International Journal of Orthopaedic and Trauma Nursing最新文献

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Nurses' perspective on transitional care for older person with hip fracture: a qualitative study 护士对老年髋部骨折过渡性护理的看法:一项质性研究
IF 2.1
International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-07-28 DOI: 10.1016/j.ijotn.2025.101214
Paula Rocha , Cristina Lavareda Baixinho , Carlos Albuquerque , Susana Batista , Maria Adriana Henriques
{"title":"Nurses' perspective on transitional care for older person with hip fracture: a qualitative study","authors":"Paula Rocha ,&nbsp;Cristina Lavareda Baixinho ,&nbsp;Carlos Albuquerque ,&nbsp;Susana Batista ,&nbsp;Maria Adriana Henriques","doi":"10.1016/j.ijotn.2025.101214","DOIUrl":"10.1016/j.ijotn.2025.101214","url":null,"abstract":"<div><h3>Background</h3><div>The aging process, being associated with a decrease in physical functionality, determines an increased risk of falling and, consequently, a greater risk of associated fractures. Among them, hip fracture often causes functional decline and difficulty returning to the state before the fracture.</div></div><div><h3>Objective</h3><div>To analyze nurses' perceptions of the transition process of the older person with hip fractures on returning home.</div></div><div><h3>Methods</h3><div>A descriptive, exploratory study of a qualitative nature was developed, based on two focus groups (FGs) with semi-structured interviews with nurses providing care to patients with hip fractures undergoing surgical treatment, whose activity takes place in a hospital context and care primary healthcare units, belonging to a Hospital in the central region of Portugal. Systematic data analysis and respective inductive work were carried out, with support from software Meetpulp®.</div></div><div><h3>Results</h3><div>The analysis of the two FGs, with 10 participants, outlines the contours of the problem that influences the personal, organizational and political spheres. Professionals recommend solutions to mitigate obstacles to the transition of care, such as: early involvement and better preparation of family members before discharge, offering greater support to caregivers, improving communication between professionals, creating a telephone support line, highlighting the importance networking and streamlining processes.</div></div><div><h3>Conclusion</h3><div>Nurses perceive important problems inherent to the transition process of older person with hip fractures, and the resulting impact on family caregivers and health services. The analysis of these aspects can constitute a basis for the reorganization of health services, in search of the best response to these needs.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101214"},"PeriodicalIF":2.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722965","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
Development and reliability testing of a symptom assessment scale for postoperative patients with adolescent idiopathic scoliosis 青少年特发性脊柱侧凸术后患者症状评估量表的研制及可靠性检验
IF 1.5
International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-07-23 DOI: 10.1016/j.ijotn.2025.101213
Rong Yan , Wei Liu , Yan He , Xuedan Li , Jie Luo , Huiwen Wang , Suyun Li
{"title":"Development and reliability testing of a symptom assessment scale for postoperative patients with adolescent idiopathic scoliosis","authors":"Rong Yan ,&nbsp;Wei Liu ,&nbsp;Yan He ,&nbsp;Xuedan Li ,&nbsp;Jie Luo ,&nbsp;Huiwen Wang ,&nbsp;Suyun Li","doi":"10.1016/j.ijotn.2025.101213","DOIUrl":"10.1016/j.ijotn.2025.101213","url":null,"abstract":"<div><h3>Background</h3><div>Patients with adolescent idiopathic scoliosis (AIS) often experience pain, fatigue, decreased appetite, anxiety and depression, etc. Previous studies have focused on investigating a single symptom in patients with AIS, ignoring possible synergistic effects between symptoms, or using self-administered questionnaires that have not been scientifically evaluated.</div></div><div><h3>Aims</h3><div>To develop a symptom assessment scale for postoperative patients with AIS and test its reliability and validity.</div></div><div><h3>Methods</h3><div>Using the symptom experience model as the theoretical framework, we constructed a bank of scale items based on literature review and semi-structured interviews; formed the initial scale after 2 rounds of expert correspondence; and supplemented the descriptive definitions of each item through pre-surveys. To test the reliability of the scale, 175 postoperative AIS patients attending the department of spine and orthopedics in a tertiary hospital in Wuhan city were conveniently selected for a formal survey.</div></div><div><h3>Results</h3><div>The scale consisted of 24 items, and 5 common factors were extracted by exploratory factor analysis, with a cumulative variance contribution rate of 67.982 %; the content validity index of the scale was 0.875, and the content validity index of the items was 0.800–1.000; the overall Cronbach's α coefficient of the scale was 0.878, the folding reliability was 0.836, and the retest reliability was 0.947.</div></div><div><h3>Conclusions</h3><div>The symptom assessment scale for postoperative patients with AIS has demonstrated adequate reliability and validity, thus serving as a valid instrument for evaluating the postoperative symptom experience of patients with AIS.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101213"},"PeriodicalIF":1.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713754","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 after surgery in total joint arthroplasty: Nurses experiences of a pilot model of care 全关节置换术后增强康复:护士护理试点模式的经验
IF 1.5
International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-07-07 DOI: 10.1016/j.ijotn.2025.101212
Kate Schimmelbusch , Karen Blakemore , Marisa Delahunt , Rebekah McGaw , Rebecca J. Jarden , Andrew Hardidge , Elizabeth Walkley
{"title":"Enhanced recovery after surgery in total joint arthroplasty: Nurses experiences of a pilot model of care","authors":"Kate Schimmelbusch ,&nbsp;Karen Blakemore ,&nbsp;Marisa Delahunt ,&nbsp;Rebekah McGaw ,&nbsp;Rebecca J. Jarden ,&nbsp;Andrew Hardidge ,&nbsp;Elizabeth Walkley","doi":"10.1016/j.ijotn.2025.101212","DOIUrl":"10.1016/j.ijotn.2025.101212","url":null,"abstract":"<div><h3>Background</h3><div>Implementation of a fast-track model of care to support next-day discharge in joint arthroplasty can enhance the patient journey, improve nurses’ job satisfaction while also reducing length of stay.</div></div><div><h3>Objectives</h3><div>The objectives of this study were to explore nurses' experiences and perceptions of an Enhanced Recovery Program and develop an understanding of the contribution of the program to the delivery of care. The research question was: what are nurses’ experiences and perceptions of an enhanced recovery program?</div></div><div><h3>Methods</h3><div>A multidisciplinary team developed, piloted, and evaluated an Enhanced Recovery Program for hip and knee arthroplasty patients. Nurses’ experiences and perceptions of using an Enhanced Recovery Program were explored through semi-structured focus group discussion. Data were inductively thematically analysed through an iterative and reflexive process.</div></div><div><h3>Findings</h3><div>Eight nurses participated in the focus group in February 2025. Three themes became apparent: (1) Patient preparedness which encompassed patient education and goal setting expectations, (2) Nurses leading care including early mobilisation, multimodal analgesia, and use of a clinical pathway and (3) Nurse satisfaction resulting in perceived increased collaboration amongst the multidisciplinary team and positive workload impacts.</div></div><div><h3>Conclusions</h3><div>There was a consensus amongst participants that the enhanced recovery program had a positive impact on participants’ working lives and supported high quality and safe patient care.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101212"},"PeriodicalIF":1.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613820","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
“Collagenase injections versus limited fasciectomy in treating patients with Dupuytren's contracture: A systematic review and meta-analysis” 胶原酶注射与有限筋膜切除术治疗Dupuytren挛缩:系统回顾和荟萃分析
IF 1.5
International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-07-03 DOI: 10.1016/j.ijotn.2025.101211
Najaf Ahmed Rajpar , Sanya Ashraf Khaskheli , Sabahat Ul Ain Munir Abbasi , Aamna Rehman , Muhammad Salman Nadeem , Hajira Arooj
{"title":"“Collagenase injections versus limited fasciectomy in treating patients with Dupuytren's contracture: A systematic review and meta-analysis”","authors":"Najaf Ahmed Rajpar ,&nbsp;Sanya Ashraf Khaskheli ,&nbsp;Sabahat Ul Ain Munir Abbasi ,&nbsp;Aamna Rehman ,&nbsp;Muhammad Salman Nadeem ,&nbsp;Hajira Arooj","doi":"10.1016/j.ijotn.2025.101211","DOIUrl":"10.1016/j.ijotn.2025.101211","url":null,"abstract":"<div><h3>Background</h3><div>Dupuytren's contracture is a progressive disorder characterized by palmar fascia thickening, leading to nodules and cords formation. Limited fasciectomy (LF) is the standard surgical treatment, while Collagenase Clostridium Histolyticum (CCH) injection offers a minimally invasive alternative. Despite multiple studies, the comparative efficacy and safety of these approaches remain debated.</div></div><div><h3>Purpose</h3><div>To compare the effectiveness and safety of CCH and LF by analyzing change in extension deficit (ED), recurrence rate, residual contracture, Michigan Hand Questionnaire (MHQ) score, and complications.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis of randomized controlled trials (RCTs) and observational studies.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in PubMed, EMBASE, Cochrane, and Scopus. The review followed PRISMA guidelines for transparent reporting. Fifteen studies (RCTs and observational) comparing CCH and LF were included. Data were extracted on MHQ score, change in ED, recurrence rate, residual contracture, and complications. Meta-analysis was performed using RevMan 5.4. Heterogeneity was assessed using Higgins' I<sup>2</sup>. Risk of bias was evaluated with the Newcastle-Ottawa Scale and RoB-2 tool, while certainty of evidence was assessed using GRADEPro.</div></div><div><h3>Results</h3><div>LF resulted in a significantly lower change in ED and lower recurrence rate compared to CCH. However, CCH had higher residual contracture and a lower complication rate. MHQ score improvements were comparable between groups.</div></div><div><h3>Conclusions</h3><div>LF is superior in reducing recurrence and residual contracture but has a higher complication rate. CCH yields greater change in ED. Further research is needed to refine treatment strategies.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101211"},"PeriodicalIF":1.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580367","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
The hip instructional prehabilitation program for enhanced recovery (HIPPER) as an eHealth approach to presurgical hip replacement Education: Feasibility randomized controlled trial 髋关节指导康复计划(HIPPER)作为髋关节置换术前教育的电子健康方法:可行性随机对照试验
IF 1.5
International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-06-18 DOI: 10.1016/j.ijotn.2025.101210
Somayyeh Mohammadi , Marie D. Westby , Amy Schneeberg , Wendy Watson , Aditya Dhariwal , Ethan Simpson , William C. Miller
{"title":"The hip instructional prehabilitation program for enhanced recovery (HIPPER) as an eHealth approach to presurgical hip replacement Education: Feasibility randomized controlled trial","authors":"Somayyeh Mohammadi ,&nbsp;Marie D. Westby ,&nbsp;Amy Schneeberg ,&nbsp;Wendy Watson ,&nbsp;Aditya Dhariwal ,&nbsp;Ethan Simpson ,&nbsp;William C. Miller","doi":"10.1016/j.ijotn.2025.101210","DOIUrl":"10.1016/j.ijotn.2025.101210","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the fidelity of our study protocol and the fidelity of a co-developed eHealth program designed for people having total hip replacement.</div></div><div><h3>Method</h3><div>A single-center, assessor-masked, feasibility randomized controlled trial (RCT) was used. Fifty-one participants aged 50 and older with hip osteoarthritis who were scheduled to receive a total hip replacement participated in this study. We randomized participants into an experiment or a control group. The experiment group used an eHealth prehabilitation program called the Hip Instructional Prehabilitation Program for Enhanced Recovery (HIPPER). The control group received the usual care (i.e., attended an educational webinar). Feasibility indicators addressed process, resources, management, and treatment, and the primary clinical outcome measure was the Hospital Anxiety Depression Scale (HADS).</div></div><div><h3>Results</h3><div>Eight out of 14 feasibility indicators were achieved. All management indicators were achieved. Participant consent and data completion strategies need revision, as 38 % (n = 36) refused participation and 33 % (n = 17) had incomplete data. There were no statistically significant differences between groups for the clinical outcomes (anxiety, pain, activities of daily living, and self-efficacy). Most HIPPER participants rated the eHealth program as “acceptable.”</div></div><div><h3>Conclusion</h3><div>Results show evidence for the feasibility of the study protocol. The results reveal minor modifications to the study protocol to improve participant engagement, retention rate, and data completion. Moreover, to increase the perceived benefits, the content of the HIPPER can be modified. A refined version of HIPPER can provide accessible pre-operative care to patients undergoing total hip replacement. This program can also improve surgery outcomes by increasing patients’ readiness.</div></div><div><h3>Trial registration</h3><div>ClinicalTrials.gov ID: NCT02969512. Registered on November 21, 2016.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101210"},"PeriodicalIF":1.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491263","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
Determination of the discharge education needs of patients with day hand surgery operation in Turkey 土耳其日间手部手术患者出院教育需求的确定
IF 1.5
International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-06-16 DOI: 10.1016/j.ijotn.2025.101208
Ufuk Burak Karcioglu , Gonul Bodur
{"title":"Determination of the discharge education needs of patients with day hand surgery operation in Turkey","authors":"Ufuk Burak Karcioglu ,&nbsp;Gonul Bodur","doi":"10.1016/j.ijotn.2025.101208","DOIUrl":"10.1016/j.ijotn.2025.101208","url":null,"abstract":"<div><h3>Aim</h3><div>The research was conducted to identify the discharge education needs of patients undergoing day surgery for hand surgery.</div></div><div><h3>Method</h3><div>This descriptive and cross-sectional study included patients who underwent day surgery for hand conditions, both emergency and elective, over the course of a year at public hospitals under the Istanbul Provincial Health Directorate, specifically in the Department of Hand Surgery on the European side of Istanbul. The total patient count was 1195. The study sample consisted of 100 patients, determined using the G Power analysis method with an effect size of 2.25, a significance level (α) of 0.05, and a power of 90 %. Data were collected using a \"Patient Identification Form\" and \"The Patient Learning Needs Scale,\" both developed by the researcher.</div></div><div><h3>Results</h3><div>The average age of the patients participating in the study was 41.59 ± 15.53, with the majority being male (55.39 %), married (62.31 %), unemployed (53.85 %), and without chronic diseases (75.38 %). The average score of the \"Patient Learning Needs Scale\" for day surgery hand patients was 156.461 ± 12.133, with the highest average scores in the sub-dimensions \"Treatment and Complications\" being 32.62 ± 3.75. A significant relationship was found between age and the \"Treatment and Complications\" sub-dimension of the PLNS, with a correlation of 0.103 (r = 0.103; p &lt; 0.05). It was determined that male patients had greater learning needs regarding skin care (p &lt; 0.05), and statistically significant differences were found among the educational levels in the sub-dimensions of \"Activities of Daily Living\" \"Community and Follow-up,\" and \"Skin Care\" of the PLNS (p &lt; 0.05). The educational needs of employed patients were higher in all sub-dimensions except \"Treatment and Complications\" and the total score of the scale, with a statistically significant difference found in the \"Situation-Related Emotions\" sub-dimension. Patients who applied to the emergency department had a higher average total score on the PLNS.</div></div><div><h3>Conclusion</h3><div>It has been determined that patients undergoing day surgery for hand surgery have educational needs regarding treatment and complications, medications, skin care, quality of life, and home care during the discharge process. It is recommended that discharge education programs be increased to consider the needs of the patients.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101208"},"PeriodicalIF":1.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365252","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
Do pre- and post- rehabilitation influence hospital length of stay and patient recovery following total hip replacement in the UK? A systematic scoping review and Delphi study 在英国,术前和术后康复是否影响全髋关节置换术后的住院时间和患者康复?一个系统的范围审查和德尔菲研究
IF 1.5
International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-06-14 DOI: 10.1016/j.ijotn.2025.101209
Rebecca Willis , Rania Edris , Sally Akehurst , Francesco V. Ferraro
{"title":"Do pre- and post- rehabilitation influence hospital length of stay and patient recovery following total hip replacement in the UK? A systematic scoping review and Delphi study","authors":"Rebecca Willis ,&nbsp;Rania Edris ,&nbsp;Sally Akehurst ,&nbsp;Francesco V. Ferraro","doi":"10.1016/j.ijotn.2025.101209","DOIUrl":"10.1016/j.ijotn.2025.101209","url":null,"abstract":"<div><div>Pre-operative rehabilitation is an effective means of reducing Length of Stay (LoS), but little evidence is available on its influence on Total Hip Replacement (THR) patients. Hence, a review of UK-based experimental studies to evaluate the effect of physical therapy on LoS was performed. Subsequently, a narrative synthesis was employed to develop a three-round Delphi study targeting UK clinicians. The review and Delphi results showed that patients had higher satisfaction with education clinics, but nurse-led assessment and physiotherapist education were not superior to standard pre-operative practices. The Delphi highlighted the challenges and benefits of (p)rehabilitation and provided suggestions for THR best practices. In conclusion, the study shows that there is a lack of evidence on the effectiveness of (p)rehabilitation on LoS; further research is recommended into education, (p)rehabilitation and patient self-efficacy interventions to enhance THR patients' pathways.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101209"},"PeriodicalIF":1.5,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312715","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
Interprofessional collaboration in surgical setting during the implementation of a multimodal analgesia protocol: A qualitative study 多模式镇痛方案实施过程中外科设置的跨专业合作:一项定性研究
IF 1.5
International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-06-12 DOI: 10.1016/j.ijotn.2025.101207
Emilie Bourdeau , Emilie Paul-Savoie , Johanne Lapré , Sylvie Lafrenaye , Patricia Bourgault , Emilie Gosselin
{"title":"Interprofessional collaboration in surgical setting during the implementation of a multimodal analgesia protocol: A qualitative study","authors":"Emilie Bourdeau ,&nbsp;Emilie Paul-Savoie ,&nbsp;Johanne Lapré ,&nbsp;Sylvie Lafrenaye ,&nbsp;Patricia Bourgault ,&nbsp;Emilie Gosselin","doi":"10.1016/j.ijotn.2025.101207","DOIUrl":"10.1016/j.ijotn.2025.101207","url":null,"abstract":"<div><h3>Introduction</h3><div>The Enhanced Recovery after Surgery (ERAS) program has been a turning point for healthcare professionals and patient's surgical units. To optimize patient relief, a new multimodal analgesia (MMA) protocol was deployed. Implementing this protocol required several professionals, with their roles and interactions emerging as key factors to explore.</div></div><div><h3>Objective</h3><div>The aim of this qualitative study is to describe the interprofessional collaboration (IC) process during the MMA protocol implementation with surgical healthcare professionals.</div></div><div><h3>Method</h3><div>A secondary analysis of data from a descriptive qualitative study was conducted. A total of 71 participants, including registered nurses, assistant nurses, managers/educators, residents, surgeons, and pharmacists, took part in semi-structured interviews. Emerging ideas were synthesized using thematic analysis (Braun and Clark, 2006) and then categorized based on constructs defined by the Sunnybrook framework (McLaney et al., 2022).</div></div><div><h3>Results</h3><div>Several subthemes emerged from secondary analysis: professional roles, interprofessional communication, beliefs, interprofessional trust, interprofessional influence, and nurse autonomy. The protocol implementation fostered role clarification, more efficient and relevant communication, highlighted interprofessional values and ethics, and shared decision-making.</div></div><div><h3>Benefits</h3><div>Three emerging findings from this analysis: the importance for professionals of having a shared vision, the need for effective and relevant communication, and the importance of fully occupying professional roles.</div></div><div><h3>Conclusion</h3><div>Successful MMA protocol implementation relying on IC could optimize pain management for surgical patients in ERAS trajectories. The ERAS program optimized post-surgical pain management, with successful MMA implementation relying on IC. This analysis highlights the importance of involving all relevant professionals in complex interventions like post-op pain relief to maximize outcomes.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101207"},"PeriodicalIF":1.5,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312717","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
Enhancing patient outcomes after anterior cruciate ligament reconstruction with continuous cryotherapy: A Nursing-Focused Randomized Control Trial 通过持续冷冻治疗提高前交叉韧带重建患者的预后:一项以护理为重点的随机对照试验
IF 1.5
International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-06-11 DOI: 10.1016/j.ijotn.2025.101206
Linh Thuy Khanh Tran , Quyen Thi Kim Nguyen , Huy Quoc Hoang , Bach Nguyen , Vinh Quang Pham
{"title":"Enhancing patient outcomes after anterior cruciate ligament reconstruction with continuous cryotherapy: A Nursing-Focused Randomized Control Trial","authors":"Linh Thuy Khanh Tran ,&nbsp;Quyen Thi Kim Nguyen ,&nbsp;Huy Quoc Hoang ,&nbsp;Bach Nguyen ,&nbsp;Vinh Quang Pham","doi":"10.1016/j.ijotn.2025.101206","DOIUrl":"10.1016/j.ijotn.2025.101206","url":null,"abstract":"<div><h3>Objective</h3><div>This nursing-focused study compared the effectiveness of continuous cryotherapy (CC) versus traditional ice packs (IP) in managing postoperative pain, knee swelling, range of motion (ROM), and patient satisfaction following anterior cruciate ligament reconstruction (ACLR).</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 72 post-ACLR patients, equally assigned to receive either CC or IP. Cold therapy was administered by trained orthopedic nurses three times daily, each session lasting 30 min, over three consecutive postoperative days. Pain was assessed using the Visual Analog Scale (VAS). Knee swelling was measured by mid-patella circumference using a tape measure, and range of motion (ROM) was measured using a goniometer. All assessments were performed before and after each morning cold therapy session on postoperative days 1, 2, and 3 by one nurse assessor, before the administration of analgesics or physiotherapy, ensuring standardized, nursing-led evaluations.</div></div><div><h3>Results</h3><div>Participants were predominantly male, with sports injuries being the primary cause of ACL rupture. Baseline characteristics were comparable between groups. By day 3, the CC group demonstrated significantly lower VAS scores (1.03 ± 0.61) than the IP group (2.69 ± 0.89; p &lt; 0.001), less swelling (0.93 ± 0.72 cm vs. 1.37 ± 0.78 cm; p = 0.015), and greater ROM (62.19 ± 6.57° vs. 48.08 ± 7.15°; p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>When integrated into nursing practice, CC was more effective than traditional IP in reducing postoperative pain, swelling, and enhancing knee mobility following ACLR. These findings underscore the crucial role of nurses in delivering evidence-based interventions that promote recovery.</div><div>Clinicaltrials.gov idNCT06629285.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101206"},"PeriodicalIF":1.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312716","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
LITERATURE REVIEWS – Advancing orthopedic and trauma care through high-quality and evidence-based nursing: Impact on patient outcomes and professional practices 文献综述-通过高质量和循证护理推进骨科和创伤护理:对患者预后和专业实践的影响
IF 1.5
International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-06-09 DOI: 10.1016/j.ijotn.2025.101197
Sonya Clarke, Shareena Bibi Mohd Arif, Carmen Queiros
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