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

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":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":"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":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":"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

Focus on practice development: The value of sharing expertise 注重实践发展:分享专业知识的价值

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101021

Wendy Duperouzel (Clinical Editor)

引用次数: 0

Literature reviews 文献综述

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.ijotn.2023.101019

Mary Drozd, Carmen Queiros, Shareena Bibi Mohd Arif

引用次数: 0

Editorial – Global shortage of nurses – Rebecca Jester for May 2023 issue 社论-全球护士短缺-丽贝卡·杰斯特2023年5月号

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.ijotn.2023.101018

Rebecca Jester

引用次数: 1

Traditional compared to modified method of disinfection before hip fracture surgery - Experiences of nursing personnel 髋部骨折手术前传统消毒方法与改良消毒方法的比较——护理人员的体会

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.ijotn.2023.101002

Noelle Probert , Karin Blomberg , Per Wretenberg , Åsa G. Andersson

{"title":"Traditional compared to modified method of disinfection before hip fracture surgery - Experiences of nursing personnel","authors":"Noelle Probert , Karin Blomberg , Per Wretenberg , Åsa G. Andersson","doi":"10.1016/j.ijotn.2023.101002","DOIUrl":"10.1016/j.ijotn.2023.101002","url":null,"abstract":"<div><h3>Background</h3><p>National guidelines in Sweden recommend preoperative full-body disinfection (FBD) with 4% chlorhexidine to prevent surgical-site infection (SSI) after hip fracture surgery, a method causing patients’ severe pain. Although, due to little evidence in research, orthopedic clinics in Sweden are wavering in favor of simpler methods such as local disinfection (LD) of the surgical site.</p></div><div><h3>Purpose</h3><p>The aim of this study was to describe the experiences of nursing personnel regarding the performance of preoperative LD on patients prior to hip fracture surgery after having switched from FBD.</p></div><div><h3>Methods</h3><p>This study has a qualitative design where data were collected via focus-group discussions (FGDs) including in total 12 participants and analysed using content analysis.</p></div><div><h3>Results</h3><p>Six categories were identified describing the aim: sparing the patients' physical harm, sparing the patients’ psychological distress, involving the patients in the procedure, improving the working environment for personnel, preventing unethical situations and a more adequate utilization of resources.</p></div><div><h3>Conclusions</h3><p>All participants considered LD of the surgical site as a favorable method to FBD, witnessing of an increased wellbeing in patients and the method facilitating a better involvement of patients in the procedure, findings that are supported by other studies promoting person-centered care.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9899546","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 hospital to home following a lower limb amputation: A focus group study of healthcare professionals’ views and experiences with transitioning 下肢截肢后从医院到家:医疗保健专业人员对过渡的看法和经验的焦点小组研究

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.ijotn.2023.101003

Sarah Køberl , Katja Schrøder , Dorte Dall-Hansen , Charlotte Abrahamsen

{"title":"From hospital to home following a lower limb amputation: A focus group study of healthcare professionals’ views and experiences with transitioning","authors":"Sarah Køberl , Katja Schrøder , Dorte Dall-Hansen , Charlotte Abrahamsen","doi":"10.1016/j.ijotn.2023.101003","DOIUrl":"10.1016/j.ijotn.2023.101003","url":null,"abstract":"<div><h3>Introduction</h3><p>Patients undergoing major lower limb amputation often have multiple comorbidities, requiring care from numerous healthcare professionals (HCPs). Furthermore, they may experience physical, medical and practical challenges post-amputation. Patients with complex needs are particularly vulnerable during care transitions and may benefit from integrated care models.</p></div><div><h3>Aim</h3><p>This study aimed to explore HCPs’ views and experiences regarding the transition process after implementing an integrated care model for patients with lower limb amputation.</p></div><div><h3>Methods</h3><p>We conducted two focus groups with 13 HCPs from a Danish hospital and three surrounding districts; all working in the <em>Safe Journey</em> programme. The interviews were analysed using thematic analysis.</p></div><div><h3>Results</h3><p>Three themes were created: 1) becoming a team across sectors, 2) continuity of care as a driver for patient safety and 3) challenges in achieving safe transitions. The <em>Safe Journey</em> programme facilitated the construction of an interdisciplinary team, cross-sectoral communication and professional relations, increasing HCPs’ sense of improved patient safety and care continuity. However, HCPs experienced an increased workload, including coordination and at-home patient visits.</p></div><div><h3>Conclusions</h3><p>HCPs found the <em>Safe Journey</em> programme to be valuable for patients undergoing major lower limb amputation and promotive of cross-sectoral professional relations, communication, continuity and patient safety. However, the programme was time- and resource-consuming compared to conventional models.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9883198","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 use of skin traction in the adult patients with proximal femur fracture. What are the effects, advantages and disadvantages? A scoping review 皮肤牵引在成人股骨近端骨折中的应用。有什么影响，优点和缺点?范围审查

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.ijotn.2023.101004

Melania Miedico , Fabrizio Quattrini , Salvatore Emanuele Attardo , Margherita Marchioni , Maria Chiara Bassi , Enrico Lucenti , Leopoldo Sarli , Massimo Guasconi

{"title":"The use of skin traction in the adult patients with proximal femur fracture. What are the effects, advantages and disadvantages? A scoping review","authors":"Melania Miedico , Fabrizio Quattrini , Salvatore Emanuele Attardo , Margherita Marchioni , Maria Chiara Bassi , Enrico Lucenti , Leopoldo Sarli , Massimo Guasconi","doi":"10.1016/j.ijotn.2023.101004","DOIUrl":"10.1016/j.ijotn.2023.101004","url":null,"abstract":"<div><h3>Background</h3><p>Hip surgery is normally the chosen therapy for proximal femur fractures. Surgery within 24–48 h after hip fracture is recommended, but surgery may not always be performed promptly. Consequently, skin-traction is applied to reduce complications. The purpose of this review is to assess both advantages and disadvantages of skin traction.</p></div><div><h3>Methods</h3><p>A scoping review was conducted. The research question was: which are the effects of skin traction, its advantages and disadvantages in adult patients with proximal femur fractures hospitalised in orthopaedic wards? The search was done in the databases PubMed, CINAHL, Cochrane, Embase, DOAJ, ClinicalTrials.gov and OpenDissertation.</p></div><div><h3>Results</h3><p>9 records were included, skin traction effects were summarised in 7 categories: pain, pressure sores, comfort and relaxation, thromboembolism, damage from adhesive, complications and quality of care. The possible advantage is pain reduction between 24 and 60 h, the possible disadvantage is skin damage.</p></div><div><h3>Discussion and conclusion</h3><p>The routine use of skin traction does not appear recommended, but more consistent evidence is necessary to make clinic decisions. Future RCTs could focus on the effects of skin traction 24–60 h after hospitalisation and before surgery.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9530335","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

Staff perspectives of a nurse practitioner-led orthogeriatric model of care in a large academic hospital: A mixed methods study 一所大型学术医院以护士为主导的骨科护理模式的员工视角:一项混合方法研究

IF 1.4

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.ijotn.2023.101015

Abby Ayoub , Ines Zombré , Chantal Backman , Chabot Chantal , Daniel Bédard , John Joanisse

{"title":"Staff perspectives of a nurse practitioner-led orthogeriatric model of care in a large academic hospital: A mixed methods study","authors":"Abby Ayoub , Ines Zombré , Chantal Backman , Chabot Chantal , Daniel Bédard , John Joanisse","doi":"10.1016/j.ijotn.2023.101015","DOIUrl":"10.1016/j.ijotn.2023.101015","url":null,"abstract":"<div><h3>Background</h3><p>Research has shown that models of care involving geriatric care in orthopedics decrease hospitalizations, mortality, length of stay and post-operative complications. This article presents an example of a nurse practitioner-led orthogeriatric model of care in a large academic hospital in Ontario. The overall goal was to explore staff perspectives regarding the nurse practitioner-led orthogeriatric model of care.</p></div><div><h3>Methods</h3><p>We conducted a mixed methods approach consisting of an online questionnaire, semi-structured interviews, and a focus group with staff.</p></div><div><h3>Results</h3><p>Questionnaire of staff showed overall support for functions of the <span>NP</span> within the model. Interviews with healthcare providers, and leadership as well as one focus group with orthopedic surgeons showed that despite the lack of formal awareness of the NP-led orthogeriatric model of care, staff felt that the model provided better care for the geriatric hip fracture population.</p></div><div><h3>Conclusion</h3><p>In the current context of geriatricians’ shortages to provide post-surgical care to geriatric patients, the staff described that geriatric care of hip fracture patients can be well accomplished by a NP. Further improvement efforts to create better awareness of the NP-led orthogeriatric model among the care team is needed.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9521881","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