International Journal of Orthopaedic and Trauma Nursing最新文献

{"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}

{"title":"Pediatric critical care admission after scoliosis surgery in children with underlying conditions: requirements, evolution and comparison with healthy children","authors":"Marta Cabrero Hernández ,&nbsp;Alberto García-Salido ,&nbsp;Inés Leoz-Gordillo ,&nbsp;Gema de Lama Caro-Patón ,&nbsp;José Luis Unzueta-Roch ,&nbsp;Rosa María Egea-Gámez ,&nbsp;Rafael González-Díaz ,&nbsp;Montserrat Nieto-Moro","doi":"10.1016/j.ijotn.2025.101239","DOIUrl":"10.1016/j.ijotn.2025.101239","url":null,"abstract":"<div><h3>Aims</h3><div>Research on postoperative care in pediatric intensive care units (PICU) for children with pre-existing medical conditions undergoing scoliosis surgery is limited. This study aims to describe their postoperative course and compare it with healthy children.</div></div><div><h3>Methods</h3><div>A descriptive, observational, and retrospective study conducted in PICU. Done through medical record review.</div></div><div><h3>Results</h3><div>Sixty patients included, 33 females (age of 13.6 ± 3.9 years). Among them, 44 had pre-existing medical conditions. The median PICU stay was two days (interquartile range, IQR, 1.25–4 days). Healthy patients experienced shorter stay (1.56 ± 0.81 days versus 8.84 ± 24.3 days, p = 0.01). Vasoactive drugs were only required in patients with underlying conditions (p = 0.027). Only one patient with IS required invasive mechanical ventilation (1/15, p = 0.047), and no deaths were reported.</div></div><div><h3>Conclusions</h3><div>In our study, children with an underlying condition needed more complex and prolonged PICU care. These findings could facilitate the prediction of postoperative needs in such patients.</div></div><div><h3>Level of evidence</h3><div>level IV, case series.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101239"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145393910","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 – Impact of multidisciplinary teams on fracture care in older people","authors":"Sonya Clarke,&nbsp;Shareena Bibi Mohd Arif,&nbsp;Carmen Queiros","doi":"10.1016/j.ijotn.2025.101231","DOIUrl":"10.1016/j.ijotn.2025.101231","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101231"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049490","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 effect of a nurse-led multicomponent intervention on sleep quality and delirium in orthopedic surgery patients: A randomized clinical trial","authors":"Mansureh Sohrabi ,&nbsp;Mohammad Gholami ,&nbsp;Saeid Foroughi ,&nbsp;Elahe Younesi ,&nbsp;Yaser Mokhayeri","doi":"10.1016/j.ijotn.2025.101222","DOIUrl":"10.1016/j.ijotn.2025.101222","url":null,"abstract":"<div><h3>Background</h3><div>Sleep disturbances and postoperative delirium (POD) impair recovery and adversely affect cognitive and physical outcomes among orthopedic trauma patients.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate the effects of a nurse-led multicomponent intervention on POD, sleep quality, and quality measures among orthopedic surgical patients.</div></div><div><h3>Method</h3><div>This double-blind randomized clinical trial was conducted on 96 orthopedic surgical patients who were assigned into intervention (n=48) and control (n=48) groups using stratified block randomization. The intervention group received a multicomponent care program including multimodal pharmacological pain management, music therapy, inspiratory muscle training (IMT), and a structured sleep enhancement protocol, initiated 24 hours before surgery and continued for 48 hours postoperatively. The control group received standard care. Sleep quality and POD were assessed using the richards-campbell sleep questionnaire (RCSQ) and the confusion assessment method (CAM), respectively. The data on length of hospital stay and 30-day mortality were collected through electronic health records and self-reports.</div></div><div><h3>Results</h3><div>The mean total sleep quality score and its subscales were significantly higher in the intervention group compared to the control group (P &lt; 0.001). The average length of hospital stay was significantly shorter in the intervention group (P = 0.047). There were no statistically significant differences between the two groups regarding the incidence of POD or 30-day mortality (P &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Results show, a perioperative multicomponent nurse-led intervention can effectively enhance sleep quality and reduce the length of hospital stay among orthopedic surgical patients. Nevertheless, it did not show a significant effect on delirium incidence or short-term mortality.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101222"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144919786","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":"Specialised orthopaedic surgical nurses: Reducing operative time and improving outcomes in hip fracture surgery","authors":"Brijesh Sathian ,&nbsp;Hanadi Al Hamad ,&nbsp;Javed Iqbal ,&nbsp;Syed Muhammad Ali","doi":"10.1016/j.ijotn.2025.101233","DOIUrl":"10.1016/j.ijotn.2025.101233","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101233"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259358","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":"Factors influencing and predicting the trajectory of care dependence among older hip fracture patients after total hip arthroplasty: a longitudinal study","authors":"Lu Wang ,&nbsp;Zhuoqing Wu ,&nbsp;Hong Zhou ,&nbsp;Yanrui Ren","doi":"10.1016/j.ijotn.2025.101236","DOIUrl":"10.1016/j.ijotn.2025.101236","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to describe the development trajectory of care dependence in elderly total hip arthroplasty patients over a one-year survival period, identify heterogeneous care dependence trajectories, analyze the factors influencing the different underlying characteristics, further explore their predictors, and construct nomograms for prediction.</div></div><div><h3>Methods</h3><div>This study was conducted in three tertiary hospitals, 210 elderly patients over 60 who underwent total hip arthroplasty completed a one-year follow-up. Clinical evaluation and data collection were performed at surgical hospitalization and 1,6 and 12 months postoperatively. Latent growth mixed models(LGMM) were performed to explore the trajectories of change in patients' care dependence and identify heterogeneous trajectories. The multivariate logistic regression model was used to determine their predictors, and a nomogram was further constructed based on the predictors.</div></div><div><h3>Results</h3><div>The LGMM identified four classes of care dependency trajectories:“high dependency”,“dependency rising”,“dependency relief”,and“dependency decreasing”. The first two were referred to as “high-risk care dependency group” and the latter two were”low-risk care dependency group”. Regression analyses revealed age, education levels,comorbidity, postoperative complications, and whether to use an analgesic pump were independent predictors of heterogeneous care dependence trajectories, and a nomogram was constructed based on these predictors.</div></div><div><h3>Conclusions</h3><div>Older total hip arthroplasty patients have different heterogeneous trajectories of care dependency during one-year postoperative survival. Therefore, early assessment to predict the occurrence of heterogeneous trajectories of care dependency is important to improve the prognosis of elderly total hip arthroplasty patients and to help them return to independent living as soon as possible.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101236"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208127","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":"Learning to assess the fall risk in clinical nursing education: an interpretative study","authors":"Ana Rita Pedrosa ,&nbsp;Maria dos Anjos Dixe ,&nbsp;Luís Sousa ,&nbsp;Rogério Ferreira ,&nbsp;Cristina Marques-Vieira ,&nbsp;Andréa Marques ,&nbsp;Cristina Lavareda Baixinho","doi":"10.1016/j.ijotn.2025.101241","DOIUrl":"10.1016/j.ijotn.2025.101241","url":null,"abstract":"<div><h3>Background</h3><div>Falls are a complex problem for the health and quality of life of older persons. Risk assessment is important for identifying people at risk and planning preventive measures. Few studies have focused on how health professionals learn to assess this risk.</div></div><div><h3>Objective</h3><div>The aim of this study was to explore how nursing undergraduate students learn to assess fall risk in older adults/people during their hospital-based clinical practice.</div></div><div><h3>Methods</h3><div>This qualitative study was conducted within an interpretive paradigm. The focus group was selected as the method to address the research question: <em>How do nursing students learn to assess of fall risk in the older population during clinical practice?</em> The participants were students enrolled in a Bachelor of Nursing program. To support data organization and enhance analytic rigor, qualitative data analysis software (WebQDA®) was employed.</div></div><div><h3>Results</h3><div>Fifteen students participated in two focus groups. The analysis identified three main categories: (i) risk factors assessed; (ii) risk assessment; and (iii) learning to manage fall risk in clinical practice. Students reported that nursing supervisors primarily emphasized physical factors, mobility, and cognitive status. The findings also highlighted a gap between the assessment and the implementation of individualized interventions, as well as the difficulty in converting records into preventive actions and risk management.</div></div><div><h3>Conclusions</h3><div>Nursing students learn to assess fall risk primarily through observation of clinical practices and the influence of supervisors, although they do not always understand the instrumental basis or the correlation between risk and intervention. The results indicate the need to strengthen the training of professionals and students.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101241"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507502","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":"Corrigendum to “Impact of obesity on outcomes after total hip and knee replacement: A study on hospital length of stay and readmission rates in NHS Scotland” [Int. J. Orthopaedic Trauma Nurs. 58 (2025) 101216]","authors":"Wissem Tafat ,&nbsp;David McDonald ,&nbsp;Marcin Budka ,&nbsp;Thomas W. Wainwright","doi":"10.1016/j.ijotn.2025.101218","DOIUrl":"10.1016/j.ijotn.2025.101218","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101218"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902840","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 effect of aromatherapy massage with peppermint oil on functional impairments in patients with knee osteoarthritis","authors":"Zahra Momen Arani ,&nbsp;Batool Zamani ,&nbsp;Amir Mohammad Barati ,&nbsp;Mohammadreza Zarei ,&nbsp;Neda Mirbagher Ajorpaz","doi":"10.1016/j.ijotn.2025.101221","DOIUrl":"10.1016/j.ijotn.2025.101221","url":null,"abstract":"<div><h3>Background</h3><div>Knee osteoarthritis (KOA) is a prevalent degenerative joint disorder that significantly impairs physical function and daily activities. While conventional treatments focus on symptom management, complementary therapies such as aromatherapy massage have gained attention for their potential benefits.</div></div><div><h3>Objective</h3><div>This study evaluates the effects of peppermint oil aromatherapy massage on functional impairments in KOA patients.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted on 120 KOA patients at Shahid Beheshti Hospital, Kashan, Iran at October 2024 to December 2024. Participants were randomly assigned to three groups: intervention (peppermint oil massage), placebo (paraffin oil massage), and control (no intervention). The intervention and placebo groups received biweekly 15-min knee massages for four weeks. Functional outcomes were assessed using the Knee Injury and Osteoarthritis Outcome Score (KOOS) at baseline, post-intervention, and one-month follow-up. Statistical analyses included chi-square, ANOVA, and repeated measures ANOVA.</div></div><div><h3>Results</h3><div>Baseline characteristics and KOOS subscale scores were comparable across groups (p &gt; 0.05). The intervention group demonstrated significant improvements in pain reduction, symptom relief, and daily function over time (p &lt; 0.001), while no significant changes were observed in the sports and recreation subscale (p &gt; 0.05). ANOVA confirmed significant intergroup differences in KOOS subscales of pain, symptoms, and daily function at all time points (p &lt; 0.05), except for sports/recreation and quality of life (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Peppermint oil aromatherapy massage significantly alleviates KOA-related pain and functional impairment, enhancing daily activities and overall well-being. Given its non-invasive nature and ease of application, this intervention could be recommended as an adjunctive therapy for KOA management.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101221"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010928","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}