Orthopaedic NursingPub Date : 2024-05-01Epub Date: 2024-04-07DOI: 10.1097/NOR.0000000000001028
Emanuela Basilici Zannetti, Noemi Cittadini, Paolo Iovino, Maddalena De Maria, Daniela D'Angelo, Annalisa Pennini, Ercole Vellone, Umberto Tarantino, Rosaria Alvaro
{"title":"Factors That Influence Quality of Life in Postmenopausal Osteoporotic Women With Nonvertebral Fractures: The Guardian Angel Multicenter Longitudinal Study.","authors":"Emanuela Basilici Zannetti, Noemi Cittadini, Paolo Iovino, Maddalena De Maria, Daniela D'Angelo, Annalisa Pennini, Ercole Vellone, Umberto Tarantino, Rosaria Alvaro","doi":"10.1097/NOR.0000000000001028","DOIUrl":"10.1097/NOR.0000000000001028","url":null,"abstract":"<p><p>The knowledge of variables associated with quality of life in women with nonvertebral fractures is poor. The aim of this study was to examine the independent associations between sociodemographic and clinical factors, self-care, and quality of life in this specific population. We undertook a 3-year multicenter longitudinal study on a cohort of Italian postmenopausal osteoporotic women with three follow-ups at 1, 3, and 6 months. Nurses asked women to complete questionnaires on quality of life and self-care. The sample (n = 532) had a mean age of 74.78 years. The results showed that women taking more than two medications per day (p = .026) and those with nine or more years of education (p = .036) were more likely to exhibit better quality of life levels (p < .001) than their counterparts. Both self-care and quality of life scores improved over time in all participants. This study shows positive independent associations between quality of life and polypharmacy, education, and self-care behaviors, which were improved by educational interventions to attain a better quality of life in our participants.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"43 3","pages":"151-157"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307528","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}
Orthopaedic NursingPub Date : 2024-05-01Epub Date: 2024-04-07DOI: 10.1097/NOR.0000000000001035
{"title":"NCPD Tests: Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization: Mental Health and Housing Status.","authors":"","doi":"10.1097/NOR.0000000000001035","DOIUrl":"10.1097/NOR.0000000000001035","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"43 3","pages":"E8-E9"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307534","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}
Orthopaedic NursingPub Date : 2024-05-01Epub Date: 2024-04-07DOI: 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":"<p><p>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.</p>","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}
Orthopaedic NursingPub Date : 2024-05-01Epub Date: 2024-04-07DOI: 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":"<p><p>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.</p>","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}
Orthopaedic NursingPub Date : 2024-05-01Epub Date: 2024-04-07DOI: 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":"<p><p>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.</p>","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}
Orthopaedic NursingPub Date : 2024-05-01Epub Date: 2024-04-07DOI: 10.1097/NOR.0000000000001032
Mary Faut Rodts
{"title":"One of Nursing's Greatest Advocates - Anthony J. Jannetti.","authors":"Mary Faut Rodts","doi":"10.1097/NOR.0000000000001032","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001032","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"43 3","pages":"131"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141602178","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}
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":"<p><p>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.</p>","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}
Orthopaedic NursingPub Date : 2024-03-01Epub Date: 2024-01-12DOI: 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":"<p><p>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.</p>","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}