International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Fast-track and person-centred care in geriatric traumatology in a German-speaking Swiss hospital – A practice development project","authors":"Mayuri Sivanathan,&nbsp;Clemens Rabes","doi":"10.1016/j.ijotn.2023.101065","DOIUrl":"https://doi.org/10.1016/j.ijotn.2023.101065","url":null,"abstract":"<div><h3>Introduction</h3><p>Elderly persons have an increased risk for negative health-related outcomes, including higher mortality rates. A centre for geriatric traumatology was established in a German-speaking Swiss hospital to provide more specialised, person-centred care and to lower negative health outcomes. Adaptations and changes in the patient pathway were made by implementing fast-track and person-centred care to better address individual needs.</p></div><div><h3>Methods</h3><p>The current patient pathway was analysed by an interprofessional and interdisciplinary geriatric traumatology expert team. The practice development methodology and the Person-Centred Practice Framework (PCP-Framework) were used throughout this engagement process. In consensus within the expert team, the sample was defined as elderly persons aged 65 years or older with suspected hip joint closed fractures. The focus was on three elements of “practice environment” from the PCP-Framework. These were: (1) supportive organisational systems; (2) the physical environment; (3) appropriate skill mix.</p></div><div><h3>Results</h3><p>Several adaptations and changes were made addressing the three elements of “practice environment”. These were for example: (1) use of specific assessments, shared decision-making; (2) proper and effective use of aids; (3) integration of Advanced Practice Nurses. The adaptations in the patient pathway were integrated into the standard operating procedures.</p></div><div><h3>Conclusions</h3><p>Through active engagement with the practice development methodology and the focus on person-centredness, the process of care for elderly persons was adapted. Thus, by addressing individual needs, fast-track and person-centred care in geriatric traumatology is provided. Further research is needed to evaluate and to verify implications in clinical practice.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"51 ","pages":"Article 101065"},"PeriodicalIF":1.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134832591","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 effects of osteoporosis education program for patients with fragility fracture in China","authors":"Pan She ,&nbsp;Chun Huang ,&nbsp;Lingli Peng ,&nbsp;Jiaqi Yang ,&nbsp;Ling Wang ,&nbsp;Qingqing Liu ,&nbsp;Hongying Tang","doi":"10.1016/j.ijotn.2023.101064","DOIUrl":"10.1016/j.ijotn.2023.101064","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101064"},"PeriodicalIF":1.4,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92156929","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":"From fear to control: Older adults’ thoughts and feelings about empowerment-oriented rehabilitation after a hip fracture","authors":"Lars Tobiesen Pedersen ,&nbsp;Jonas Ammundsen Ipsen ,&nbsp;Heidi Klakk Egebæk ,&nbsp;Inge H. Bruun ,&nbsp;Bjarke Viberg ,&nbsp;Pernille Tanggaard Andersen","doi":"10.1016/j.ijotn.2023.101061","DOIUrl":"10.1016/j.ijotn.2023.101061","url":null,"abstract":"<div><h3>Background</h3><p>It is essential to focus on how older adults remain active and regain control of their daily lives after hip fractures. ‘Rehabilitation of Life’ is an empowerment-orientated hip fracture intervention focused on continuous rehabilitation and care between sectors in Denmark. We aimed to understand and explore older adults' experience participating in the intervention ‘Rehabilitation of Life’ and how this relates to their sense of empowerment.</p></div><div><h3>Method</h3><p>Qualitative data were generated from 16 semi-structured interviews with patients experiencing a hip fracture and subsequent rehabilitation in the program “Rehabilitation of Life’ The data was analysed using Graneheim and Lundman's concept-guided qualitative content analysis method.</p></div><div><h3>Results</h3><p>The analysis revealed five themes that the participants emphasised as vital to their rehabilitation: <em>getting information and care when hospitalised, early visits from healthcare professionals after returning to their homes, the social aspect of training together with others, rehabilitation provision by skilled and empathic staff, and acceptance of a new me.</em> The five themes indicated that adults aged &gt;65 years generally experienced rehabilitation after hip fractures as motivating and reassuring.</p></div><div><h3>Conclusion</h3><p>Social support and peer programs can significantly improve the rehabilitation of older adults with hip fractures. The Rehabilitation of Life intervention has shown that promoting successful rehabilitation requires patient-centred strategies that encourage collaboration between different sectors. To increase patients' empowerment and engagement in their health journey, it is important to consider changes in patients' behaviour, increase their autonomy and ensure their independence after rehabilitation.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101061"},"PeriodicalIF":1.4,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124123000655/pdfft?md5=d0c783788fe03cd4304b148f5056f7cc&pid=1-s2.0-S1878124123000655-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427737","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":"Summary of best evidence for self-management in postoperative osteoporotic fracture patients","authors":"Xiaoqiong Peng ,&nbsp;Ping Xiao ,&nbsp;Yuanyuan Liu ,&nbsp;Tianwen Huang ,&nbsp;Xiaomin Huang ,&nbsp;Wanlian Xiao ,&nbsp;Sijia Deng","doi":"10.1016/j.ijotn.2023.101060","DOIUrl":"10.1016/j.ijotn.2023.101060","url":null,"abstract":"<div><p>Osteoporotic fracture as a serious complication of osteoporosis which is usually treated surgically, and its recovery is closely related to one's own behavior and lifestyle, and is a long-term, complex management process that often requires the individual to self-manage many health-related factors.</p></div><div><h3>Objective</h3><p>To gather and synthesize the most robust evidence regarding self-management in patients with postoperative osteoporotic fractures, in order to provide scientific, evidence-based guidance for clinical healthcare professionals to assist postoperative patients in self-management efforts, and to assist patients in optimizing their self-management practices and behavioral norms.</p></div><div><h3>Methods</h3><p>Based on the “6 S” pyramid model of evidence resources (System, Summaries, Synopses of synthesis, Syntheses, Synopses of studies, Studies), we searched the Up To Date, BMJ Best Practice, The Cochrane Library, Australian Joanna Briggs Institute JBI Evidence-Based Medicine Center Healthcare Database, National Institute for Health and Clinical Excellence (NICE), Guidelines International Network (GIN), National Guideline Clearinghouse (NGC) and Scottish Intercollegiate Guide lines Network (SIGN), MedPulse, Embase, PubMed, CINAHL, Web of Science, SinoMed, Chinese Medical Journal Full Text Database, CNKI, Wanfang Data Knowledge Service Platform, and VIP database, etc, The search period for clinical decision-making, systematic evaluation, clinical guidelines, evidence summaries and expert consensus on self-management of postoperative osteoporotic fracture patients, and it was from the establishment of the database to 18 February 2023. To ensure the quality of the literature, three researchers strictly screened the literature according to the literature inclusion and exclusion criteria, and two or more researchers independently evaluated the quality of the included literature, and extracted and integrated the relevant evidence.</p></div><div><h3>Results</h3><p>Thirteen documents were finally included, including 4 clinical practice guidelines, 5 expert consensus, 2 recommended practices, 1 systematic evaluation, and 1 clinical decision report. The research team summarized the evidence in 6 dimensions: multidisciplinary teamwork, management of daily living, management of treatment adherence, management of exercise, management of fall prevention and subsequent fracture, and management of emotions, and 33 pieces of evidence were extracted.</p></div><div><h3>Conclusion</h3><p>The study summarized 33 best evidence of self-management in postoperative osteoporotic fracture patients, which provides a scientific and reasonable self-management program for postoperative patients, and also provides important reference and information for clinical healthcare professionals to provide more comprehensive and scientific self-management health education to patients.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101060"},"PeriodicalIF":1.4,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124123000643/pdfft?md5=f3132f25bbb2c4d27e1d79e7b19624df&pid=1-s2.0-S1878124123000643-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136092906","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":"The use of adhesive elastic tape for hand oedema control in patients with a wrist fracture treated in a cast: A pilot study","authors":"Massimo Guasconi ,&nbsp;Dania Zilli Riboni ,&nbsp;Andrea Civardi ,&nbsp;Marina Bolzoni ,&nbsp;Carlotta Granata ,&nbsp;Maurizio Beretta ,&nbsp;Anna Genovese ,&nbsp;Fabio Mozzarelli ,&nbsp;Fabrizio Quattrini ,&nbsp;Pietro Maniscalco","doi":"10.1016/j.ijotn.2023.101059","DOIUrl":"10.1016/j.ijotn.2023.101059","url":null,"abstract":"<div><h3>Background</h3><p>The adhesive elastic tape use is indicated for controlling oedema, although currently there is not the definitive evidence regarding its effectiveness. Wrist fractures are a frequent occurrence, often leading to oedema development in patients treated with forearm casts.</p><p>This pilot study aims to investigate the effects of elastic tape in controlling hand oedema among patients with forearm casts for wrist fractures and the feasibility of a future randomized controlled trial.</p></div><div><h3>Methods</h3><p>The study was conducted on adult patients with unilateral conservatively treated wrist fracture. The tape was applied to the intervention group after cast application, while the control group received the standard treatment. The circumference difference between baseline and the 7-day follow-up of both the 1st finger and the remaining 4 fingers merged together was evaluated. Ethical approval for the study has been obtained.</p></div><div><h3>Results</h3><p>23 participants were enrolled. The intervention group showed a higher reduction in finger circumferences compared to the control group (median difference T1-T0 No tape <em>vs</em> Tape: 0 cm <em>vs</em> −0.2 cm for the 1st finger and 0.5 cm <em>vs</em> −0.5 cm for the remaining 4 fingers), although the changes were not statistically significant.</p></div><div><h3>Conclusion</h3><p>Although the number of enrolled patients was limited due to Covid-19 pandemic, the study results suggest a potential reduction in oedema after the use of adhesive elastic tape, justifying the needed of a future full-scale study. Given its low cost and ease of use, we believe that tape can be considered in clinical practice.</p></div><div><h3>Trial registration</h3><p><span>ClinicalTrials.gov</span><svg><path></path></svg> Identifier: NCT04683887.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101059"},"PeriodicalIF":1.4,"publicationDate":"2023-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124123000631/pdfft?md5=080d1d9462327f386e377fdfc32c84af&pid=1-s2.0-S1878124123000631-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136009937","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":"The effectiveness of home rehabilitation based on BPMpathway exercise rehabilitation system for patients after total knee arthroplasty in China","authors":"Yang Hong ,&nbsp;Jie Wang ,&nbsp;Xiafen Zhang ,&nbsp;Dan Zhao ,&nbsp;Hanliang He ,&nbsp;Mengting Sun","doi":"10.1016/j.ijotn.2023.101062","DOIUrl":"10.1016/j.ijotn.2023.101062","url":null,"abstract":"<div><h3>Background</h3><p>There is significant interest in the use of web-based technologies for rehabilitation of patients after total knee arthroplasty (TKA). BPMpathway is a combination of a wireless BPMpro sensor and mobile app to provide a personalized post-operative support programme for TKA patients.</p></div><div><h3>Objective</h3><p>To investigate the impact of the BPMpathway exercise rehabilitation system on home rehabilitation for TKA patients.</p></div><div><h3>Methods</h3><p>This study had a quasi-experimental design and was conducted with 42 inpatients after TKA. Patients were divided into a control group (n = 21) and an intervention group (n = 21) according to sequence of hospitalization. After discharge, patients in the control group received routine follow-up outside the hospital, while the intervention group, underwent out-of-hospital transitional care utilizing the BPMpathway exercise rehabilitation system. Knee function scores (HSS), quality of life scores (SF-36), and functional exercise compliance scores were compared between the two groups at 1, 3, and 6 months after TKA.</p></div><div><h3>Results</h3><p>The between-group differences in knee function were statistically significant at 1, 3, and 6 months post-operation (t = 6.299, 10.021, 13.064, all P &lt; 0.05). There were between-group significant differences observed in functional exercise compliance and quality of life at 1 and 3 months (t = 7.166, 2.435, both P &lt; 0.05; t = 2.879, 3.117, both P &lt; 0.05). However, there were no significant differences at 6 months in these two respects (t = 0.167, 0.901, both P &gt; 0.05).</p></div><div><h3>Conclusions</h3><p>The BPMpathway exercise rehabilitation system seems to be potential effective in improving knee function, early compliance with functional exercise and quality of life in TKA patients.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101062"},"PeriodicalIF":1.4,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61565498","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","authors":"Mary Drozd,&nbsp;Carmen Queiros,&nbsp;Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2023.101052","DOIUrl":"https://doi.org/10.1016/j.ijotn.2023.101052","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"51 ","pages":"Article 101052"},"PeriodicalIF":1.4,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49859414","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":"Orthopaedic patients' experiences of their sleep during hospitalisation and suggestions for improvements","authors":"Pia Søe Jensen ,&nbsp;Kirsten Specht ,&nbsp;Hanne Mainz","doi":"10.1016/j.ijotn.2023.101056","DOIUrl":"10.1016/j.ijotn.2023.101056","url":null,"abstract":"<div><h3>Purpose</h3><p>To describe orthopaedic patients' perspectives on their sleep quality and their suggestions for improvement initiatives to achieve better sleep quality during hospitalisation.</p></div><div><h3>Methods</h3><p>In a qualitative design, 265 (50%) of 533 patients from a questionnaire survey responded to two free-text questions. Data were analysed based on a phenomenological-hermeneutic approach inspired by Paul Ricoeur's theory of narrative and interpretation.</p></div><div><h3>Results</h3><p>Three themes emerged: 1) Sleeping environment and preferences tailored to the individual patient, 2) The link between orthopaedic surgery<span><span> care and sleeping, and 3) Noise challenged a good night’s sleep. Good sleep was related to nurses' professional behaviour and the physical environment, such as quality beds and sleeping aids. Single and shared rooms, room lighting, and fresh air all influenced sleep quality. Unfamiliar and uncomfortable sleeping positions posed a challenge for orthopaedic patients but aids such as pillows, and duvets could provide more comfort at night. Offset circadian rhythms could affect sleep quality, as could nausea and vomiting. Pain and lack of pain relief were associated with poor sleep quality. Noise from both nurses and other patients affected sleep quality. Therefore, unnecessary </span>care activities should be kept to a minimum, and a “night noise level” was suggested.</span></p></div><div><h3>Conclusion</h3><p>Patients' sleep disturbance following orthopaedic surgery needs to be addressed by both nurses and hospital management. Patients’ involvement is essential to create a sleep environment tailored to individual needs and to provide strategies patients use at home for addressing sleeping problems.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101056"},"PeriodicalIF":1.4,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683419","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":"Person-centred practice in the context of shorter hospital stays","authors":"Mary Drozd ,&nbsp;Rebecca Jester","doi":"10.1016/j.ijotn.2023.101054","DOIUrl":"10.1016/j.ijotn.2023.101054","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"51 ","pages":"Article 101054"},"PeriodicalIF":1.4,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693015","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 of self-care training program on self-efficacy, compliance, and quality of life among patients with Rheumatoid Arthritis","authors":"Puvaneswari Kanagaraj, Punitha V Ezhilarasu, Judie Arulappan","doi":"10.1016/j.ijotn.2023.101057","DOIUrl":"https://doi.org/10.1016/j.ijotn.2023.101057","url":null,"abstract":"Rheumatoid Arthritis (RA) is an autoimmune disease that can result in significant joint destruction and work disability. Physical and psychosocial adjustment is required to deal with flare-up, pain, restricted mobility and fatigue in daily life. The study assessed the effectiveness of self-care training program on self-efficacy, compliance, and Quality of life (QoL) among patients with RA. Quantitative research approach was utilized in this study. The study employed an experimental pre-test post-test wait list control group design. The study was conducted at the Rheumatology Outpatient department of a tertiary care hospital in India. The participants were randomly allocated to the study and control group. The self-care training program comprising of 6 sessions over a period of 12 weeks was administered to the participants in the study group; whereas routine care was provided to the participants of control group and the research assistant was blinded to the treatment. The pre and post-interventional levels of self-efficacy, compliance, and QOL were assessed on the first, third and fifth months. On completion of post assessment, the control group participants received the same intervention. Lower levels of self-efficacy, compliance and QOL were reported in the pre-test. However, significant improvements were observed in self-efficacy scores of the study group participants in the post-intervention. In the post-intervention, high compliance to drugs and low compliance to exercise, pain and stress management were reported in the study. With regard to QOL, mental health domain of QOL improved compared to physical health domain in the participants of the study group. Significant association was found between self-efficacy scores and education, income, Disease Activity Score (DAS) and global functional status). Likewise, significant association was found between pain compliance and education, DAS, and relapse. Stress management compliance was associated with DAS, and relapse. Lastly, association was found between QOL and age, education, income, marital status, DAS, duration of illness, global functional status, BMI, and medications @ p < 0.05 level. Self-efficacy had a positive correlation with the QoL and compliance to exercise, drugs, and pain management. Self-care training program can play an imperative role in the long-term management of patients with RA. The intervention can be adopted as an evidence based nursing intervention in the management of patients with RA, which improves the self-efficacy, compliance and QOL.","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134935615","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}