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Journal of Orthopaedic Nursing最新文献

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Journal of Orthopaedic Nursing
Pub Date : 2009-05-01 DOI: 10.1016/j.joon.2009.05.002
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引用次数: 0
Heel ulceration – An exploration of the issues 足跟溃疡-问题的探讨
Journal of Orthopaedic Nursing
Pub Date : 2009-05-01 DOI: 10.1016/j.joon.2009.06.001
Karen Ousey PhD, RGN, ONC (Principal Lecturer)

This article presents an exploration of some of the issues that require consideration in relation to the assessment and prevention of heel ulceration. The number of older people in the United Kingdom (UK) is rising with the fastest growing age group in the population being those aged 80 years. They currently constitute 4.5% (2,749,507) of the total population, this age group has increased by over 1.1 million between 1981 and 2007 (1,572,160 to 2,749,507), from 2.8% to 4.5% leading us to believe that the incidence of pressure ulcers may also rise. The prevention and management of pressure ulcers in orthopaedic patients, especially those on the heel, has been a long standing dilemma for nursing staff. The heel has been identified as the second most common site, accounting for up to 28% of all reported pressure ulcers. Authors have argued that heel ulcerations are notoriously difficult to heal and that management and treatment can be costly.

这篇文章提出了一些问题的探讨，需要考虑有关的评估和预防脚跟溃疡。英国的老年人数量正在上升，人口中增长最快的年龄组是80岁以上的人。他们目前占总人口的4.5%(2,749,507)，这一年龄组在1981年至2007年间增加了110多万(1,572,160至2,749,507)，从2.8%增加到4.5%，这使我们相信压疮的发病率也可能上升。骨科患者压疮的预防和处理，尤其是足跟压疮的预防和处理，一直是困扰护理人员的难题。足跟已被确定为第二常见的部位，占所有报告的压疮的28%。作者们认为，足跟溃疡是出了名的难以治愈，而且管理和治疗费用昂贵。
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引用次数: 7
Journal of Orthopaedic Nursing
Pub Date : 2009-02-01 DOI: 10.1016/j.joon.2008.11.003
Bryan Smith
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引用次数: 0
The future is now! New players who are making a difference in Canada’s health care system (Plenary) 未来就是现在!在加拿大卫生保健系统中发挥作用的新参与者(全体会议)
Journal of Orthopaedic Nursing
Pub Date : 2009-02-01 DOI: 10.1016/j.joon.2009.02.033
Brian Goldman
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引用次数: 0
The rehabilitation experience of an elderly female patient following a fractured neck of femur compounded by Clostridium difficile infection 老年女性股骨颈骨折合并艰难梭菌感染的康复治疗体会
Journal of Orthopaedic Nursing
Pub Date : 2009-02-01 DOI: 10.1016/j.joon.2008.11.007
Sheila Burscough RN, Bryan K. Smith MPH, BSc, RN

One of the most common orthopaedic injuries sustained by elderly women in the UK is a proximal fractured femur, often following a fall. This in itself is of great concern to both patient and caring relatives due to the morbidity and ‘year on’ mortality rates typically reported as 20–35% within one year (Goldacre, M.J., Roberts, S.E., Yates, D., 2007. Mortality after admission to hospital with fractured neck of femur: database study. British Medical Journal, 325, 868–869.). This article follows some of the issues experienced by an elderly female patient following a proximal fractured femur, compounded by the emergence of a Clostridium difficile infection during the rehabilitation period. Based on the events as told by the carer this article relays the frustrations of an elderly female patient who struggles to resume her normal life and the importance of relaying accurate information in care.

在英国，老年妇女最常见的骨科损伤之一是股骨近端骨折，通常是在跌倒后发生的。由于一年内的发病率和“年复一年”死亡率通常为20-35% (Goldacre, m.j.， Roberts, s.e.， Yates, D.， 2007)，这本身就引起了患者和护理亲属的极大关注。股骨颈骨折入院后死亡率:数据库研究。英国医学杂志，325,868-869 .)。本文介绍了一位老年女性股骨近端骨折患者在康复期间出现难辨梭菌感染的情况。本文以护理员讲述的事件为基础，讲述了一位努力恢复正常生活的老年女性病人的挫折，以及在护理中传递准确信息的重要性。
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引用次数: 1
Fluid optimisation using a peripherally inserted central catheter (PICC) following proximal femoral fracture: Lessons learnt from a feasibility study 股骨近端骨折后采用外周插入中心导管(PICC)进行液体优化:来自可行性研究的经验教训
Journal of Orthopaedic Nursing
Pub Date : 2009-02-01 DOI: 10.1016/j.joon.2008.10.007
Elizabeth Tutton B.Sc (Hons), M.Sc, PhD, RN ((Senior Research Fellow)) , Bridget Gray BA (Pall-Care) RGN ((Research Nurse))

The aim of this study was to test the feasibility of using peripherally inserted central catheters (PICCs) in older people to enable fluid optimisation. Fourteen patients were randomised to three groups: (i) usual care, insertion of short peripheral intravenous cannulae and normal fluid prescription; (ii) PICC insertion and normal fluid prescription; (iii) PICC insertion and guided fluid prescription based on measurements of central venous pressure (CVP). A range of outcome measures were undertaken, plus two focus groups with ward staff and an interview with the research nurse to ascertain views concerning the implementation of the study. Descriptive findings identified that PICC use in this group of patients was extremely difficult. The practical issues affecting the feasibility of this study were: (i) the physical and psychological frailty of the patients, proxy consent, difficulties measuring outcomes, unsuccessful PICC placement due to aged veins, intolerance to lines; (ii) staff concerns relating to patient vulnerability, competent use of new technology, limited resources and work capacity. Most aspects of the trial were made more difficult due to the frailty of the patient group.

本研究的目的是测试在老年人中使用外周插入中心导管(PICCs)以实现液体优化的可行性。14例患者随机分为三组:(i)常规护理，插入短外周静脉插管和正常液体处方;(ii) PICC插入和正常液体处方;(iii)基于中心静脉压(CVP)测量的PICC插入和引导液体处方。进行了一系列的结果测量，加上与病房工作人员的两个焦点小组和与研究护士的访谈，以确定对研究实施的看法。描述性结果表明，在这组患者中使用PICC是非常困难的。影响本研究可行性的实际问题有:(i)患者的生理和心理脆弱，代理同意，难以测量结果，由于静脉老化导致PICC放置失败，对线条不耐受;(ii)工作人员对病人的脆弱性、新技术的有效使用、有限的资源和工作能力的关注。由于患者群体的脆弱，试验的大多数方面都变得更加困难。
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引用次数: 5
A chronic care model for self-management of osteoarthritis in a South Asian population (Concurrent) 南亚人群骨关节炎自我管理的慢性护理模式(并发)
Journal of Orthopaedic Nursing
Pub Date : 2009-02-01 DOI: 10.1016/j.joon.2009.02.041
Gurpreet Dhatt , Peggy Simpson , Valerie MacDonald
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引用次数: 0
Barriers related to the timing of surgical intervention for hip fracture repair (Concurrent) 髋部骨折修复手术干预时机的障碍(并发)
Journal of Orthopaedic Nursing
Pub Date : 2009-02-01 DOI: 10.1016/j.joon.2009.02.052
Karen Robinson
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引用次数: 0
Journal of Orthopaedic Nursing
Pub Date : 2009-02-01 DOI: 10.1016/j.joon.2008.11.005
Doreen Webster
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引用次数: 0
When is a success a disappointment? (Concurrent) 什么时候成功就是失望?(并发)
Journal of Orthopaedic Nursing
Pub Date : 2009-02-01 DOI: 10.1016/j.joon.2009.02.037
Linda Gloutney, Elizabeth Blair
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引用次数: 0
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