International Journal of Orthopaedic and Trauma Nursing最新文献

{"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}

{"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":"51 ","pages":"Article 101055"},"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":"51 ","pages":"Article 101053"},"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":"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}

{"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":"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}