International Journal of Orthopaedic and Trauma Nursing最新文献_第6页

Impact of the family-centered empowerment model on postoperative recovery and self-care in patients undergoing unicompartmental knee arthroplasty 以家庭为中心的授权模式对单室膝关节置换术患者术后恢复和自我护理的影响

IF 2.1

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-11-01 Epub Date: 2025-11-12 DOI: 10.1016/j.ijotn.2025.101243

Xueqing Song, Weitao Jiao, Huanhuan Liu, Hanyu Bai, Ping Fu, Meiyue Zhang, Boya Sun, Yumeng Zhang, Xue Wang

{"title":"Impact of the family-centered empowerment model on postoperative recovery and self-care in patients undergoing unicompartmental knee arthroplasty","authors":"Xueqing Song, Weitao Jiao, Huanhuan Liu, Hanyu Bai, Ping Fu, Meiyue Zhang, Boya Sun, Yumeng Zhang, Xue Wang","doi":"10.1016/j.ijotn.2025.101243","DOIUrl":"10.1016/j.ijotn.2025.101243","url":null,"abstract":"<div><div>This prospective cohort study evaluated the Family-Centered Empowerment Model (FCEM) for enhancing recovery in 154 unicompartmental knee arthroplasty (UKA) patients (70 FCEM vs. 84 traditional care). The FCEM group received structured family participation, education, and empowerment strategies, while controls received routine care. Outcomes (Knee Society Score [KSS], Exercise of Self-Care Agency [ESCA], 36-Item Short Form Health Survey [SF-36]) were assessed preoperatively and postoperatively. Both groups showed joint status improvement, but the FCEM group demonstrated significantly superior functional recovery at all follow-ups: KSS function scores were higher at 1 month (P < 0.0001), 3 months (P = 0.01), and 12 months (P = 0.02). ESCA scores significantly favored FCEM at 1 month (P < 0.0001) and 3 months (P < 0.0001). SF-36 scores were also significantly higher in the FCEM group at 3 months (P < 0.0001) and 12 months (P < 0.0001). FCEM is associated with improved functional outcomes and quality of life post-UKA, supporting its broader implementation.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101243"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519942","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

Application of a comprehensive clinical care pathway in patients undergoing total hip arthroplasty 综合临床护理路径在全髋关节置换术患者中的应用

IF 2.1

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-11-01 Epub Date: 2025-09-08 DOI: 10.1016/j.ijotn.2025.101232

Yanfang Zhang, Ke Sun, Hui Li

{"title":"Application of a comprehensive clinical care pathway in patients undergoing total hip arthroplasty","authors":"Yanfang Zhang, Ke Sun, Hui Li","doi":"10.1016/j.ijotn.2025.101232","DOIUrl":"10.1016/j.ijotn.2025.101232","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aims to design a comprehensive management plan for patients undergoing hip replacement surgery to determine whether it can reduce hospitalization days, lower hospitalization costs, reduce postoperative pain, and improve joint function.</div></div><div><h3>Methods</h3><div>We searched PubMed, Web of Science, Cochrane Library, China Knowledge Network, Wanfang Database, Wipu Database, and China Biomedical Literature Database to analyze the literature and draft the initial pathway based on clinical reality. The pathway was then refined through Delphi expert correspondence. In the validation phase, 126 patients were assigned to control and experimental groups. The pathway's effects were evaluated by assessing hospital stay duration, costs, joint function, kinesiophobia scores, highest postoperative pain scores, readiness for discharge, and satisfaction with follow-up.</div></div><div><h3>Results</h3><div>Patients using the pathway had shorter hospital stays and lower costs than controls. They also exhibited better postoperative kinesiophobia and joint function scores, and higher readiness for discharge and satisfaction with follow-up. However, no significant difference was observed in highest postoperative pain scores.</div></div><div><h3>Conclusion</h3><div>This pathway can reduce the length of hospital stay and costs for patients undergoing total hip arthroplasty. It also provides opportunities for early rehabilitation, improves postoperative joint function, reduces fear of movement, and enhances satisfaction with follow-up.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101232"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050071","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

Risk factors for postoperative delirium in hip fractures in the elderly 老年人髋部骨折术后谵妄的危险因素分析

IF 2.1

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-11-01 Epub Date: 2025-09-24 DOI: 10.1016/j.ijotn.2025.101235

Hui Gao , Kai Zheng , Hongxia Zhu , Yaozeng Xu , Xiaolan Feng

{"title":"Risk factors for postoperative delirium in hip fractures in the elderly","authors":"Hui Gao , Kai Zheng , Hongxia Zhu , Yaozeng Xu , Xiaolan Feng","doi":"10.1016/j.ijotn.2025.101235","DOIUrl":"10.1016/j.ijotn.2025.101235","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify the risk factors for postoperative delirium (POD) in elderly patients with hip fracture and to examine the interrelationships among these factors.</div></div><div><h3>Methods</h3><div>Data of 210 elderly patients (≥65 years) who underwent surgical treatment for hip fractures from Jan 2023 to Dec 2023 were retrospectively analyzed. The patients were divided into the POD group and non-POD group based on whether they developed POD. The univariate analysis and binary multiple logistic regression were performed to determine the pre-, intra- and postoperative risk factors related to POD. The study was reported following the STROBE checklist.</div></div><div><h3>Results</h3><div>Among 210 patients, 26 were diagnosed with POD, representing 12.4 % of the cohort. The average POD time was 1.62 ± 0.75 days postoperatively. The incidence of POD was highest on the first day after surgery. The univariate comparison showed that the age, atrial fibrillation ratio, stroke history ratio, preoperative CAM-CR score, postoperative transferred to ICU ratio was higher in POD group compared with non-POD group. The general anaesthesia ratio in non-POD group was higher than POD group. The multivariate logistic regression showed that preoperative CAM-CR ≥ 15 score, age ≥80 years, atrial fibrillation, stroke history, fracture-surgery interval ≥7 days and postoperative transferred to ICU were independent risk factors of POD.</div></div><div><h3>Conclusion</h3><div>The potential risk factors of POD for hip fractures in the elderly include age≥80 years, preoperative CAM-CR ≥ 15 score, atrial fibrillation, stroke history, fracture-surgery interval ≥7 days and postoperative transferred to ICU.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101235"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158244","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 pathways in orthopaedic and trauma care: Nursing at the centre of interdisciplinary innovation 加强骨科和创伤护理的恢复途径：跨学科创新中心的护理。

IF 2.1

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-11-01 Epub Date: 2025-08-05 DOI: 10.1016/j.ijotn.2025.101215

Thomas W. Wainwright , Paul McLiesh

引用次数: 0

Nurse-led intervention in deep vein thrombosis development following major orthopedic surgery: A quality improvement project 护士主导的骨科大手术后深静脉血栓形成的干预：一个质量改进项目

IF 2.1

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-11-01 Epub Date: 2025-10-30 DOI: 10.1016/j.ijotn.2025.101238

Chunming Yuan , Hao Wen , Xianbo Wu , Xiaorong Mao , Michael Zychowicz

{"title":"Nurse-led intervention in deep vein thrombosis development following major orthopedic surgery: A quality improvement project","authors":"Chunming Yuan , Hao Wen , Xianbo Wu , Xiaorong Mao , Michael Zychowicz","doi":"10.1016/j.ijotn.2025.101238","DOIUrl":"10.1016/j.ijotn.2025.101238","url":null,"abstract":"<div><h3>Background</h3><div>Deep vein thrombosis (DVT) accounts for most of thrombotic events following major orthopedic surgery. The development of DVTs increases medical costs and affects patient outcomes. Evidence suggests that ankle exercise helps to prevent DVTs after orthopedic surgery.</div></div><div><h3>Method</h3><div>A quality improvement project employing a quasi-experimental study design was conducted at a tertiary specialized hospitalized setting from August 2023 to January 2024. The project implemented a nurse-led evidence-based ankle exercise practice among adult patients undergoing major orthopedic surgery, aimed at evaluating the implementation process outcomes including staff adherence and agreement to the practice, and assessing patient outcome for the impact of the practice in DVT development. Nurse adherence was assessed by chart review, nurse agreement was collected using a validated Chinese version Normalization Measure Development (NoMAD) survey tool, DVT rate obtained as patient outcome was calculated via hospital information system.</div></div><div><h3>Results</h3><div>Nurse adherence to the evidence-based ankle exercise practice was 83 %. There were varying levels of agreement based on specific aspects of the NoMAD survey tool (100 % coherence insights; 85 % cognitive participation; 83.8 % reflexive monitoring; 68.6 % collective action). The incidence of DVT declined after the intervention introduction from 6.5 % to 4.8 % (<em>p</em> = .681).</div></div><div><h3>Conclusions</h3><div>Through this nurse-led evidence-based ankle exercise practice, we identified nurses adhered to the working process, and the DVT rate decreased in major orthopedic surgery. Further, a more rigorous study with a larger sample size might be needed to confirm the effectiveness of the ankle exercise in preventing DVT on major orthopedic surgery.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"59 ","pages":"Article 101238"},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465357","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

From surgery to struggle: Recovery journeys after periprosthetic knee fractures 从手术到挣扎：膝关节假体周围骨折后的康复之旅

IF 2.1

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-11-01 Epub Date: 2025-09-22 DOI: 10.1016/j.ijotn.2025.101234

Javed Iqbal, Brijesh Sathian, Syed Muhammad Ali

引用次数: 0

Evaluating pressure injury and time of risk assessment for adults with hip fractures: A retrospective analysis 评估成人髋部骨折的压力损伤和风险评估时间：回顾性分析

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-08-01 Epub Date: 2025-05-21 DOI: 10.1016/j.ijotn.2025.101195

Penelope Anderson , Huaqiong Zhou , Vicki Patton , John Taplin

{"title":"Evaluating pressure injury and time of risk assessment for adults with hip fractures: A retrospective analysis","authors":"Penelope Anderson , Huaqiong Zhou , Vicki Patton , John Taplin","doi":"10.1016/j.ijotn.2025.101195","DOIUrl":"10.1016/j.ijotn.2025.101195","url":null,"abstract":"<div><h3>Background</h3><div>Pressure injuries are a worldwide concern for patients in the acute hospital setting. They are a common hospital-acquired complication and Australian national standards, state policies, and local procedures have been developed to reduce incidence. Risk assessment is purported to be the gold standard in prevention.</div><div>This study examined the association between the time of pressure injury risk assessment, the presence of a pressure injury prevention management plan, and the development of hospital-acquired pressure injury(s) in the high-risk cohort of hip fracture patients at a regional base hospital in New South Wales.</div></div><div><h3>Method</h3><div>A retrospective descriptive study was conducted from routinely collected data, extracted from the electronic medical record and the incident management system. Patients with hospital-acquired pressure injuries were matched to those without and comparisons were made.</div></div><div><h3>Results</h3><div>Four hundred and eighty patients presented with a primary diagnosis of hip fracture. Twenty-four (5 %) developed at least one pressure injury during admission. Eight (33 %) of the study group and four (16.5 %) of the comparison group had a risk assessment completed within 8 h per hospital procedure. There was no correlation between risk assessment within 8 h and development of a pressure injury. Patients who developed pressure injuries were older than those who did not (mean 86 vs 80 years, p = 0.021).</div></div><div><h3>Conclusion</h3><div>There was no correlation between early pressure injury risk assessment and pressure injury development for hip fracture patients. Formal risk assessment by nurses did not prevent pressure injuries in patients with high-risk presentation of hip fracture. Maximum prevention strategies should be routinely implemented by nurses.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101195"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167243","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 : 2025-08-01 Epub 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 , Karen Blakemore , Marisa Delahunt , Rebekah McGaw , Rebecca J. Jarden , Andrew Hardidge , 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":"2025-08-01","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

The importance of specialist orthopaedic nursing education 浅谈骨科专科护理教育的重要性

IF 1.5

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-08-01 Epub Date: 2025-06-02 DOI: 10.1016/j.ijotn.2025.101204

Jennie Walker (Dr)

引用次数: 0

Impact of obesity on outcomes after total hip and knee replacement: A study on hospital length of stay and readmission rates in NHS Scotland 肥胖对全髋关节和膝关节置换术后预后的影响：苏格兰NHS住院时间和再入院率的研究

IF 2.1

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-08-01 Epub Date: 2025-08-06 DOI: 10.1016/j.ijotn.2025.101216

Wissem Tafat , David McDonald , Marcin Budka , Thomas W. Wainwright

{"title":"Impact of obesity on outcomes after total hip and knee replacement: A study on hospital length of stay and readmission rates in NHS Scotland","authors":"Wissem Tafat , David McDonald , Marcin Budka , Thomas W. Wainwright","doi":"10.1016/j.ijotn.2025.101216","DOIUrl":"10.1016/j.ijotn.2025.101216","url":null,"abstract":"<div><h3>Introduction</h3><div>Obesity presents significant challenges in the perioperative management of patients undergoing total hip replacement (THR) and total knee replacement (TKR). This study investigates the association between BMI and the outcome measures length of stay and 30-day readmission rate, among National Health Service (NHS) patients in Scotland.</div></div><div><h3>Methods</h3><div>This analysis included data from 50,751 patients who underwent THR or TKR between July 2019 and February 2025. BMI was categorised into six groups then further divided into two categories: “Not Obese” and “Obese”. LOS was classified as short or long. The analysis included a statistical method to visualise the relationship between BMI and the outcomes and logistic regression models that incorporated additional factors to assess their association with the outcomes.</div></div><div><h3>Results</h3><div>Patients with a BMI ≥40 had a longer mean length of stay (LOS) of 3.44 days and a median of 3 days, compared to a mean of 3.02 days and a median of 2 days among those with BMI <40 (p < 0.001). The odds of experiencing a prolonged hospital stay increased progressively with BMI thresholds: odds ratios were 1.43 for BMI ≥40, 1.53 for BMI ≥45, and 1.89 for BMI ≥50 (all p < 0.001). Patients with higher BMI, particularly those classified as Super Obese, demonstrated elevated 30-day readmission rates, reaching up to 17.5 %.</div></div><div><h3>Conclusion</h3><div>Higher BMI, especially in the morbidly and super obese ranges, is associated with extended hospital stays and increased 30-day readmission rates following THR and TKR.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101216"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831369","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