Orthopaedic Nursing最新文献_第10页

NCPD Tests: Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization: Mental Health and Housing Status. NCPD 测试：骨科护士导航员与全关节关节置换术术前优化：心理健康与住房状况。

IF 0.8 4区医学

Orthopaedic Nursing Pub Date : 2024-05-01 Epub Date: 2024-04-07 DOI: 10.1097/NOR.0000000000001035

引用次数: 0

Nicotine Screening and Cessation Education Among Patients Awaiting Total Joint Arthroplasty: A Quality Improvement Project. 在等待全关节置换术的患者中开展尼古丁筛查和戒烟教育：质量改进项目。

IF 0.8 4区医学

Orthopaedic Nursing Pub Date : 2024-05-01 Epub Date: 2024-04-07 DOI: 10.1097/NOR.0000000000001027

Lindsay Appleton, Joshua Barnes, Hollis Ray, Julie Thompson, Michael Zychowicz

{"title":"Nicotine Screening and Cessation Education Among Patients Awaiting Total Joint Arthroplasty: A Quality Improvement Project.","authors":"Lindsay Appleton, Joshua Barnes, Hollis Ray, Julie Thompson, Michael Zychowicz","doi":"10.1097/NOR.0000000000001027","DOIUrl":"10.1097/NOR.0000000000001027","url":null,"abstract":"Orthopedic surgical patients who use nicotine are at a high risk for postoperative complications including infection, respiratory failure, cardiac arrest, and death. Periprosthetic joint infections may result from nicotine-induced immunosuppression and microvascular changes, increasing perioperative morbidity and mortality. These complications result in higher health care costs, increased length of stay, and loss of reimbursement due to readmissions. Four weeks of nicotine cessation prior to arthroplasty decreases these risks; however, perioperative teams may lack reliable nicotine screening and cessation education methods. This project identified inconsistencies in nicotine screening and cessation counseling in the preoperative setting, which contributed to surgery cancellations among patients who required to demonstrate nicotine cessation preoperatively. Standardization of preoperative nicotine screening and patient cessation education resources can improve the identification of orthopedic patients who use nicotine and provide concrete, proven methods of achieving nicotine cessation prior to elective primary arthroplasty. Investment from perioperative staff is essential to ensure success.","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"43 3","pages":"141-150"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurse-Assisted Rehabilitation Protocols Following Anterior Cruciate Ligament Reconstruction. 前十字韧带重建术后的护士辅助康复方案。

IF 0.8 4区医学

Orthopaedic Nursing Pub Date : 2024-05-01 Epub Date: 2024-04-07 DOI: 10.1097/NOR.0000000000001030

Fang Yu, Li-En Xiao, Tao Wang, Yong Hu, Jun Xiao

{"title":"Nurse-Assisted Rehabilitation Protocols Following Anterior Cruciate Ligament Reconstruction.","authors":"Fang Yu, Li-En Xiao, Tao Wang, Yong Hu, Jun Xiao","doi":"10.1097/NOR.0000000000001030","DOIUrl":"10.1097/NOR.0000000000001030","url":null,"abstract":"Despite significant advancements in surgical instruments and operation skills, short- and long-term outcomes following anterior cruciate ligament reconstruction (ACLR) remain unsatisfactory, as many patients fail to return to their pre-injury level of sports. Inadequate ACL rehabilitation is the primary cause of poor outcomes. Nurses have become a crucial element in the rehabilitation process. Although there is no consensus regarding the optimal post-operative rehabilitation protocols, restoring muscle strength and neuromuscular control are consistently the primary goals. This literature review presents nurse-assisted rehabilitation protocols aiming at improving muscle strength and neuromuscular control. The review discusses postoperative rehabilitation, including home-based and supervised rehabilitation, open and closed kinetic chain exercises, eccentric and concentric training, blood flow restriction training, and plyometric training. Each training protocol has its benefits and drawbacks, and should be used cautiously in specific stages of rehabilitation. Neuromuscular training, such as neuromuscular electrical stimulation, neuromuscular control exercises, and vibration therapy, is considered crucial in rehabilitation.","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"43 3","pages":"163-178"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stability Reliability and External Validity of Myrick THIRD Test for Hip Labral Tears. 髋关节瓣膜撕裂 Myrick THIRD 测试的稳定性可靠性和外部有效性。

IF 0.8 4区医学

Orthopaedic Nursing Pub Date : 2024-05-01 Epub Date: 2024-04-07 DOI: 10.1097/NOR.0000000000001029

Karen M Myrick, Richard Feinn

{"title":"Stability Reliability and External Validity of Myrick THIRD Test for Hip Labral Tears.","authors":"Karen M Myrick, Richard Feinn","doi":"10.1097/NOR.0000000000001029","DOIUrl":"10.1097/NOR.0000000000001029","url":null,"abstract":"The purpose of the study is to examine whether the physical examination technique, Myrick The Hip Internal Rotation with Distraction (THIRD), is reliable and valid. The Myrick THIRD test has previously established and documented sensitivity, specificity, positive predictive value, and internal and external validity. The goal of this original research was to demonstrate stability reliability of the Myrick THIRD test when the study is conducted in a clinical setting where the test has not previously been performed, as well as to demonstrate that the Myrick THIRD test has external validity when conducted across multiple examiners in a new setting. The importance of the study reflects current clinical practice and the lack of specific clinical assessment techniques used to determine the source of intra-articular hip pain successfully. Testing included the Myrick THIRD test, magnetic resonance arthrogram (MRA), and arthroscopy. The primary outcomes included the results of the MRA, magnetic resonance imaging (MRI), Myrick THIRD test, and arthroscopy. The inclusion criteria were 18- to 49-year-olds presenting with hip pain. The exclusion criteria included patients younger than 18 and older than 49 years and patients who were willing to undergo MRI arthrogram. A test of paired proportions, correlation, sensitivity, and specificity was performed. The significance level was preset at .05. All 86 patients had a positive Myrick THIRD test, which was confirmed with arthroscopy. Eight of the 11 positive MRI results and 64 of the 74 positive MRA results were confirmed with arthroscopy. The Myrick THIRD test had a statistically significant higher accuracy rate than the MRA (p = .002) but not the MRI (p = .08). Myrick THIRD test showed a significantly higher accuracy rate than MRA.","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"43 3","pages":"158-162"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

One of Nursing's Greatest Advocates - Anthony J. Jannetti. 护理界最伟大的倡导者之一 - Anthony J. Jannetti。

IF 0.8 4区医学

Orthopaedic Nursing Pub Date : 2024-05-01 Epub Date: 2024-04-07 DOI: 10.1097/NOR.0000000000001032

Mary Faut Rodts

引用次数: 0

Development of a Group Curriculum for Children With Congenital Upper Limb Difference (CULD) and Their Caregivers. 为先天性上肢畸形（CULD）儿童及其照顾者开发小组课程。

IF 0.7 4区医学

Orthopaedic Nursing Pub Date : 2024-03-01 DOI: 10.1097/NOR.0000000000001015

Danielle Nelson, Maia Hauschild, Alexis L Johns, Nina R Lightdale-Miric

{"title":"Development of a Group Curriculum for Children With Congenital Upper Limb Difference (CULD) and Their Caregivers.","authors":"Danielle Nelson, Maia Hauschild, Alexis L Johns, Nina R Lightdale-Miric","doi":"10.1097/NOR.0000000000001015","DOIUrl":"10.1097/NOR.0000000000001015","url":null,"abstract":"Caring for patients with congenital upper limb differences (CULD) requires an understanding of unique psychosocial challenges. The study purpose was to describe the needs of children with CULD and their caregivers to develop a group curriculum. This mixed-method study included 13 mothers and one father of children with CULD (age 3 months to 14 years; mean 7.2 ± 4.3 years) using Patient-Reported Outcomes Measurement Information System Parent Proxy Reports and caregiver interviews. Patient-Reported Outcomes Measurement Information System Peer Relationships (M = 48.1 ± 10.9) and Pain Interference (M = 44.5 ± 7.5) T-scores were average with below average scores for Physical Function: Upper Extremity (M = 31.9 ± 12.1). Caregivers expressed high interest in groups to create community and mutual support covering themes of responding to questions from strangers, social and coping skills, building self-confidence, accessing resources, advocacy skills, and advice from adults with CULD. Access to a support group with a curriculum addressing CULD-related patient and family needs may improve care.","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"43 2","pages":"93-102"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

NCPD Tests: Navigating the Litigation Experience. NCPD 测试：诉讼经验导航。

IF 0.7 4区医学

Orthopaedic Nursing Pub Date : 2024-03-01 DOI: 10.1097/NOR.0000000000001021

引用次数: 0

The Effect of the Timing of Cold Application on Pain and Satisfaction in Patients With Fractures. 冷敷时机对骨折患者疼痛和满意度的影响

IF 0.7 4区医学

Orthopaedic Nursing Pub Date : 2024-03-01 Epub Date: 2024-01-12 DOI: 10.1097/NOR.0000000000001004

Derya Kırıcı, Semra Erdağı Oral

{"title":"The Effect of the Timing of Cold Application on Pain and Satisfaction in Patients With Fractures.","authors":"Derya Kırıcı, Semra Erdağı Oral","doi":"10.1097/NOR.0000000000001004","DOIUrl":"10.1097/NOR.0000000000001004","url":null,"abstract":"This experimental study used a repeated-measures design to examine the effect of the timing of cold application on pain and satisfaction in a sample of 60 patients who had fracture surgery. Cold was applied for 20 minutes each hour for four hours to patients assigned to the experimental group. Whereas cold was applied once to those in the control group: for 20 minutes during the first hour after surgery. Results following data analysis from repeated measurements of pain before and after cold application in both groups showed a significant difference between the groups ( p <.05). Patients' levels of satisfaction with nursing care practice were higher in the experimental group than in the control group, although not significantly ( p >.05). The pain score in the experimental group decreased significantly with each cold application. In the control group, the pretreatment pain score decreased significantly after one cold application, increasing again in 3 hours without cold application. These findings are important for nurses caring for postoperative patients and giving discharge instructions. Our findings suggest repeated cold applications for 20 minutes at hourly intervals may result in better overall pain reduction than a single cold application.","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":" ","pages":"67-74"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139426180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhanced Recovery After Surgery Orthopaedics Program in a Community-Based Health Care System. 社区医疗保健系统中的术后骨科强化康复计划。

IF 0.7 4区医学

Orthopaedic Nursing Pub Date : 2024-03-01 DOI: 10.1097/NOR.0000000000001014

Peter J Schams, Matthew W Tradewell, Charles P Nolte, Christine A Feller, Sandra J Elsen, Jamie L Ludlum, Andrew R Jagim, Micaela M Schollmeier

引用次数: 0

NAON Announcements. NAON 公告。

IF 0.7 4区医学

Orthopaedic Nursing Pub Date : 2024-03-01 DOI: 10.1097/NOR.0000000000001022

引用次数: 0