International Journal of Orthopaedic and Trauma Nursing最新文献_第10页

Literature reviews 文学评论

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-02-01 DOI: 10.1016/j.ijotn.2023.101000

Carole Jackson, Carmen Queiros, Shareena Bibi Mohd Arif

引用次数: 0

Information needs, expectations, and treatment preference of patients considering spinal surgery: A case-control survey 考虑脊柱手术的患者的信息需求、期望和治疗偏好:一项病例对照调查

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2022-11-01 DOI: 10.1016/j.ijotn.2022.100979

William Wing-Kuen Lam , Alice Yuen Loke , Chun-Kwan Wong , Bronya Hi-Kwan Luk

{"title":"Information needs, expectations, and treatment preference of patients considering spinal surgery: A case-control survey","authors":"William Wing-Kuen Lam , Alice Yuen Loke , Chun-Kwan Wong , Bronya Hi-Kwan Luk","doi":"10.1016/j.ijotn.2022.100979","DOIUrl":"10.1016/j.ijotn.2022.100979","url":null,"abstract":"<div><h3>Study design</h3><p>Case-control survey.</p></div><div><h3>Objectives</h3><p>To explore intrapersonal factors associated with decision of patients with degenerative back pain for surgery.</p></div><div><h3>Methods</h3><p>From September 2018 to May 2019 patients were invited to complete a questionnaire. Patients who decided on (case) and declined surgery (control) were later confirmed from medical records.</p></div><div><h3>Results</h3><p>Seventy-five patients were recruited. Male patients (75.0%, <em>p</em> = 0.019), those who were married (78.7%, <em>p</em> = 0.0045), and had spousal care-givers (89.2%, <em>p</em> < 0.0001) were more likely to decide for surgery. All patients who decided on surgery expressed need for information on “the severity of their spine conditions” (<em>p</em> = 0.039). Those who decided on surgery did not have as the high expectation on “to sleep more comfortably” as those who declined (4.71 vs. 4.91, <em>p</em><span><span> = 0.022). The predictive factors for surgery decision by </span>logistic regression analysis were: male gender (OR = 3.23, 95% CI: 1.19–8.77, </span><em>p</em> = 0.021); married (OR = 5.231, 95% CI: 1.87–14.61, <em>p</em> = 0.002); with available spousal care-giver (OR = 1.85, 95% CI: 0.198–3.89, <em>p</em><span> = 0.031); and those who preferred to treat/cure the spine disorder by pharmacological treatment (OR = 2.77, 95% CI: 1.02–7.50, </span><em>p</em> = 0.045).</p></div><div><h3>Conclusion</h3><p>Patients who decided on surgery were likely to indicate need of medical information related to their condition. Patients were in hope of better relief of physical symptoms, especially related to sleep comfort. Patients would escalate their treatment from conservative to surgery when conservative treatments were no longer effective.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10344830","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: 1

A quality improvement project addressing the underreporting of delirium in hip fracture patients 解决髋部骨折患者谵妄漏报的质量改进项目

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2022-11-01 DOI: 10.1016/j.ijotn.2022.100974

Naoko Onizuka , Fernando A. Huyke-Hernández , Myriam A. Roby , Tom F. Martell , Rachael M. Scislow , Sarah C. Jones , Andrew Olson , Nicole James , Julie A. Switzer

{"title":"A quality improvement project addressing the underreporting of delirium in hip fracture patients","authors":"Naoko Onizuka , Fernando A. Huyke-Hernández , Myriam A. Roby , Tom F. Martell , Rachael M. Scislow , Sarah C. Jones , Andrew Olson , Nicole James , Julie A. Switzer","doi":"10.1016/j.ijotn.2022.100974","DOIUrl":"10.1016/j.ijotn.2022.100974","url":null,"abstract":"<div><h3>Introduction</h3><p>After discovering a low incidence of delirium for hip fracture patients at our institution, we evaluated if this was due to underreporting and, if so, where process errors occurred.</p></div><div><h3>Methods</h3><p>Hip fracture patients aged ≥60 with a diagnosis of delirium were identified. Chart-Based Delirium Identification Instrument (CHART-DEL) identified missed diagnoses of delirium. Process maps were created based off staff interviews and observations.</p></div><div><h3>Results</h3><p>The incidence of delirium was 15.3% (N = 176). Within a random sample (n = 98), 15 patients (15.5%) were diagnosed, while 20 (24.7%) went undiagnosed despite evidence of delirium. Including missed diagnoses, delirium prevalence was higher in the sample compared to all patients (35.7% vs 15.3%, p < 0.001). Most missed diagnoses were due to failure in identifying delirium (60%) or failure in documenting/coding diagnosis (20%). The prevalence of baseline cognitive impairment was higher in undiagnosed delirium patients versus correctly diagnosed patients (80% vs 20%, p = 0.001).</p></div><div><h3>Conclusions</h3><p>Our institution significantly underreports delirium among hip fracture patients mainly due to; (1) failure to identify delirium by the clinical staff, and (2) failure to document/code diagnosis despite correct identification. Baseline cognitive impairment can render delirium diagnosis challenging. These serve as targets for quality improvement and hip fracture care enhancement.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10356702","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: 2

Soft collar for acute cervical spine injury immobilisation -patient experiences and outcomes: A single centre mixed methods study 软领用于急性颈椎损伤固定-患者经验和结果:单中心混合方法研究

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2022-11-01 DOI: 10.1016/j.ijotn.2022.100965

Fiona L. Jennings , Marion L. Mitchell , James Walsham , David SR. Lockwood , Robert M. Eley

{"title":"Soft collar for acute cervical spine injury immobilisation -patient experiences and outcomes: A single centre mixed methods study","authors":"Fiona L. Jennings , Marion L. Mitchell , James Walsham , David SR. Lockwood , Robert M. Eley","doi":"10.1016/j.ijotn.2022.100965","DOIUrl":"10.1016/j.ijotn.2022.100965","url":null,"abstract":"<div><h3>Background</h3><p>Cervical collars are used as standard care for neck immobilisation after cervical spine injury. Although evidence for the most effective type of collar is lacking, there is evidence regarding adverse patient outcomes when managed in a semi or rigid collar. In response to the evidence of complications and adverse effects when using a hard collar, a large Australian adult trauma hospital that specializes in spinal care, changed its policy from hard to soft collars when managing acute cervical spine injury.</p></div><div><h3>Objective</h3><p>The aim of this study was to investigate patients’ experiences and outcomes when wearing a soft collar for acute cervical spine injury management in hospital.</p></div><div><h3>Method</h3><p>A single centre mixed method sequential study design was used.</p></div><div><h3>Results</h3><p>Medical records from 136 patients were examined and no adverse events resulting from collar use were recorded. Interviews with 20 patients revealed that they understood the value of wearing a soft collar. The soft collars were considered supportive and well tolerated, with good adherence to recommendations for use.</p></div><div><h3>Conclusions</h3><p>Understanding the patients’ experiences informs better care management. This study suggests that soft collars are well tolerated, do not result in pressure injuries or other adverse events and are suitable for managing acute cervical spine injury.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124122000454/pdfft?md5=e0eb8e4ba30d0e62c7a0e937aab41fd6&pid=1-s2.0-S1878124122000454-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10410358","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: 2

Comparison of pain and discomfort in supine and lateral positions after surgery for lumbar degenerative disease: A prospective randomized controlled study 腰椎退行性疾病手术后仰卧位和侧卧位疼痛和不适的比较:一项前瞻性随机对照研究

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2022-11-01 DOI: 10.1016/j.ijotn.2022.100959

Yasuchika Aoki , Makoto Suzuki , Hiroshi Takahashi , Arata Nakajima , Masato Sonobe , Toshiaki Kotani , Takayuki Nakajima , Yusuke Sato , Masahiro Inoue , Junya Saito , Masaki Norimoto , Yawara Eguchi , Sumihisa Orita , Seiji Ohtori , Koichi Nakagawa

{"title":"Comparison of pain and discomfort in supine and lateral positions after surgery for lumbar degenerative disease: A prospective randomized controlled study","authors":"Yasuchika Aoki , Makoto Suzuki , Hiroshi Takahashi , Arata Nakajima , Masato Sonobe , Toshiaki Kotani , Takayuki Nakajima , Yusuke Sato , Masahiro Inoue , Junya Saito , Masaki Norimoto , Yawara Eguchi , Sumihisa Orita , Seiji Ohtori , Koichi Nakagawa","doi":"10.1016/j.ijotn.2022.100959","DOIUrl":"10.1016/j.ijotn.2022.100959","url":null,"abstract":"<div><h3>Introduction</h3><p>To compare postoperative pain and discomfort between supine and lateral positions after lumbar surgery, a prospective randomized controlled study was performed.</p></div><div><h3>Methods</h3><p>Forty-three patients with lumbar degenerative disease<span>, treated by decompression (n = 23) or fusion surgery (n = 20), were randomly assigned to be placed in either the supine (supine group: n = 21) or lateral (lateral group: n = 22) position postoperatively, and asked to maintain their position until a day after the surgery. Postoperative back pain and discomfort (visual analog scale [VAS], 0–100 mm) and the number of patients who could maintain their position were examined.</span></p></div><div><h3>Results</h3><p>The VAS scores for back pain (<u>supine</u>: 64.9 ± 22.0, <u>lateral:</u> 55.7 ± 21.4) showed no significant difference between the positions. However, the supine group showed significantly more severe discomfort (75.6 ± 15.7) than the lateral group (64.9 ± 15.7, p = 0.039). Significantly fewer patients maintained their position in the supine group (28.2%) than in the lateral group (68.2%; p = 0.022). Among patients who underwent fusion surgery, significantly fewer patients maintained their position in the supine group (10.0%) than those in the lateral group (60.0%, p = 0.029).</p></div><div><h3>Conclusion</h3><p>Postoperative discomfort was significantly reduced in the lateral position than in the supine position; thus, the lateral position is more suitable after lumbar surgery in terms of postoperative discomfort.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10698346","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: 1

Literature reviews 文学评论

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2022-11-01 DOI: 10.1016/j.ijotn.2022.100962

Carole Jackson, Carmen Queiros, Shareena Bibi Mohd Arif

引用次数: 0

Total Knee Arthroplasty (TKA) virtual issue 全膝关节置换术(TKA)虚拟问题

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2022-11-01 DOI: 10.1016/j.ijotn.2022.100976

Rebecca Jester

引用次数: 0

Expert practice in orthopaedic nursing 骨科护理专家实习

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2022-11-01 DOI: 10.1016/j.ijotn.2022.100980

Paul McLiesh (Deputy Editor)

引用次数: 0

Editorial Board/Title Page 编委会/标题页

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2022-11-01 DOI: 10.1016/S1878-1241(22)00066-1

引用次数: 0

The effect of abdominal massage on the severity of constipation in elderly patients hospitalized with fractures: A randomized clinical trial 腹部按摩对老年骨折住院患者便秘严重程度的影响:一项随机临床试验

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2022-11-01 DOI: 10.1016/j.ijotn.2022.100936

Elham Nouhi , Roya Mansour-Ghanaei , Seyedeh Amineh Hojati , Bahare Gholami Chaboki

{"title":"The effect of abdominal massage on the severity of constipation in elderly patients hospitalized with fractures: A randomized clinical trial","authors":"Elham Nouhi , Roya Mansour-Ghanaei , Seyedeh Amineh Hojati , Bahare Gholami Chaboki","doi":"10.1016/j.ijotn.2022.100936","DOIUrl":"10.1016/j.ijotn.2022.100936","url":null,"abstract":"<div><h3>Background</h3><p>There is significant interest in the use of complementary therapies to control or reduce the severity of constipation.</p></div><div><h3>Aim</h3><p>The aim of this study was to determine the effect of abdominal massage on the severity of constipation in elderly patients with fractures.</p></div><div><h3>Methods</h3><p>In this randomized clinical trial<span>, 60 elderly patients admitted to an Iranian orthopedic referral hospital who were suffering from constipation were randomly assigned to intervention and control groups. For the intervention group, abdominal massage was performed for 3 days, twice a day, for 15 minutes. Both groups were assessed using the Constipation Assessment Scale (CAS) and the Bristol Stool Scale (BSS).</span></p></div><div><h3>Results</h3><p>A statistically significant difference was observed between the two groups in BSS scores (<em>p</em> < 0.05). The mean CAS scores in the intervention group decreased from 10.74 to 4.51 after intervention and in the control group, it decreased from 10.20 to 7.37. There was a statistically significant difference in CAS scores between the two groups (<em>p</em> < 0.05).</p></div><div><h3>Conclusion</h3><p>The results of the study showed the positive effect of abdominal massage on stool consistency and reduction of severity constipation.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10411886","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: 5