Database, and China Biomedical Literature Database to analyze the literature and draft the initial pathway based on clinical reality. The pathway was then refined through Delphi expert correspondence. In the validation phase, 126 patients were assigned to control and experimental groups. The pathway's effects were evaluated by assessing hospital stay duration, costs, joint function, kinesiophobia scores, highest postoperative pain scores, readiness for discharge, and satisfaction with follow-up.</div></div><div><h3>Results</h3><div>Patients using the pathway had shorter hospital stays and lower costs than controls. They also exhibited better postoperative kinesiophobia and joint function scores, and higher readiness for discharge and satisfaction with follow-up. However, no significant difference was observed in highest postoperative pain scores.</div></div><div><h3>Conclusion</h3><div>This pathway can reduce the length of hospital stay and costs for patients undergoing total hip arthroplasty. It also provides opportunities for early rehabilitation, improves postoperative joint function, reduces fear of movement, and enhances satisfaction with follow-up.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101232"},"PeriodicalIF":2.1,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050071","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 effect of aromatherapy massage with peppermint oil on functional impairments in patients with knee osteoarthritis","authors":"Zahra Momen Arani ,&nbsp;Batool Zamani ,&nbsp;Amir Mohammad Barati ,&nbsp;Mohammadreza Zarei ,&nbsp;Neda Mirbagher Ajorpaz","doi":"10.1016/j.ijotn.2025.101221","DOIUrl":"10.1016/j.ijotn.2025.101221","url":null,"abstract":"<div><h3>Background</h3><div>Knee osteoarthritis (KOA) is a prevalent degenerative joint disorder that significantly impairs physical function and daily activities. While conventional treatments focus on symptom management, complementary therapies such as aromatherapy massage have gained attention for their potential benefits.</div></div><div><h3>Objective</h3><div>This study evaluates the effects of peppermint oil aromatherapy massage on functional impairments in KOA patients.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted on 120 KOA patients at Shahid Beheshti Hospital, Kashan, Iran at October 2024 to December 2024. Participants were randomly assigned to three groups: intervention (peppermint oil massage), placebo (paraffin oil massage), and control (no intervention). The intervention and placebo groups received biweekly 15-min knee massages for four weeks. Functional outcomes were assessed using the Knee Injury and Osteoarthritis Outcome Score (KOOS) at baseline, post-intervention, and one-month follow-up. Statistical analyses included chi-square, ANOVA, and repeated measures ANOVA.</div></div><div><h3>Results</h3><div>Baseline characteristics and KOOS subscale scores were comparable across groups (p &gt; 0.05). The intervention group demonstrated significant improvements in pain reduction, symptom relief, and daily function over time (p &lt; 0.001), while no significant changes were observed in the sports and recreation subscale (p &gt; 0.05). ANOVA confirmed significant intergroup differences in KOOS subscales of pain, symptoms, and daily function at all time points (p &lt; 0.05), except for sports/recreation and quality of life (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Peppermint oil aromatherapy massage significantly alleviates KOA-related pain and functional impairment, enhancing daily activities and overall well-being. Given its non-invasive nature and ease of application, this intervention could be recommended as an adjunctive therapy for KOA management.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101221"},"PeriodicalIF":2.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010928","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 effect of a nurse-led multicomponent intervention on sleep quality and delirium in orthopedic surgery patients: A randomized clinical trial","authors":"Mansureh Sohrabi ,&nbsp;Mohammad Gholami ,&nbsp;Saeid Foroughi ,&nbsp;Elahe Younesi ,&nbsp;Yaser Mokhayeri","doi":"10.1016/j.ijotn.2025.101222","DOIUrl":"10.1016/j.ijotn.2025.101222","url":null,"abstract":"<div><h3>Background</h3><div>Sleep disturbances and postoperative delirium (POD) impair recovery and adversely affect cognitive and physical outcomes among orthopedic trauma patients.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate the effects of a nurse-led multicomponent intervention on POD, sleep quality, and quality measures among orthopedic surgical patients.</div></div><div><h3>Method</h3><div>This double-blind randomized clinical trial was conducted on 96 orthopedic surgical patients who were assigned into intervention (n=48) and control (n=48) groups using stratified block randomization. The intervention group received a multicomponent care program including multimodal pharmacological pain management, music therapy, inspiratory muscle training (IMT), and a structured sleep enhancement protocol, initiated 24 hours before surgery and continued for 48 hours postoperatively. The control group received standard care. Sleep quality and POD were assessed using the richards-campbell sleep questionnaire (RCSQ) and the confusion assessment method (CAM), respectively. The data on length of hospital stay and 30-day mortality were collected through electronic health records and self-reports.</div></div><div><h3>Results</h3><div>The mean total sleep quality score and its subscales were significantly higher in the intervention group compared to the control group (P &lt; 0.001). The average length of hospital stay was significantly shorter in the intervention group (P = 0.047). There were no statistically significant differences between the two groups regarding the incidence of POD or 30-day mortality (P &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Results show, a perioperative multicomponent nurse-led intervention can effectively enhance sleep quality and reduce the length of hospital stay among orthopedic surgical patients. Nevertheless, it did not show a significant effect on delirium incidence or short-term mortality.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101222"},"PeriodicalIF":2.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144919786","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":"Corrigendum to “Impact of obesity on outcomes after total hip and knee replacement: A study on hospital length of stay and readmission rates in NHS Scotland” [Int. J. Orthopaedic Trauma Nurs. 58 (2025) 101216]","authors":"Wissem Tafat ,&nbsp;David McDonald ,&nbsp;Marcin Budka ,&nbsp;Thomas W. Wainwright","doi":"10.1016/j.ijotn.2025.101218","DOIUrl":"10.1016/j.ijotn.2025.101218","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101218"},"PeriodicalIF":2.1,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902840","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":"Enhanced recovery pathways in orthopaedic and trauma care: Nursing at the centre of interdisciplinary innovation.","authors":"Thomas W Wainwright, Paul McLiesh","doi":"10.1016/j.ijotn.2025.101215","DOIUrl":"https://doi.org/10.1016/j.ijotn.2025.101215","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":" ","pages":"101215"},"PeriodicalIF":2.1,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805026","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}