International Journal of Orthopaedic and Trauma Nursing最新文献

英文中文

A less invasive catheterization protocol for managing urinary retention in patients undergoing hip and knee arthroplasty: A prospective cohort study

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-02-27 DOI: 10.1016/j.ijotn.2025.101172

Keetie Kremers-van de Hei , Bob Evers , Lotte Weijers , Diederick Duijvesz , Berend Willem Schreurs , Sander Koeter

Background

Postoperative urinary retention is a frequently seen serious complication after surgery. After orthopaedic hip or knee arthroplasty the incidence is relatively high, between 30 and 50% in previous studies. Currently, there is no consensus on the indication for urinary catheterization and a uniform guideline is lacking. This prospective cohort study examined the safety of a modified catheterization protocol with a catheterization threshold of 800 ml instead of 400 ml (usual care) after elective joint arthroplasty using ultrasound bladder scans. The hypothesis was that the incidence of catheterization will be reduced without increasing urinary complications.

Method

We prospectively included 305 patients who were treated according to the local fast track arthroplasty protocol in which a modified catheterization protocol was used. Catheterization was only performed at a scan volume of 800 ml or more. Bladder contents were monitored preoperatively, immediately postoperatively and at outpatient follow-up. Urological scores and complications were monitored. The usual care control group was treated according to the usual care protocol with a threshold for catheterization of 400 ml, these results were published in a previous study.

Results

The incidence of catheterization for urinary retention was significantly lower in patients who were treated with the less invasive protocol than the usual care control group (11.1% versus 48.8%, p < 0.001). The rate of urologic complications was low using the new protocol (4% urinary tract infection and 0.3% pharmacological interventions).

Conclusion

The results of our study provide strong empirical support for modifying catheterization protocols after orthopaedic surgery. A less invasive protocol is safe, provides reduction in workload for nurses, is patient-friendly and reduces costs.

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引用次数: 0

The transition of young people to adult services within orthopaedic healthcare -Editorial for May 2025 issue

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-02-19 DOI: 10.1016/j.ijotn.2025.101165

Sonya Clarke (Dr)

引用次数: 0

Efficacy of an Iranian herbal medicine formula for postoperative constipation in trauma patients with hip and lower limb fractures: A triple-blind, placebo-controlled randomized clinical trial

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-02-08 DOI: 10.1016/j.ijotn.2025.101163

Rezvan Ghafarzadegan , Mohammadreza Zarei , Nahid Norouzi , Neda Mirbagher Ajorpaz , Seyedeh Mahsa Lotfi , Sayyed Mehdi Rasooli Manesh , Hossein Akbari , AliReza Abedi

Aim of the study

This trial aimed to evaluate the efficacy of the “Herbal Laxative Capsule” (HLC) formulation in alleviating symptoms of postoperative constipation (POC) in patients undergoing surgeries for traumatic fractures of the hip or lower extremities. The HLC is a novel polyherbal formulation that integrates both scientifically validated botanicals, such as Cassia angustifolia and Aloe barbadensis, with traditionally employed herbs like Foeniculum vulgare, Coriandrum sativum, and Carum carvi, all of which are recognized for their laxative properties.

Materials and methods

A triple-blind, placebo-controlled, randomized clinical trial was conducted at an academic hospital in Kashan, Iran. A total of 61 orthopedic patients with POC were randomized to receive either HLC (n = 31) in the treatment group or a placebo (n = 30) in the placebo group. Both were administered as 520 mg capsules, taken twice daily for one week. The primary outcomes included assessments of constipation severity and stool consistency, while the secondary outcomes evaluated patient satisfaction using validated clinical scales.

Results

The treatment group demonstrated a statistically significant reduction in constipation severity and improvement in stool consistency compared with the placebo group (P < 0.001). No significant adverse effects were reported. Additionally, patient satisfaction was notably higher in the treatment group (P < 0.001).

Conclusion

The HLC formulation demonstrated significant efficacy in effectively managing POC, which is often opioid-induced constipation (OIC), in orthopedic patients. These findings suggest that HLC could serve as a promising alternative to conventional laxatives, warranting further investigation in larger-scale clinical trials.

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引用次数: 0

Discharge transition experience and nursing needs of elderly patients with hip fracture: A qualitative systematic review

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-02-07 DOI: 10.1016/j.ijotn.2025.101162

Chun Huang , Jian Song , Lingli Peng , Zirong Tao

Background

Unmet nursing needs during hospital discharge for elderly patients with hip fractures may lead to increased readmission rates and mortality.

Objective

To investigate the discharge transition experience and nursing needs of elderly patients with hip fracture.

Methods

Five electronic databases (PubMed, Web of science, Ovid, CINAHL, Embase) were searched from Jan. 1st, 2014 to Nov. 1st, 2024. Qualitative studies that reported the experiences, perceptions, and needs of elderly patients with hip fractures during the discharge transition were included. Two authors independently screened, and extracted themes. The Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research was used to evaluate the quality of literature. Themes were generated by the thematic analysis method of data from the original study.

Results

A total of 11 qualitative studies were included. And three themes were identified: (1) challenges of transition and rehabilitation, (2) adaptation and coping, (3) ensuring patient-centered rehabilitation and discharge care.

Conclusion

It is crucial for healthcare staff to address the discharge transition experiences and nursing needs of elderly patients with hip fracture. Additionally, the findings of this review offer valuable insights for healthcare policymakers and administrators to enhance support for patients during the discharge process.

{"title":"Discharge transition experience and nursing needs of elderly patients with hip fracture: A qualitative systematic review","authors":"Chun Huang , Jian Song , Lingli Peng , Zirong Tao","doi":"10.1016/j.ijotn.2025.101162","DOIUrl":"10.1016/j.ijotn.2025.101162","url":null,"abstract":"<div><h3>Background</h3><div>Unmet nursing needs during hospital discharge for elderly patients with hip fractures may lead to increased readmission rates and mortality.</div></div><div><h3>Objective</h3><div>To investigate the discharge transition experience and nursing needs of elderly patients with hip fracture.</div></div><div><h3>Methods</h3><div>Five electronic databases (PubMed, Web of science, Ovid, CINAHL, Embase) were searched from Jan. 1st, 2014 to Nov. 1st, 2024. Qualitative studies that reported the experiences, perceptions, and needs of elderly patients with hip fractures during the discharge transition were included. Two authors independently screened, and extracted themes. The Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research was used to evaluate the quality of literature. Themes were generated by the thematic analysis method of data from the original study.</div></div><div><h3>Results</h3><div>A total of 11 qualitative studies were included. And three themes were identified: (1) challenges of transition and rehabilitation, (2) adaptation and coping, (3) ensuring patient-centered rehabilitation and discharge care.</div></div><div><h3>Conclusion</h3><div>It is crucial for healthcare staff to address the discharge transition experiences and nursing needs of elderly patients with hip fracture. Additionally, the findings of this review offer valuable insights for healthcare policymakers and administrators to enhance support for patients during the discharge process.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101162"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387765","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

LITERATURE REVIEWS – Skin traction in orthopaedic care: Efficacy, management and clinical practices across the life course

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-02-07 DOI: 10.1016/j.ijotn.2025.101160

Sonya Clarke, Shareena Bibi Mohd Arif, Carmen Queiros

引用次数: 0

Editorial February 2025 issue – Authors Prof Rebecca Jester and Paul McLiesh 社论2025年2月号-作者丽贝卡·杰斯特教授和保罗·麦克利什。

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2024.101156

引用次数: 0

Risk prediction of functional disability among middle-aged and older adults with arthritis: A nationwide cross-sectional study using interpretable machine learning

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2025.101161

Qinglu Li , Wenting Shi , Nan Wang , Guorong Wang

Background

Arthritis is a common chronic disease among middle-aged and older adults and is strongly related to functional decline.

Methods

The research sample and data were derived from the China Health and Retirement Longitudinal Study (CHARLS) 2015. We employed the least absolute shrinkage and selection operator (LASSO) and multifactor logistic regression analysis to identify features for model construction. We proposed six machine learning (ML) predictive models. The optimal model was selected using various learning metrics and was further interpreted using the SHapley Additive exPlanations (SHAP) method.

Results

A total of 5111 subjects were included in the analysis, of which 1955 developed functional disability. Among the six models, XGBoost showed the best performance, achieving a test set area under the curve (AUC) of 0.74. SHAP analysis ranked the features by their contribution as follows: waist circumference, handgrip strength, self-reported health status, age, body pains, depression, history of falls, sleeping duration, and availability of care resources. SHAP dependence plots indicated that individuals over 60 with increased waist circumference (>85 cm), short sleeping duration (<5 h), and lower handgrip strength (<25 kg) had a higher probability of functional disability.

Conclusion

This study presents an interpretable machine learning-based model for the early detection of functional disability in patients with arthritis and informs the development of care strategies aimed at delaying functional disability in this population.

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引用次数: 0

Efficacy and cost-effectiveness of semi-occlusive bandages in finger amputation treatment

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2025.101158

Andrea Cosentino , Gianni Odorizzi , Wilhelm Berger

Finger amputations, commonly resulting from trauma, require effective management to restore function, prevent infection, and expedite healing. Surgical interventions, such as replantation and flap reconstruction, are often the standard treatment but can be costly and unnecessary for certain injuries, especially distal amputations. Semi-occlusive bandages (SOBs) offer a cost-efficient, effective alternative for managing distal fingertip amputations. This review introduces the classifications of finger amputations using Tamai and Allen systems, discusses their applicability to SOBs, and highlights benefits such as faster healing, reduced pain, and lower infection risks. Recent studies have validated SOBs’ efficacy, affordability, and high patient satisfaction in various clinical contexts. While evidence supports SOBs as a first-line treatment in appropriate cases, further research is needed to evaluate their cost-effectiveness across diverse healthcare settings.

手指截肢通常由外伤造成，需要有效的治疗来恢复功能、预防感染并加快愈合。外科手术通常是标准的治疗方法，如再植和皮瓣重建，但对于某些损伤，尤其是远端截肢，手术费用昂贵且没有必要。半闭塞性绷带（SOB）为治疗指尖远端截肢提供了一种经济、有效的替代方法。这篇综述介绍了使用 Tamai 和 Allen 系统对手指截肢进行的分类，讨论了它们对 SOB 的适用性，并强调了其优点，如愈合更快、减少疼痛和降低感染风险。最近的研究证实，在各种临床情况下，SOB 具有疗效好、经济实惠和患者满意度高等优点。虽然有证据支持在适当的情况下将 SOB 作为一线治疗方法，但还需要进一步的研究来评估其在不同医疗环境下的成本效益。

引用次数: 0

Validity and reliability of the Danish version of the Hospital Anxiety and Depression Scale (HADS) in patients with major lower extremity amputations: A psychometric study 丹麦版医院焦虑抑郁量表（HADS）在下肢主要截肢患者中的效度和信度：一项心理测量学研究

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2025.101157

Charlotte Abrahamsen , Ulla Riis Madsen , Ann Pia Søe Jensen , Karin Bundgaard , Charlotte Myhre Jensen , Pia Kjær Kristensen

Background

Patients undergoing major lower extremity amputation (LEA) due to vascular disease face an increased risk of post-surgery anxiety and depression. The Hospital Anxiety and Depression Scale (HADS), widely used to identify anxiety and depressive symptoms, has been translated into Danish, but its content validity has not previously been tested in LEA patients. This study aims to test the validity and reliability of HADS in this population.

Method

This methodological study involved cognitive interviews with 10 major LEA patients to assess content validity and HADS responses from 100 patients to evaluate the floor and ceiling effects, construct validity, and internal consistency reliability. Data were collected from seven orthopedic departments across Denmark.

Results

In this hospital-based study, 20% had anxiety symptoms and 18% had depressive symptoms before discharge. Patients found the questionnaire relevant but had concerns about the one-week timeframe and the comprehensibility of certain items (“butterflies in the stomach” in item 9 and the term “things” in items 2 and 12). Floor effects were present across all items, with no ceiling effects. Confirmatory factor analysis supported both the original two-factor and a three-factor structure. Internal consistency reliability was good for both subscales.

Conclusion

This study supports the validity and reliability of the Danish version of HADS for assessing anxiety and depression in patients with major lower extremity amputation (LEA). The questionnaire serves as a valuable tool for addressing psychosocial challenges, enabling patients to reflect on their mental health and recognize potential symptoms needing medical attention in the future.

背景：由于血管疾病而接受下肢大截肢（LEA）的患者面临着术后焦虑和抑郁的风险增加。医院焦虑和抑郁量表（HADS），广泛用于识别焦虑和抑郁症状，已翻译成丹麦语，但其内容效度尚未在LEA患者中进行过测试。本研究旨在检验HADS在该人群中的效度和信度。方法：采用认知访谈法对10例主要LEA患者进行内容效度评估，对100例患者的HADS反应进行下限效度、结构效度和内部一致性信度评估。数据从丹麦的七个骨科部门收集。结果：在这项以医院为基础的研究中，20%的患者在出院前有焦虑症状，18%的患者有抑郁症状。患者认为问卷是相关的，但对一周的时间框架和某些项目的可理解性（项目9中的“胃里的蝴蝶”和项目2和12中的术语“事物”）有顾虑。地板效果出现在所有项目中，没有天花板效果。验证性因子分析支持原来的两因素和三因素结构。两个分量表的内部一致性信度均较好。结论：本研究支持丹麦版HADS评估重度下肢截肢（LEA）患者焦虑和抑郁的有效性和可靠性。问卷是解决心理社会挑战的宝贵工具，使患者能够反思自己的心理健康状况，并认识到未来需要医疗照顾的潜在症状。

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引用次数: 0

Corrigendum to “Patient participation in orthopaedic care-a survey on hip surgery patients' preferences for and experiences of engagement in their health and healthcare” [Int. J. Orthop. Trauma Nurs. 54 (2024) 101118] “患者对骨科护理的参与——髋关节手术患者对其健康和保健的偏好和参与经验的调查”的勘误表[Int。j . .。创伤护理，54(2024)101118。

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2024.101154

Patricia Sköld , Maria Hälleberg-Nyman , Eva Joelsson-Alm , Ann Catrine Eldh

引用次数: 0

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International Journal of Orthopaedic and Trauma Nursing

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