International Journal of Orthopaedic and Trauma Nursing最新文献_第8页

Fast track surgery for children with congenital pseudarthrosis of the tibia: A prospective interventional study 儿童先天性胫骨假关节的快速手术：一项前瞻性介入研究。

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-09-27 DOI: 10.1016/j.ijotn.2023.101051

Yinzhi Yi , Lin Dong , Ni Zhang , Shasha Mo , Yonghong Xie , Xiongke Hu

{"title":"Fast track surgery for children with congenital pseudarthrosis of the tibia: A prospective interventional study","authors":"Yinzhi Yi , Lin Dong , Ni Zhang , Shasha Mo , Yonghong Xie , 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> < 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":"53 ","pages":"Article 101051"},"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}

引用次数: 0

Epidemiology of acetabular fractures in elderly patients and the effect of various management options on the outcomes. A comprehensive narrative review 老年患者髋臼骨折的流行病学及各种治疗方案对疗效的影响。全面的叙述性评论。

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-09-13 DOI: 10.1016/j.ijotn.2023.101049

Ahmed A. Khalifa , Dalia Galal Mahran , Ali Fergany , Osama Farouk

{"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 , Dalia Galal Mahran , Ali Fergany , 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 (>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":"53 ","pages":"Article 101049"},"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}

引用次数: 0

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 与传统敷料相比，预防性闭合切口负压伤口治疗在预防髋关节和膝关节翻修术后假体周围关节感染方面的有效性：一项系统综述。

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-09-01 DOI: 10.1016/j.ijotn.2023.101048

Tracy Morgan , Tamara Page

{"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 , 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=<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":"53 ","pages":"Article 101048"},"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}

引用次数: 0

Patients’ experiences of urinary retention and bladder care – A qualitative study in orthopaedic care 患者尿潴留与膀胱护理的经验——骨科护理的定性研究

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101034

Madeleine Winberg , Maria Hälleberg Nyman , Erika Fjordkvist , Eva Joelsson-Alm , Ann Catrine Eldh

{"title":"Patients’ experiences of urinary retention and bladder care – A qualitative study in orthopaedic care","authors":"Madeleine Winberg , Maria Hälleberg Nyman , Erika Fjordkvist , Eva Joelsson-Alm , 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":"50 ","pages":"Article 101034"},"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}

引用次数: 0

Health and quality of life after discharge from hospital: A prospective study on opioid treatment for acute pain after trauma or surgery 出院后的健康和生活质量：阿片类药物治疗创伤或手术后急性疼痛的前瞻性研究。

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101017

Anne Mari Gunnheim Klausen , Jorunn Drageset , Frøydis Kristine Bruvik

{"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 , Jorunn Drageset , 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 < 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 < 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":"50 ","pages":"Article 101017"},"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}

引用次数: 0

Literature reviews 文学评论

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101033

Mary Drozd, Carmen Queiros, Shareena Bibi Mohd Arif

引用次数: 0

Editorial Board/Title Page 编委会/标题页

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-08-01 DOI: 10.1016/S1878-1241(23)00046-1

引用次数: 0

The effect of discharge training with the teach-back method on post-discharge challenges in lumbar disc herniation patients: A quasi-experimental study 背教法出院训练对腰椎间盘突出症患者出院后挑战的影响:一项准实验研究

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101020

Arzu Tat Çatal , Fatma Cebeci

{"title":"The effect of discharge training with the teach-back method on post-discharge challenges in lumbar disc herniation patients: A quasi-experimental study","authors":"Arzu Tat Çatal , Fatma Cebeci","doi":"10.1016/j.ijotn.2023.101020","DOIUrl":"10.1016/j.ijotn.2023.101020","url":null,"abstract":"<div><h3>Background</h3><p><span>Shortened length of hospital stay in patients undergoing </span>lumbar disc herniation surgery forces to undertake interventions that facilitate optimal patient outcomes.</p></div><div><h3>Aim</h3><p>The aim of this study was to investigate the effect of discharge training given by teach-back method, and counseling based on individual needs and a study-specific training booklet on postoperative pain and challenges experienced by lumbar disc herniation patients.</p></div><div><h3>Methods</h3><p>This study had a quasi-experimental design and was conducted with 94 patients. Patients were divided into a control group (n = 48) and an intervention group (n = 46) using the blocking method. The pain was assessed at the time of patient admission, at discharge, and at follow-up; postoperative challenges were evaluated at discharge and follow-up.</p></div><div><h3>Results</h3><p>Most patients experienced pain and challenges such as kinesiophobia, weakness-exhaustion-fatigue, irritability, constipation, and insomnia. The patients in the intervention group had less back and leg pain and challenges.</p></div><div><h3>Conclusions</h3><p>The benefits of education given by teach-back method, and counseling in reducing the postoperative problems experienced by patients who underwent surgery for lumbar disc herniation were demonstrated in this study. The findings suggest that study-specific training and counseling may be useful for addressing the pain and challenges of patients with lumbar disc herniation.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"50 ","pages":"Article 101020"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10035299","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 effect of in-bed turning and mobilization training given to patients who undergo lumbar disk surgery on postoperative first mobility level: A single-blind, randomized controlled trial 对腰椎间盘手术患者进行卧床翻身和活动训练对术后首次活动水平的影响:一项单盲、随机对照试验

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101022

Hatice Akkaya , Hatice Ayhan

{"title":"The effect of in-bed turning and mobilization training given to patients who undergo lumbar disk surgery on postoperative first mobility level: A single-blind, randomized controlled trial","authors":"Hatice Akkaya , Hatice Ayhan","doi":"10.1016/j.ijotn.2023.101022","DOIUrl":"10.1016/j.ijotn.2023.101022","url":null,"abstract":"<div><h3>Objective</h3><p>This study was conducted to investigate the effects of mobilization and in-bed turning training given through the role-playing technique to patients to undergo lumbar disk surgery on the patient's pain, strain and dependence level during the first postoperative mobilization (turning, sitting, standing and walking).</p></div><div><h3>Methods</h3><p><span>Patients who would undergo a lumbar disk hernia surgery were recruited from a </span>neurosurgery<span> clinic in Turkey. Patients who met inclusion criteria and agreed to participate (n = 40) in the study were randomly assigned to an intervention group (in-bed turning and mobilization training simulated with the role-playing technique, n = 19) and a control group (usual clinical care, n = 21). The outcome of the study was patient mobility and observer mobility scale scores.</span></p></div><div><h3>Results</h3><p>Postoperative scores obtained from the patient mobility and observer mobility scale were lower in the intervention group than the scores of the control group, and the difference between the groups was found statistically significant (p < 0.05). The anxiety levels of the intervention group before (38.00 ± 6.59, p < 0.001) and after mobilization (31.63 ± 4.57, p = 0.032) were significantly lower.</p></div><div><h3>Conclusion</h3><p>The findings indicate training improves patient care outcomes for first postoperative mobility. It is recommended that structured training for in-bed turning and mobilization should be integrated into routine clinical care in the preoperative period for patients to undergo lumbar disk hernia surgery.</p></div><div><h3>Practice implications</h3><p>Preoperative training increases the patient's willingness to be mobilized and decreases the anxiety level and perceived pain and strain.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"50 ","pages":"Article 101022"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10035307","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

Commentary 评论

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101032

Julie Santy-Tomlinson (Emeritus Editor in Chief and Social Media Editor)

引用次数: 0