International Journal of Orthopaedic and Trauma Nursing最新文献

Editorial February 2025 issue - Authors Prof Rebecca Jester and Paul McLiesh.

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2024-12-25 DOI: 10.1016/j.ijotn.2024.101156

引用次数: 0

Corrigendum to "Patient participation in orthopaedic care-a survey on hip surgery patients' preferences for and experiences of engagement in their health and healthcare" [Int. J. Orthop. Trauma Nurs. 54 (2024) 101118].

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2024-12-06 DOI: 10.1016/j.ijotn.2024.101154

Patricia Sköld, Maria Hälleberg-Nyman, Eva Joelsson-Alm, Ann Catrine Eldh

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Literature reviews – External fixation pin site infections: Solutions, screws and Kwires

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2024-11-28 DOI: 10.1016/j.ijotn.2024.101152

Sonya Clarke, Shareena Bibi Mohd Arif, Carmen Queiros

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Postoperative delirium in geriatric orthopedic and trauma patients: Care begins preoperatively! 老年骨科和创伤患者术后谵妄：护理从术前开始！

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2024-11-23 DOI: 10.1016/j.ijotn.2024.101143

Lynn Haslam-Larmer , Shirin Vellani

{"title":"Postoperative delirium in geriatric orthopedic and trauma patients: Care begins preoperatively!","authors":"Lynn Haslam-Larmer , Shirin Vellani","doi":"10.1016/j.ijotn.2024.101143","DOIUrl":"10.1016/j.ijotn.2024.101143","url":null,"abstract":"<div><div>Delirium is a common and serious neuropsychiatric syndrome affecting older adults, particularly after surgery. It manifests in three forms: hypoactive, hyperactive, and mixed, with symptoms ranging from lethargy and inattention to agitation and confusion. Delirium is often misdiagnosed or overlooked, especially in its hypoactive form, which can delay treatment and worsen patient outcomes. Distinguishing delirium from dementia is crucial, as delirium is typically reversible with prompt intervention.</div><div>This article, presented in a case study format, explores the assessment and management of delirium in postoperative patients, highlighting the use of validated tools such as the Delirium Elderly at Risk (DEAR) and the Confusion Assessment Method (CAM). Early identification of at-risk patients and timely screening are critical for improving outcomes. Non-pharmacological interventions, including reorientation, sleep hygiene, sensory aids, early mobilization, and family involvement, play a vital role in preventing and managing delirium.</div><div>The article emphasizes the importance of nurses in detecting early signs of delirium and implementing preventative measures. A multidisciplinary approach, integrating ongoing screening, patient-centered care, and non-pharmacological strategies, is essential for reducing the incidence and severity of delirium. Early detection and appropriate management can significantly improve recovery and reduce long-term complications, promoting better outcomes in older adults undergoing surgery.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101143"},"PeriodicalIF":1.5,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700154","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}

引用次数: 0

Older patients' experiences of shared decision-making when choosing treatment for their distal radius fracture; A qualitative study 老年患者在选择桡骨远端骨折治疗方法时的共同决策经验；定性研究

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2024-11-19 DOI: 10.1016/j.ijotn.2024.101153

Louise Marie Nøhr , Ane Simony , Charlotte Abrahamsen

{"title":"Older patients' experiences of shared decision-making when choosing treatment for their distal radius fracture; A qualitative study","authors":"Louise Marie Nøhr , Ane Simony , Charlotte Abrahamsen","doi":"10.1016/j.ijotn.2024.101153","DOIUrl":"10.1016/j.ijotn.2024.101153","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to understand how older patients experience shared decision-making (SDM) when making decisions about the treatment of their distal radius fracture (DRF).</div></div><div><h3>Methods</h3><div>An exploratory qualitative study was designed using individual in-person and telephone interviews. Twelve DRF patients were recruited during their first follow-up visit to a Danish outpatient clinic, with ten of them participating in interviews. Data was analysed using content analysis.</div></div><div><h3>Results</h3><div>Three themes emerged: 1) An acute situation, 2) Considerations influencing the treatment choice and 3) The treatment decision.</div></div><div><h3>Conclusion</h3><div>In conclusion, our study represents a pioneering effort in reporting the use of Shared Decision Making in fracture management. The sudden onset of DRF proved to be highly distressing for the patients. Providing SDM material to patients in the Emergency department (ED) aimed to empower them and prepare them for their subsequent outpatient clinic visit. However, its effectiveness varied. The demeanour of doctors played a crucial role in shaping patient experiences.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101153"},"PeriodicalIF":1.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142719923","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}

引用次数: 0

Long-term maintenance of a fragility fracture initiative 长期坚持脆性骨折倡议。

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2024-11-15 DOI: 10.1016/j.ijotn.2024.101144

Christopher K. Sullivan , Kristine Kocjan , Trevor Tompane , Jennifer Smith , Benjamin M. Wheatley

{"title":"Long-term maintenance of a fragility fracture initiative","authors":"Christopher K. Sullivan , Kristine Kocjan , Trevor Tompane , Jennifer Smith , Benjamin M. Wheatley","doi":"10.1016/j.ijotn.2024.101144","DOIUrl":"10.1016/j.ijotn.2024.101144","url":null,"abstract":"<div><h3>Introduction</h3><div>Fragility fractures are common and have an increased chance of refracture and mortality. A process improvement project was initiated including standardized orders to improve treatment of osteoporosis-related fractures. The primary objective was to determine the implementation and maintenance of this process over time. Secondary objectives were to determine the refracture and mortality risk before and after implementation.</div></div><div><h3>Methods</h3><div>A retrospective cohort of fragility fractures treated during the 6 months prior and 6 months after implementation and for one year 6 years after implementation of the process. We measured the proportion of patients who received DEXA scans, osteoporosis laboratory blood tests, Vitamin D/Calcium supplementation, Primary Care follow-up, refracture, and 6-year mortality.</div></div><div><h3>Results</h3><div>There was a significant improvement in interventions obtained immediately after process improvement implementation. At 6-years the proportion of interventions obtained had declined and were not significantly different from pre-implementation except laboratory blood tests ordered which remained significantly improved. Mortality risk was significantly lower in the 6 months after process improvement implementation (24% vs 10%; p = 0.027). There was no significant difference in refracture in our cohort (18% vs 19%; p = 0.675).</div></div><div><h3>Discussion</h3><div>Our process improvement project showed significant improvement in interventions being performed and decreased mortality but were unable to sustain high levels of intervention. We suggest that high surgeon and resident turnover limited our ability to maintain the process improvement project over time. This study supports orthopedic surgeons implementing an osteoporosis treatment protocol for fragility fractures and the importance of continued re-education and re-implementation of process improvement protocols.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101144"},"PeriodicalIF":1.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688852","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}

引用次数: 0

Corrigendum to “The effectiveness of prophylactic closed incision negative pressure wound therapy compared to conventional dressings in the prevention of periprosthetic joint infection post hip and knee revision arthroplasty surgery: A systematic review” [Int. J. Orthopaed. Trauma Nurs. 53 (2024) 101048] 预防性闭合切口负压伤口疗法与传统敷料相比在预防髋关节和膝关节翻修关节置换术后假体周围感染方面的有效性：53 (2024) 101048]。

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2024-11-01 DOI: 10.1016/j.ijotn.2024.101125

Tracy Morgan , Tamara Page , Zaneta Smith

引用次数: 0

A qualitative study of older adults: The difficulties and needs of returning home after hip fractures 一项针对老年人的定性研究：髋部骨折后重返家园的困难和需求。

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2024-11-01 DOI: 10.1016/j.ijotn.2024.101141

Paula Rocha , Cristina Lavareda Baixinho , Maria Adriana Henriques

{"title":"A qualitative study of older adults: The difficulties and needs of returning home after hip fractures","authors":"Paula Rocha , Cristina Lavareda Baixinho , Maria Adriana Henriques","doi":"10.1016/j.ijotn.2024.101141","DOIUrl":"10.1016/j.ijotn.2024.101141","url":null,"abstract":"<div><h3>Background</h3><div>Falls and consequent fractures are an increasing problem among older adults, with low rates of return to previous functional condition and a substantial risk of subsequent falls. This scenario points to the need for an improved response to this population's needs.</div></div><div><h3>Objective</h3><div>To define the difficulties and needs felt by older adults with hip fractures when returning home.</div></div><div><h3>Methods</h3><div>This was a descriptive and exploratory qualitative study. Semi-structured interviews were conducted with hip fracture patients who had been submitted to surgery and who were treated at a hospital in the central region of Portugal. Bardin's content analysis was used to analyze the data. Content analysis was carried out with the support of MAXQDA® Analytic pro 2022 software.</div></div><div><h3>Results</h3><div>The analysis of the results of the 15 interviews yielded three categories related to the difficulties perceived by hip fracture patients on returning home: functional limitations; pain; and emotional management. Regarding the needs felt, the following categories emerged: resources/help with activities of daily living; capacity-building for the return home; and information.</div></div><div><h3>Conclusions</h3><div>The needs and difficulties of older adults with hip fractures on returning home are multiple and variable. Knowledge of these aspects can significantly enhance the standardized actions of nurses in this area of intervention, contributing to the improvement of continuity of care and ensuring a safe transition.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101141"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548222","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}

引用次数: 0

Enhanced recovery pathways in orthopaedic and trauma care. Special issue 骨科和创伤护理中的强化康复途径。特刊。

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2024-11-01 DOI: 10.1016/j.ijotn.2024.101142

Thomas Wainwright PhD (Prof, Guest Editor), Paul McLiesh (Guest Editor)

引用次数: 0

Efficacy of vitamin C supplementation in preventing and treating complex regional pain syndrome type I (CRPS-I) in Orthopedic patients: A systematic review and meta-analysis 维生素 C 补充剂在预防和治疗骨科患者 I 型复杂区域疼痛综合征 (CRPS-I) 方面的功效：系统回顾与荟萃分析。

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2024-10-18 DOI: 10.1016/j.ijotn.2024.101140

Malihe Ranjbar_moghaddam , Ebrahim Nasiri-Formi , Amirmohammad Merajikhah

{"title":"Efficacy of vitamin C supplementation in preventing and treating complex regional pain syndrome type I (CRPS-I) in Orthopedic patients: A systematic review and meta-analysis","authors":"Malihe Ranjbar_moghaddam , Ebrahim Nasiri-Formi , Amirmohammad Merajikhah","doi":"10.1016/j.ijotn.2024.101140","DOIUrl":"10.1016/j.ijotn.2024.101140","url":null,"abstract":"<div><h3>Aim</h3><div>Complex regional pain syndrome type I (CRPS-I) is a specific type of persistent pain which is often caused by fracture and surgery. There is no effective curative therapy available. However some studies have indicated that Vitamin C (VC) can reduce the incidence of CRPS-I. This study's objective is to investigate the effectiveness VC in preventing and treating CRPS-I.</div></div><div><h3>Design</h3><div>An <u>Systematic review</u> and Meta-analysis was done.</div></div><div><h3>Data sources</h3><div>Primary research studies from PubMed, Scopus, Web of Science, ProQuest, Embase database, and Cochran Library, and Google Scholar were reviewed. This search was conducted until March 27, 2024. This study was conducted without any language, place, and time restrictions. Study results were meta-analyzed with using effect sizes. To evaluate heterogeneity, we employed the Cochrane Q test and the I2 index.</div></div><div><h3>Results</h3><div>In our systematic review, 3947 articles were initially identified, with 3939 excluded for not meeting inclusion criteria, resulting in 8 studies being critically evaluated using Cochran's risk of bias checklist. The meta-analysis revealed that VC supplementation have effect on reducing CRPS-I post-limb surgery but this result shows that the pooled effect size is not statistically significant. The heterogeneity of the studies was low (I<sup>2</sup> = 26.28%, p = 0.22). Publication bias was detected, indicating asymmetry in the funnel plot.</div></div><div><h3>Conclusion</h3><div>The results of our study showed the positive effect of VC supplementation in reducing the prevalence of CRPS-I after limb surgery.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101140"},"PeriodicalIF":1.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510051","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}

引用次数: 0