International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Editorial February 2025 issue – Authors Prof Rebecca Jester and Paul McLiesh","authors":"","doi":"10.1016/j.ijotn.2024.101156","DOIUrl":"10.1016/j.ijotn.2024.101156","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101156"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928191","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 prediction of functional disability among middle-aged and older adults with arthritis: A nationwide cross-sectional study using interpretable machine learning","authors":"Qinglu Li ,&nbsp;Wenting Shi ,&nbsp;Nan Wang ,&nbsp;Guorong Wang","doi":"10.1016/j.ijotn.2025.101161","DOIUrl":"10.1016/j.ijotn.2025.101161","url":null,"abstract":"<div><h3>Background</h3><div>Arthritis is a common chronic disease among middle-aged and older adults and is strongly related to functional decline.</div></div><div><h3>Methods</h3><div>The research sample and data were derived from the China Health and Retirement Longitudinal Study (CHARLS) 2015. We employed the least absolute shrinkage and selection operator (LASSO) and multifactor logistic regression analysis to identify features for model construction. We proposed six machine learning (ML) predictive models. The optimal model was selected using various learning metrics and was further interpreted using the SHapley Additive exPlanations (SHAP) method.</div></div><div><h3>Results</h3><div>A total of 5111 subjects were included in the analysis, of which 1955 developed functional disability. Among the six models, XGBoost showed the best performance, achieving a test set area under the curve (AUC) of 0.74. SHAP analysis ranked the features by their contribution as follows: waist circumference, handgrip strength, self-reported health status, age, body pains, depression, history of falls, sleeping duration, and availability of care resources. SHAP dependence plots indicated that individuals over 60 with increased waist circumference (&gt;85 cm), short sleeping duration (&lt;5 h), and lower handgrip strength (&lt;25 kg) had a higher probability of functional disability.</div></div><div><h3>Conclusion</h3><div>This study presents an interpretable machine learning-based model for the early detection of functional disability in patients with arthritis and informs the development of care strategies aimed at delaying functional disability in this population.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101161"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143312461","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":"Efficacy and cost-effectiveness of semi-occlusive bandages in finger amputation treatment","authors":"Andrea Cosentino ,&nbsp;Gianni Odorizzi ,&nbsp;Wilhelm Berger","doi":"10.1016/j.ijotn.2025.101158","DOIUrl":"10.1016/j.ijotn.2025.101158","url":null,"abstract":"<div><div>Finger amputations, commonly resulting from trauma, require effective management to restore function, prevent infection, and expedite healing. Surgical interventions, such as replantation and flap reconstruction, are often the standard treatment but can be costly and unnecessary for certain injuries, especially distal amputations. Semi-occlusive bandages (SOBs) offer a cost-efficient, effective alternative for managing distal fingertip amputations. This review introduces the classifications of finger amputations using Tamai and Allen systems, discusses their applicability to SOBs, and highlights benefits such as faster healing, reduced pain, and lower infection risks. Recent studies have validated SOBs’ efficacy, affordability, and high patient satisfaction in various clinical contexts. While evidence supports SOBs as a first-line treatment in appropriate cases, further research is needed to evaluate their cost-effectiveness across diverse healthcare settings.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101158"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143182870","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":"Validity and reliability of the Danish version of the Hospital Anxiety and Depression Scale (HADS) in patients with major lower extremity amputations: A psychometric study","authors":"Charlotte Abrahamsen ,&nbsp;Ulla Riis Madsen ,&nbsp;Ann Pia Søe Jensen ,&nbsp;Karin Bundgaard ,&nbsp;Charlotte Myhre Jensen ,&nbsp;Pia Kjær Kristensen","doi":"10.1016/j.ijotn.2025.101157","DOIUrl":"10.1016/j.ijotn.2025.101157","url":null,"abstract":"<div><h3>Background</h3><div>Patients undergoing major lower extremity amputation (LEA) due to vascular disease face an increased risk of post-surgery anxiety and depression. <em>The Hospital Anxiety and Depression Scale (HADS),</em> widely used to identify anxiety and depressive symptoms, has been translated into Danish, but its content validity has not previously been tested in LEA patients. This study aims to test the validity and reliability of HADS in this population.</div></div><div><h3>Method</h3><div>This methodological study involved cognitive interviews with 10 major LEA patients to assess content validity and HADS responses from 100 patients to evaluate the floor and ceiling effects, construct validity, and internal consistency reliability. Data were collected from seven orthopedic departments across Denmark.</div></div><div><h3>Results</h3><div>In this hospital-based study, 20% had anxiety symptoms and 18% had depressive symptoms before discharge. Patients found the questionnaire relevant but had concerns about the one-week timeframe and the comprehensibility of certain items (“butterflies in the stomach” in item 9 and the term “things” in items 2 and 12). Floor effects were present across all items, with no ceiling effects. Confirmatory factor analysis supported both the original two-factor and a three-factor structure. Internal consistency reliability was good for both subscales.</div></div><div><h3>Conclusion</h3><div>This study supports the validity and reliability of the Danish version of HADS for assessing anxiety and depression in patients with major lower extremity amputation (LEA). The questionnaire serves as a valuable tool for addressing psychosocial challenges, enabling patients to reflect on their mental health and recognize potential symptoms needing medical attention in the future.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101157"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013824","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}

{"title":"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]","authors":"Patricia Sköld ,&nbsp;Maria Hälleberg-Nyman ,&nbsp;Eva Joelsson-Alm ,&nbsp;Ann Catrine Eldh","doi":"10.1016/j.ijotn.2024.101154","DOIUrl":"10.1016/j.ijotn.2024.101154","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101154"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792529","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}

{"title":"Barriers and facilitators for improving oral anticoagulant medication adherence in lower extremity deep venous thrombosis patients after spinal surgery: A qualitative study using the COM-B model","authors":"Xiaoyu Wu ,&nbsp;Huaqin Wang ,&nbsp;Ya Tan,&nbsp;Xiaoju Tan,&nbsp;Xinge Zhao,&nbsp;Xiaoling Liu,&nbsp;Wenli Wang","doi":"10.1016/j.ijotn.2024.101155","DOIUrl":"10.1016/j.ijotn.2024.101155","url":null,"abstract":"<div><h3>Background</h3><div>Deep venous thrombosis (DVT) of the lower extremity causes a major disease burden globally. Currently, oral anticoagulant therapy is used as the first-line treatment of DVT, however, medication non-adherence remains a serious problem for postoperative spinal surgery patients whose DVT incidence is at a high level.</div></div><div><h3>Aims</h3><div>To explore barriers and facilitators affecting patient oral anticoagulant medication adherence, based on guidance using the COM-B model.</div></div><div><h3>Methods</h3><div>This study was a qualitative study using a descriptive research design with in-depth and semi-structured interviews. Data were analyzed adopting traditional content analysis methods.</div></div><div><h3>Results</h3><div>Based on the COM-B theoretical model, we identified 9 barriers and facilitators from capability, opportunity, and motivation domains.</div></div><div><h3>Conclusions</h3><div>Patients were confronted with barriers from capability, opportunity, and motivation domains, which were not isolated but interrelated. Future interventions should incorporate facilitators and barriers to address medication adherence issue with a holistic approach at multiple levels.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101155"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956467","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":"Examining postoperative care: Predictors of perceived pain relief and satisfaction with pain management after orthopedic surgeries","authors":"Heba Khalil ,&nbsp;Abedalmajeed Shajrawi ,&nbsp;Ahmed Mohammad Al-Smadi ,&nbsp;Wegdan Bani-Issa ,&nbsp;Fatma Refaat Ahmed ,&nbsp;Loai AbuSharour ,&nbsp;Nabeel AL. Yateem ,&nbsp;Khalil Yousef","doi":"10.1016/j.ijotn.2025.101159","DOIUrl":"10.1016/j.ijotn.2025.101159","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examines predictors of postoperative pain relief and patient satisfaction among orthopedic patients in Jordan, emphasizing demographic and clinical factors, patient involvement in pain management, Patient-Controlled Analgesia (PCA) utilization, and non-pharmacological pain relief techniques.</div></div><div><h3>Methods</h3><div>This observational, predictive study included 300 orthopedic surgery patients. Pain intensity was measured 24 h post-surgery, and patients completed the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R). Demographic and clinical data were collected from medical records. Statistical analyses, including t-tests, ANOVA, and regression models, identified significant predictors of perceived pain relief and satisfaction with pain management.</div></div><div><h3>Results</h3><div>Patients reported high pain levels early post-surgery, with an average peak pain intensity of 8.52/10. Combined treatments provided an average pain relief score of 81.9%, and satisfaction with pain management averaged 7.86. Higher satisfaction was associated with PCA use, non-pharmacological methods, and information on pain management options. Key predictors of pain relief included surgery type, pain management information availability, the impact of opioid side effects, and pain's impact on activities, sleep, and emotional well-being. Satisfaction was also predicted by information on pain treatment, opioid side effects, and the total impact of pain.</div></div><div><h3>Conclusion</h3><div>Enhanced patient education, active involvement in care, individualized non-pharmacological pain relief methods, and PCA use improve perceived pain relief and satisfaction with pain management. This study emphasizes the importance of personalized, multimodal pain management strategies to improve postoperative care and enhance recovery.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101159"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143182871","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 – External fixation pin site infections: Solutions, screws and Kwires","authors":"Sonya Clarke,&nbsp;Shareena Bibi Mohd Arif,&nbsp;Carmen Queiros","doi":"10.1016/j.ijotn.2024.101152","DOIUrl":"10.1016/j.ijotn.2024.101152","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101152"},"PeriodicalIF":1.5,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748523","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":"Postoperative delirium in geriatric orthopedic and trauma patients: Care begins preoperatively!","authors":"Lynn Haslam-Larmer ,&nbsp;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}

{"title":"Older patients' experiences of shared decision-making when choosing treatment for their distal radius fracture; A qualitative study","authors":"Louise Marie Nøhr ,&nbsp;Ane Simony ,&nbsp;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}