International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Analysis of latent profiles of healthy promotion lifestyles and their influencing factors in women at high risk of primary osteoporosis","authors":"Xinyu Li ,&nbsp;Siwu Tian ,&nbsp;Zeng Yu ,&nbsp;Hongyun Li ,&nbsp;Baoqin Wu","doi":"10.1016/j.ijotn.2025.101251","DOIUrl":"10.1016/j.ijotn.2025.101251","url":null,"abstract":"<div><h3>Background</h3><div>A health-promoting lifestyle involves increasing health awareness and actively adopting healthier habits. For women with osteopenia, becoming more aware of osteoporosis prevention and taking positive preventive actions can effectively improve health outcomes.</div></div><div><h3>Aims</h3><div>This study employed latent profile analysis (LPA) to assess the potential categories of healthy lifestyle promotion for women at high risk of primary osteoporosis. It aimed to identify high-risk subgroups, analyze differences and influencing factors among these groups, and offer evidence-based guidance for clinical nursing practice.</div></div><div><h3>Methods</h3><div>From December 2024 to July 2025, women were recruited using convenience sampling from endocrine outpatient departments and physical examination centers at two Grade A tertiary hospitals in Guiyang City. Data collection followed the planned time frame, and only eligible samples were included. Latent profile analysis was performed with <em>Mplus 8.3</em>, and univariate and multiple logistic regression analyses were conducted using <em>SPSS 27.0</em>.</div></div><div><h3>Results</h3><div>A total of 340 valid questionnaires were analyzed. Participants were categorized into three latent profiles: the low self-management—ineffective health behaviors group (28.8 %), the moderate self-management—average health behaviors group (45.3 %), and the high self-management—favorable health behaviors group (25.9 %).</div></div><div><h3>Conclusion</h3><div>These findings highlight disparities in the adoption of healthy lifestyles among women at high risk of primary osteoporosis. In clinical practice, nurses help patients with low health management recognize and overcome cognitive biases, use healthcare resources appropriately, and understand the importance of bone health. For patients with moderate health management, the can suggest exercise in addition to calcium supplementation. For those with high self-management, nurses can support their social networks to help maintain healthy behaviors over time.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101251"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610568","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":"Exploring patient perspectives of younger adults with complications after internal fixation of femoral neck fractures: A qualitative study","authors":"Michaela Manalili Hansen ,&nbsp;Per Hviid Gundtoft ,&nbsp;Maiken Stilling ,&nbsp;Ming Ding ,&nbsp;Bjarke Viberg ,&nbsp;Charlotte Abrahamsen","doi":"10.1016/j.ijotn.2025.101252","DOIUrl":"10.1016/j.ijotn.2025.101252","url":null,"abstract":"<div><h3>Introduction</h3><div>Internal fixation is the recommended treatment for femoral neck fractures in younger adults, as it preserves the native hip joint. However, high failure rates and suboptimal outcomes following internal fixation persist. While there is substantial research on the experiences of older adults with femoral neck fractures, the perspectives of younger adults with complications following internal fixation remain largely underexplored. This study aims to examine the lived experiences of younger adults who underwent secondary surgery after internal fixation of a femoral neck fracture, with focus on the period between the initial fixation and the subsequent operation.</div></div><div><h3>Methods</h3><div>This qualitative, exploratory study utilizes semi-structured interviews with younger adults who underwent secondary surgery due to complications following internal fixation of a femoral neck fracture. Participants were purposively sampled from three hospitals in Denmark. Interviews were conducted 2–4 weeks post-secondary surgery, transcribed verbatim, and analyzed using Malterud's Systematic Text Condensation.</div></div><div><h3>Results</h3><div>Eight participants (median age 61, range 38–69 years) were included. Analysis identified four overarching themes: (1) physical impact, (2) psychosocial and identity disruption, (3) healthcare and information gaps, and (4) coping and future outlook. Alarmingly, more participants reported losing the will to live, even expressing suicidal thoughts during this period.</div></div><div><h3>Conclusion</h3><div>This study highlights the profound physical, psychological, and social consequences of complications following femoral neck fractures in younger adults. The findings emphasize the need for clear communication and individualized, age-appropriate, and long-term rehabilitation that integrates physical and psychological support. Tailored care pathways are essential to improve recovery and quality of life.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101252"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617372","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":"Occupational noise induced hearing loss in orthopaedic theatre nurses: Exposing the silent threat and outlining interventions to prevent it","authors":"Thomas Dean ,&nbsp;Olivia Crannage","doi":"10.1016/j.ijotn.2025.101254","DOIUrl":"10.1016/j.ijotn.2025.101254","url":null,"abstract":"<div><div>Excessive and prolonged exposure to loud noises can lead to an irreversible reduction in hearing known as noise induced hearing loss (NIHL). Orthopaedic theatre nurses spend a significant amount of their career surrounded by noisy orthopaedic theatre equipment, yet the risks posed to them by excessive occupational noise and the rates of NIHL in this group remain relatively unknown. Sound levels in orthopaedic theatres have been shown to exceed UK Health and Safety Executive action values with surgical instruments such as saws and rasping systems all exceeding 100 dB. Theatre nurses are therefore at risk of developing NIHL and multiple other complications associated with hearing loss, such as higher rates of loneliness and depression. Noisy theatre environments have also been shown to degrade communication, increase total errors and result in longer times to complete tasks, all leading to reductions in patient safety.</div><div>This practice development article aims to raise awareness of occupational NIHL and empower theatre nurses to implement protective interventions for their hearing. The article outlines a range of measures to reduce excessive noise exposure to theatre staff and proposes the implementation of a nurse-led ‘noise-safe theatre’. These recommendations encourage the use of engineering and administrative controls in combination with NIHL education and PPE within theatres to improve safety for both staff and patients.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101254"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737254","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 family caregiver of the older person with hip fracture: perceptions about the transition to home","authors":"Paula Rocha ,&nbsp;Carlos Albuquerque ,&nbsp;Susana Batista ,&nbsp;Maria Adriana Henriques ,&nbsp;Cristina Lavareda Baixinho","doi":"10.1016/j.ijotn.2026.101264","DOIUrl":"10.1016/j.ijotn.2026.101264","url":null,"abstract":"<div><h3>Background</h3><div>Fractures resulting from falls constitute a problem of great magnitude for the older person, as they cause functional decline and difficulty in returning to the state prior to the fracture, and for the family caregiver, as they require care support to face the compromised ability to perform daily life activities that these people experience.</div></div><div><h3>Objective</h3><div>To characterize the perception of difficulties and needs felt by family caregivers in supporting older person with hip fractures in the transition home.</div></div><div><h3>Methods</h3><div>A descriptive, exploratory, qualitative study was developed, based on semi-structured interviews with family caregivers of patients with hip fractures undergoing surgical treatment, belonging to a hospital in the central region of Portugal. To analyze the data obtained, Bardin's content analysis was used, with the support of the MAXQDA Analytic pro 2022 software.</div></div><div><h3>Results</h3><div>From the analysis of the 15 interviews carried out, two categories emerged related to the difficulties perceived by family caregivers in supporting older person with hip fractures in the transition home: Care Support and Responsiveness. In relation to felt needs, the following categories emerged: Continuity of care and Training to provide care.</div></div><div><h3>Conclusions</h3><div>The family caregiver perceives multiple needs and difficulties experienced in the support provided to older person with hip fractures in the transition home. As this phenomenon is somewhat complex due to the involvement of numerous factors, the analysis of the aspects associated with this care process is essential, contributing to a favorable evolution and a safe transition.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101264"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167214","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":"Recovery during the first year after femoral neck fracture is a complex and non-linear journey: a longitudinal qualitative study","authors":"Erika Olofsson ,&nbsp;Sebastian Mukka ,&nbsp;Olof Wolf ,&nbsp;Nils P. Hailer ,&nbsp;Eva Tengman ,&nbsp;Lenita Lindgren ,&nbsp;Birgitta Olofsson ,&nbsp;Åsa Audulv","doi":"10.1016/j.ijotn.2026.101256","DOIUrl":"10.1016/j.ijotn.2026.101256","url":null,"abstract":"<div><h3>Background</h3><div>Femoral neck fractures (FNF) are a severe and common injury that affect older adults physically, psychologically, and socially. Variation in the trajectory of recovery remains underexplored. This study was conducted to investigate older adults’ recovery experiences during the first year after FNF.</div></div><div><h3>Method</h3><div>This longitudinal interview-based study was conducted with 13 participants aged ≥75 years with FNF who were admitted to the orthopedics wards of two hospitals in Sweden. Semi-structured interviews were conducted with participants at 1, 4, and 12 months after fracture. Reflexive thematic analysis of the interview transcripts was performed.</div></div><div><h3>Results</h3><div>Participants described their recovery after FNF as a complex and non-linear journey. Four interrelated themes were identified as key aspects influencing recovery during the first year after FNF: engagement in daily activities, fear of falling, family members’ bridging of the support gap, and striving for independence. Recovery was represented as a fluctuating personal experience that evolves over time.</div></div><div><h3>Conclusion</h3><div>Recovery after FNF extends beyond physical healing, encompassing emotional adjustment and social reintegration. The understanding of recovery as an evolving and individualized process highlights the need for follow-up and rehabilitation strategies that address not only functional outcomes, but also patients’ confidence, motivation, and support in daily life.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101256"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023070","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":"A retrospective case series study evaluating the use of synthetic dermal matrix for complex wounds: the Hong Kong experience","authors":"Wing Wah Chau ,&nbsp;Pok Man Fung ,&nbsp;Wai Fung Kwong","doi":"10.1016/j.ijotn.2025.101253","DOIUrl":"10.1016/j.ijotn.2025.101253","url":null,"abstract":"<div><h3>Background</h3><div>Partial-thickness skin grafts (PTSG) are the conventional method for definite wound closure in orthopaedics; however, synthetic dermal matrix have emerged as an alternative for complex wounds, particularly when vital structures, like tendon and bone, are exposed.</div></div><div><h3>Objective</h3><div>This case series evaluates the clinical outcomes, cost implications, and granulation capacity of synthetic dermal matrix compared to PTSG using case-based observations and literature comparisons.</div></div><div><h3>Methods</h3><div>Seven patients with complex wounds treated with synthetic dermal matrix at a public hospital in Hong Kong between December 2023 and May 2024 were followed until complete wound healing. Outcomes included healing time, 30-day wound size reduction, matrix integration after delamination, hospitalization duration, and vital structure coverage.</div></div><div><h3>Results</h3><div>Synthetic dermal matrix showed successful granulation in all cases with variable healing times (51–205 days). Granulation over bone, tendon, and joint was observed in 71.4 % of patients. No readmissions or hematoma formation occurred.</div></div><div><h3>Conclusion</h3><div>Synthetic dermal matrix is a safe and effective method for managing wounds with exposed vital structures and shows potential cost benefits over traditional PTSG. Further studies with larger samples are needed.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101253"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145782344","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":"Safety and satisfaction of urinary catheter use in the perioperative period amongst hip fracture patients: a prospective cohort","authors":"Steven Papp ,&nbsp;Melanie Dodd-Moher ,&nbsp;Bradley Meulenkamp ,&nbsp;Jérémie Thibault ,&nbsp;Chantal Backman ,&nbsp;Nicole Whitley ,&nbsp;Dita Chamoun ,&nbsp;George Grammatopoulos","doi":"10.1016/j.ijotn.2026.101259","DOIUrl":"10.1016/j.ijotn.2026.101259","url":null,"abstract":"<div><h3>Introduction</h3><div>Foley catheterization is often performed at time of admission in patients suffering a hip fracture. Guidelines for catheter management are inconsistent and lack consideration of the patient experience. We aimed to compare pain and convenience with voiding, as well as complication rates (urinary tract infection (UTI), postoperative urinary retention (POUR), and surgical site infection (SSI)) of catheterized versus non-catheterized patients awaiting hip fracture surgery.</div></div><div><h3>Methods</h3><div>Patients admitted to a single tertiary care hospital with a hip fracture completed a 3-item questionnaire about their preoperative bladder management experience. The primary outcome was pain associated with catheterization versus non-catheterization. Secondary outcomes included rates of postoperative UTI, POUR and SSI.</div></div><div><h3>Results</h3><div>A total of 119 patients were included. Fifty-five (93.2%) catheterized patients found the catheter to be convenient and only 6 (10.2%) reported pain with catheter use. Conversely, 28 (46.7%) non-catheterized patients found it painful to move to the bathroom and 17 (28.3%) reported pain with urination. Catheterized patients had significantly less pain related to emptying their bladder than non-catheterized patients (0.90/10 vs 3.59/10, respectively; p &lt; 0.001). The rate of UTI (18.6% catheterized vs 13.3% non-catheterized), POUR (6.8% catheterized vs 11.1% non-catheterized) and SSI (3.4% catheterized vs 1.7% non-catheterized) were similar between groups.</div></div><div><h3>Conclusions</h3><div>Preoperative catheter use was associated with less pain with voiding and greater satisfaction for patients awaiting hip fracture surgery, without increasing rates of postoperative UTI, POUR, or SSI. Guidelines for catheter use should consider the patient experience.</div></div><div><h3>Level of evidence</h3><div>II.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101259"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126670","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 Patient Continuity of Care Questionnaire: Translation and cultural adaptation to a Danish context","authors":"Lili Worre Høpfner Jensen ,&nbsp;Søren Kold ,&nbsp;Heather D. Hadjistavropoulos ,&nbsp;Ole Rahbek","doi":"10.1016/j.ijotn.2026.101267","DOIUrl":"10.1016/j.ijotn.2026.101267","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101267"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776795","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":"Bone health in an upper Midwestern health system: Years 2008–2015","authors":"Ana M. Fernandez ,&nbsp;Claudia C. Ramjattan ,&nbsp;Colleen M. Renier ,&nbsp;Kristy K. Lundberg ,&nbsp;Samantha Nelson ,&nbsp;Erica Lake ,&nbsp;Theo A. Woehrle ,&nbsp;Morgan Brenholdt ,&nbsp;Paul K. Kosmatka ,&nbsp;Chodisha Chakrapani ,&nbsp;Megan A. Schwalbe ,&nbsp;Melissa L. Harry","doi":"10.1016/j.ijotn.2025.101255","DOIUrl":"10.1016/j.ijotn.2025.101255","url":null,"abstract":"<div><h3>Introduction</h3><div>Osteoporosis, osteopenia, and low impact fractures have documented effects on morbidity and mortality. This study explores the prevalence of osteoporosis and osteopenia among United States patients referred for a DXA scan and profiles patients experiencing low impact hip fractures (LIHFs) in an Upper Midwestern program to improve treatment and prevent secondary fractures in these patients.</div></div><div><h3>Methodology</h3><div>This retrospective observational study analyzed data from an in-house osteoporosis program database, trauma registry, and electronic health records. A DXA scan cohort included patients aged ≥50 years with completed DXA scans from 1/1/2008-9/30/2015. A LIHF cohort included patients aged ≥65 years receiving LIHF care from 1/1/2008-6/30/2015. Analyses included descriptive statistics, binary logit-linked generalized estimating equations, and survival analyses comparing mortality outcomes.</div></div><div><h3>Results</h3><div>In total, 11,725 patients received a DXA scan during the study period, of whom 21.3 % had osteoporosis and 33.9 % had osteopenia. Of those with osteoporosis, 46.3 % were on osteoporosis medication six months after a DXA scan. Mortality rates were low in the DXA scan cohort. Of 1207 patients aged ≥65 years with LIHFs, 12.8 % received osteoporosis medication six months following the LIHF. The one-year mortality rate post-LIHF was 29.6 % across females and males. Mortality odds and hazards were significantly lower in those with DXA scans versus those with no DXA scan documented.</div></div><div><h3>Conclusions</h3><div>Opportunities to improve bone health management are achievable by enhancing recognition and treatment of patients at high risk for LIHFs, including those without prior DXA scans. Ongoing collaborative care supporting initiation of medication treatment following LIHFs is necessary.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101255"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145782813","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":"Nurses' knowledge about palliative care needs of people with fragility hip fractures: a cross-sectional study","authors":"Sara Gomes ,&nbsp;Ivo Paiva ,&nbsp;Isabel Moreira ,&nbsp;Andréa Marques","doi":"10.1016/j.ijotn.2025.101242","DOIUrl":"10.1016/j.ijotn.2025.101242","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101242"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519945","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}