International Journal of Orthopaedic and Trauma Nursing最新文献

{"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":null,"pages":null},"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}

{"title":"Developing healthful cultures through the development of person-centred practice","authors":"Tanya McCance,&nbsp;Brendan McCormack","doi":"10.1016/j.ijotn.2023.101055","DOIUrl":"10.1016/j.ijotn.2023.101055","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683420","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 orthopaedic and trauma care","authors":"Charlotte Myhre Jensen","doi":"10.1016/j.ijotn.2023.101053","DOIUrl":"10.1016/j.ijotn.2023.101053","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239702","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":"Fast track surgery for children with congenital pseudarthrosis of the tibia: A prospective interventional study","authors":"Yinzhi Yi ,&nbsp;Lin Dong ,&nbsp;Ni Zhang ,&nbsp;Shasha Mo ,&nbsp;Yonghong Xie ,&nbsp;Xiongke Hu","doi":"10.1016/j.ijotn.2023.101051","DOIUrl":"10.1016/j.ijotn.2023.101051","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to explore the effect of fast-track surgery combined with a clinical nursing pathway on the recovery and complications of congenital pseudarthrosis of tibia.</p></div><div><h3>Methods</h3><p><span>82 children with congenital pseudarthrosis of tibia admitted from January 2019 to December 2020 were selected as the study subjects. The control group received routine clinical nursing pathway while the intervention group received a fast-track surgery combined with a clinical nursing pathway. The fasting and water deprivation time were arranged according to the pre operation time, and the accelerated rehabilitation nursing models<span> such as progressive diet management, multi-functional analgesia, and early sequential functional exercise were given after the operation. After collecting data on perioperative diet, postoperative recovery, </span></span>postoperative complications, and family satisfaction from both groups of patients in a large hospital in China, a comparative analysis was conducted.</p></div><div><h3>Results</h3><p><span>The retention time of negative pressure drainage tube<span>, urinary catheter and hospital stay in the intervention group were shorter than those in the control group (</span></span><em>P</em> &lt; 0.05); The incidence of complications in the intervention group (5%) was significantly lower than that in the control group (21.42%) (<em>P</em> = 0.029). The family satisfaction of the intervention group (95.00%) was higher than that of the control group (80.95%).</p></div><div><h3>Conclusion</h3><p>Strengthening the concept of fast-track surgery nursing in the combined operation of congenital pseudarthrosis of tibia can shorten the hospitalization time of children, reduce the occurrence of postoperative complications and improve their family satisfaction.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683418","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":"Epidemiology of acetabular fractures in elderly patients and the effect of various management options on the outcomes. A comprehensive narrative review","authors":"Ahmed A. Khalifa ,&nbsp;Dalia Galal Mahran ,&nbsp;Ali Fergany ,&nbsp;Osama Farouk","doi":"10.1016/j.ijotn.2023.101049","DOIUrl":"10.1016/j.ijotn.2023.101049","url":null,"abstract":"<div><p>Owing to the expected increase in the world's elderly population (&gt;65 years old), and the concomitant osteoporosis in this particular population, fragility fractures<span><span><span> of the pelvis and the acetabulum is becoming a real concern, which could be life-threatening. In the current review, we aimed to discuss the various epidemiological characteristics of geriatric acetabular fractures, management options, and the outcomes. For the review synthesis, we searched PubMed to select the most relevant and updated articles published from various areas and institutions. Geriatric acetabular fractures are mainly caused by trivial trauma, constitute about 1.5%–3% of all skeletal </span>injuries<span>, and showed a 2.4-fold increase over the past three decades. Furthermore, these fractures' associated one-year mortality rate ranges from 14% to 25%. Management options differ largely according to the type and severity of the injury if there is an associated skeletal or non-skeletal injury, and preexisting patient comorbidities. These options could be nonoperative or operative (including surgical fixation and acute total hip arthroplasty), and both carry a specific risk in this vulnerable age group. There is controversy among various reports regarding the best management option leading to better function and health-related quality of life (HRQoL) outcomes. In conclusion, the incidence of acetabular fractures in elderly patients is rising. The decision-making on the best management option should consider the patient's fragility, </span></span>injury severity, poor bone quality, and multiple medical comorbidities. The outcomes related to function, quality of life, and mortality are comparable between operative and nonoperative management options.</span></p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683417","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 effectiveness of prophylactic closed incision negative pressure wound therapy compared to conventional dressings in the prevention of periprosthetic joint infection post hip and knee revision arthroplasty surgery: A systematic review","authors":"Tracy Morgan ,&nbsp;Tamara Page","doi":"10.1016/j.ijotn.2023.101048","DOIUrl":"10.1016/j.ijotn.2023.101048","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the effectiveness of prophylactic closed incision negative pressure wound therapy<span> (ciNPWT) compared to conventional dressings in the prevention of periprosthetic joint infection<span> (PJI) post hip and knee revision arthroplasty surgery.</span></span></p></div><div><h3>Method</h3><p><span>Five databases (MEDLINE, Embase., Emcare, </span>CINAHL and Scopus) were searched with no date or language limits. Two independent reviewers assessed articles against the inclusion criteria and methodological quality of the 3 included studies. Data was extracted using a customised data tool and included the intervention, study methods and outcomes of interest. A meta-analysis was performed, and results presented in narrative form with forest plots.</p></div><div><h3>Findings</h3><p>The three studies, one randomized control trial and two quasi-experimental studies, included 136 intervention and 228 control participants (Sample 364). The PJI rate decreased in the ciNPWT cohort compared to the conservative dressing cohort (2 [1.47%] vs 27 [11.84%]). The reoperation rate was lower in the ciNPWT cohort versus the conventional cohort (4 [2.94%] vs 35 [15.35%]). The rate of wound complications was significantly decreased in the ciNPWT cohort compared to the conventional dressing cohort (14 [10.29%] v 85 [37.28), p=&lt;0.001).</p></div><div><h3>Conclusion</h3><p>Prophylactic application of ciNPWT may be effective in reducing wound complications, PJI and reoperation post hip and knee revision arthroplasty surgery. The added cost of ciNPWT may be justified in the reduction of wound complications, PJI and reoperation. Ongoing trials determining if the prophylactic application of ciNPWT post hip and knee revision arthroplasty surgery is beneficial in preventing PJI particularly in high risk patients with additional comorbidities are warranted.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239701","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":"Patients’ experiences of urinary retention and bladder care – A qualitative study in orthopaedic care","authors":"Madeleine Winberg ,&nbsp;Maria Hälleberg Nyman ,&nbsp;Erika Fjordkvist ,&nbsp;Eva Joelsson-Alm ,&nbsp;Ann Catrine Eldh","doi":"10.1016/j.ijotn.2023.101034","DOIUrl":"10.1016/j.ijotn.2023.101034","url":null,"abstract":"<div><h3>Background</h3><p>Urinary retention is a common complication associated with hip surgery. There are easily available, evidence-based clinical practice guidelines prescribing how to prevent both urinary retention and other voiding issues, by means of bladder monitoring and risk assessments. A detected lack of adherence to such guidelines increases risks for unnecessary suffering among patients but a greater understanding of patients’ experiences can benefit tailored interventions to address quality and safety gaps in orthopaedic nursing and rehabilitation.</p></div><div><h3>Purpose</h3><p>The aim was to describe patients’ experiences of urinary retention, bladder issues, and bladder care in orthopaedic care due to hip surgery.</p></div><div><h3>Method</h3><p>This was a qualitative study with a descriptive design: content analysis with an inductive approach was applied to interviews (n = 32) and survey free-text responses (n = 122) across 17 orthopaedic units in Sweden.</p></div><div><h3>Results</h3><p>The patients had received no or limited details for the recurrent bladder care interventions (such as bladder scans and prompted voiding) while at the hospital. They relied on the staff for safe procedures but were left to themselves to manage and comprehend prevailing bladder issues. Despite the patients’ experiences of bladder issues or the risk of urinary retention postoperatively, the link to hip surgery remained unknown to the patients, leaving them searching for self-management strategies and further care.</p></div><div><h3>Conclusions</h3><p>Patients’ perspectives on bladder care, urinary retention and bladder issues can serve as a means for increased understanding of procedures and issues, reinforcing improved implementation of guidelines, including person-centred information. Safer bladder procedures imply further patient engagement, highlighted in guidelines.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9986021","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":"Health and quality of life after discharge from hospital: A prospective study on opioid treatment for acute pain after trauma or surgery","authors":"Anne Mari Gunnheim Klausen ,&nbsp;Jorunn Drageset ,&nbsp;Frøydis Kristine Bruvik","doi":"10.1016/j.ijotn.2023.101017","DOIUrl":"10.1016/j.ijotn.2023.101017","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this study was to examine opioid use, health, quality of life, and pain after discharge from hospital in opioid naïve patients receiving opioid treatment for sub acute pain after trauma or surgery.</p></div><div><h3>Methods</h3><p>A prospective cohort with a four-week follow-up was conducted. Of the 62 patients included, 58 remained in the follow-up. The following questionnaires were assessed: Numeric Rating Scale for pain (NRS), EQ-5D-5L (health-related quality of life) and EQ-VAS (self-reported health). Paired <em>t</em>-test, two-sample <em>t</em>-test and chi square test were used in the study.</p></div><div><h3>Results</h3><p>Every fourth participant still received opioid treatment at follow-up, and reported no significant increase in EQ-VAS. Overall, an improvement in EQ-5D-5L (0.569 (SD = 0.233) to 0.694 (SD = 0.152), p &lt; 0.001) and EQ-VAS (55 (SD = 20) to 63 (SD = 18), p = 0.001) from baseline to follow-up was found. Pain intensity decreased in the same period (6.4 (SD = 2.2) to 3.5 (SD = 2.6), p &lt; 0.001). An unmet need for information regarding pain management was reported by 32% of the participants.</p></div><div><h3>Conclusions</h3><p>Our findings show that patients with acute pain, treated with opioids, reported improved pain intensity, health-related quality of life and self-reported health four weeks after discharge. There is room for improvement regarding the provision of patient information on pain management.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10035259","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.2023.101033","DOIUrl":"https://doi.org/10.1016/j.ijotn.2023.101033","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49857462","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":"Editorial Board/Title Page","authors":"","doi":"10.1016/S1878-1241(23)00046-1","DOIUrl":"https://doi.org/10.1016/S1878-1241(23)00046-1","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49857463","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}