International Journal of Orthopaedic and Trauma Nursing最新文献

Evaluating a one-year orthopaedic medical equipment donation pilot program. 评估为期一年的骨科医疗设备捐赠试点项目。

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2026-03-21 DOI: 10.1016/j.ijotn.2026.101278

Connor Wright, Anya Singh, Vibav Mouli, Michael Casden, William Reuben Aibinder, David Walton

Introduction: The healthcare system generates significant waste, revealing immense inefficiencies in resource allocation and contributing to adverse environmental effects. Orthopaedic surgery has a disproportionately high use of assistive devices such as braces, crutches, and other durable medical equipment (DME) which are critical to maintaining appropriate weight bearing status or enabling functional activities at home. The purpose of this study was to evaluate the viability and outcomes of launching a DME reusability program within outpatient an orthopaedic practice during a one-year span.

Methods: A single outpatient orthopaedic surgery clinic affiliated with a major academic medical center in the United States was chosen as a pilot program site. DME donations were recorded from April 2024 through April 2025. Patients were educated on the program at their clinic visit and were provided with the option to donate used equipment onsite. The equipment was inspected, cleaned, and donated to a local non-profit organization which serves local and international communities.

Results: Over a one-year span, the program gathered and donated a total of 213 items. The most common items collected were CAM walking boots (n = 75), crutches (n = 37), and post-operative cast shoes (n = 21).

Conclusion: This study demonstrated the viability of a DME donation program within an outpatient orthopaedic surgical clinic. Our pilot program generated a large volume of DME and would be easily replicable at other sites. In doing so, there is tremendous potential to minimize healthcare-associated waste, decrease patient financial burden, and improve access to care locally and globally.

简介：医疗保健系统产生了大量的浪费，揭示了资源分配的巨大低效，并造成了不利的环境影响。矫形外科手术对辅助设备的使用比例过高，如支架、拐杖和其他耐用医疗设备（DME），这些设备对于维持适当的负重状态或在家中进行功能活动至关重要。本研究的目的是评估在一年的骨科门诊实践中启动二甲醚重复使用计划的可行性和结果。方法：选择美国一家主要学术医疗中心附属的单一骨科门诊作为试点项目地点。DME捐赠记录从2024年4月到2025年4月。患者在诊所就诊时接受了有关该计划的教育，并可以选择在现场捐赠二手设备。这些设备经过检查、清洁，并捐赠给当地一家为当地和国际社区服务的非营利组织。结果：在一年的时间里，该项目共收集和捐赠了213件物品。最常见的物品是CAM步行靴（n = 75）、拐杖（n = 37）和术后石膏鞋（n = 21）。结论：本研究证明了DME捐赠计划在骨科门诊诊所的可行性。我们的试点项目产生了大量的二甲醚，可以很容易地在其他地点复制。这样做，就有巨大的潜力最大限度地减少与医疗保健相关的浪费，减轻患者的经济负担，并改善当地和全球获得医疗服务的机会。

{"title":"Evaluating a one-year orthopaedic medical equipment donation pilot program.","authors":"Connor Wright, Anya Singh, Vibav Mouli, Michael Casden, William Reuben Aibinder, David Walton","doi":"10.1016/j.ijotn.2026.101278","DOIUrl":"https://doi.org/10.1016/j.ijotn.2026.101278","url":null,"abstract":"<p><strong>Introduction: </strong>The healthcare system generates significant waste, revealing immense inefficiencies in resource allocation and contributing to adverse environmental effects. Orthopaedic surgery has a disproportionately high use of assistive devices such as braces, crutches, and other durable medical equipment (DME) which are critical to maintaining appropriate weight bearing status or enabling functional activities at home. The purpose of this study was to evaluate the viability and outcomes of launching a DME reusability program within outpatient an orthopaedic practice during a one-year span.</p><p><strong>Methods: </strong>A single outpatient orthopaedic surgery clinic affiliated with a major academic medical center in the United States was chosen as a pilot program site. DME donations were recorded from April 2024 through April 2025. Patients were educated on the program at their clinic visit and were provided with the option to donate used equipment onsite. The equipment was inspected, cleaned, and donated to a local non-profit organization which serves local and international communities.</p><p><strong>Results: </strong>Over a one-year span, the program gathered and donated a total of 213 items. The most common items collected were CAM walking boots (n = 75), crutches (n = 37), and post-operative cast shoes (n = 21).</p><p><strong>Conclusion: </strong>This study demonstrated the viability of a DME donation program within an outpatient orthopaedic surgical clinic. Our pilot program generated a large volume of DME and would be easily replicable at other sites. In doing so, there is tremendous potential to minimize healthcare-associated waste, decrease patient financial burden, and improve access to care locally and globally.</p>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"61 ","pages":"101278"},"PeriodicalIF":2.1,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515631","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

Seeing the patient beyond the fracture; the shared language of pain and recovery 看到骨折后的病人；共同的痛苦和恢复的语言。

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2026-02-01 Epub Date: 2025-10-28 DOI: 10.1016/j.ijotn.2025.101240

Charlotte Myhre Jensen PhD; MEd; RN (Associate Professor, Clinical Nurse Researcher), Charlotte Abrahamsen PhD, MHS, RN (Associate Professor)

引用次数: 0

Functional capacity and quality of life of older person with hip fracture at hospital discharge: a cross sectional study 老年人髋部骨折出院后的功能能力和生活质量：一项横断面研究

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2026-02-01 Epub Date: 2026-02-07 DOI: 10.1016/j.ijotn.2026.101266

Paula Rocha , Andréa Marques , Luís Matos , Andreia Costa , Maria Adriana Henriques , Cristina Lavareda Baixinho

Background

In older adults, a hip fracture, leads to functional decline, resulting in dependence in activities of daily living, with a negative impact on quality of life.

Objective

Characterize the functional capacity and quality of life of older person with hip fracture on returning home.

Methods

Exploratory-descriptive, cross-sectional, quantitative study, with a sample of 102 individuals aged 65 years or older with hip fracture admitted to an orthopedic service in a hospital in a central region of Portugal. Was used a questionnaire that included sociodemographic and clinical characteristics, instruments to assess functional independence, ADL performance, and quality of life. Descriptive and inferential statistical analysis was performed using SPSS software, version 29.

Results

The results indicate severe dependence in performing activities of daily living (Barthel: 61.08); severe gait impairment (speed and quality) (Time Up and Go Test: 85.58 s); difficulties in functional exercises (10-m Walk Test: 77.74 s); and high risk of falls (Morse: 66.53). There is a negative correlation between gait and the Barthel index (r = −0.263; p = 0.007) and the Berg Scale (r = −0.420; p < 0.001); and a positive correlation between the Berg scale and the Barthel scale (r = 0.452; p < 0.001). Individuals with a history of falls had worse scores on the Berg Scale (U = 835.5; p = 0.002), and those who had less dependence had better quality of life scores in the General Health Status (p = 0.002); Physical Function (p = 0.003) and Mental Health (p = 0.005).

Conclusions

Results obtained at hospital discharge are predictors of functional loss in older adults with hip fracture on returning home. Individuals with previous falls and who are more dependent are at greater risk of loss of quality of life.

背景：在老年人中，髋部骨折会导致功能下降，导致日常生活活动的依赖性，对生活质量产生负面影响。目的：探讨老年髋部骨折患者回家后的功能能力和生活质量。方法：探索性描述性、横断面性、定量研究，在葡萄牙中部地区一家医院骨科就诊的102例65岁及以上髋部骨折患者的样本。采用问卷调查，包括社会人口学和临床特征，评估功能独立性、ADL表现和生活质量的工具。采用SPSS软件29版进行描述性和推断性统计分析。结果：患者在日常生活活动中存在严重依赖（Barthel: 61.08）；严重的步态障碍（速度和质量）（Time Up and Go Test: 85.58 s）；功能练习困难（10米步行测试：77.74 s）；和高跌倒风险（莫尔斯：66.53）。步态与Barthel指数（r = -0.263; p = 0.007）和Berg量表（r = -0.420; p）呈负相关。结论：出院时获得的结果是老年髋部骨折患者回家时功能丧失的预测指标。有过跌倒史且依赖程度较高的人生活质量下降的风险更大。

{"title":"Functional capacity and quality of life of older person with hip fracture at hospital discharge: a cross sectional study","authors":"Paula Rocha , Andréa Marques , Luís Matos , Andreia Costa , Maria Adriana Henriques , Cristina Lavareda Baixinho","doi":"10.1016/j.ijotn.2026.101266","DOIUrl":"10.1016/j.ijotn.2026.101266","url":null,"abstract":"<div><h3>Background</h3><div>In older adults, a hip fracture, leads to functional decline, resulting in dependence in activities of daily living, with a negative impact on quality of life.</div></div><div><h3>Objective</h3><div>Characterize the functional capacity and quality of life of older person with hip fracture on returning home.</div></div><div><h3>Methods</h3><div>Exploratory-descriptive, cross-sectional, quantitative study, with a sample of 102 individuals aged 65 years or older with hip fracture admitted to an orthopedic service in a hospital in a central region of Portugal. Was used a questionnaire that included sociodemographic and clinical characteristics, instruments to assess functional independence, ADL performance, and quality of life. Descriptive and inferential statistical analysis was performed using SPSS software, version 29.</div></div><div><h3>Results</h3><div>The results indicate severe dependence in performing activities of daily living (Barthel: 61.08); severe gait impairment (speed and quality) (Time Up and Go Test: 85.58 s); difficulties in functional exercises (10-m Walk Test: 77.74 s); and high risk of falls (Morse: 66.53). There is a negative correlation between gait and the Barthel index (r = −0.263; p = 0.007) and the Berg Scale (r = −0.420; p < 0.001); and a positive correlation between the Berg scale and the Barthel scale (r = 0.452; p < 0.001). Individuals with a history of falls had worse scores on the Berg Scale (U = 835.5; p = 0.002), and those who had less dependence had better quality of life scores in the General Health Status (p = 0.002); Physical Function (p = 0.003) and Mental Health (p = 0.005).</div></div><div><h3>Conclusions</h3><div>Results obtained at hospital discharge are predictors of functional loss in older adults with hip fracture on returning home. Individuals with previous falls and who are more dependent are at greater risk of loss of quality of life.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101266"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167258","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

VO2 max before and after hip and knee replacement surgery for osteoarthritis patients: a narrative review 骨关节炎患者髋关节和膝关节置换手术前后的最大摄氧量：一项叙述性回顾。

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2026-02-01 Epub Date: 2026-01-30 DOI: 10.1016/j.ijotn.2026.101257

Chloe Bascombe , Tikki Immins , Robert G. Middleton , Thomas W. Wainwright

Purpose

This narrative review investigates cardiovascular fitness in patients undergoing hip and knee replacement for osteoarthritis (OA), with a focus on changes in VO₂ max before and after surgery. VO₂ max is a key physiological marker of aerobic capacity that is associated with post-operative outcomes and long-term health. For nurses involved in orthopaedic care, understanding how VO₂ max is affected by surgery and rehabilitation can inform patient education, discharge planning, and postoperative recovery strategies.

Principal results

Patients scheduled for total knee or hip replacement commonly present with low preoperative VO₂ max compared to matched healthy controls. While some studies hypothesise that this is due to reduced physical activity, direct measurement of activity levels or multivariate adjustment was generally lacking. Postoperatively, structured rehabilitation programmes may lead to improvements in VO₂ max, although findings vary based on the type, intensity, and duration of the intervention. Low-frequency or home-based exercise showed small improvements, while more intensive programmes, such as high-intensity interval training, had greater effects. However, many studies excluded patients with common comorbidities, limiting generalisability.

Major conclusions

Hip and knee replacement surgery may provide a critical window for improving cardiovascular fitness, especially when accompanied by targeted rehabilitation. These findings have important implications for nursing practice. Nurses can play a pivotal role in promoting structured aerobic exercise, supporting use of wearable technologies, and ensuring recovery pathways address cardiorespiratory health alongside joint mobility. Further research is needed to determine optimal rehabilitation strategies, improve inclusivity in VO₂ assessment, and evaluate long-term outcomes in diverse patient populations.

目的：本综述调查骨关节炎（OA）髋关节和膝关节置换术患者的心血管健康状况，重点关注手术前后VO2 max的变化。VO2 max是与术后预后和长期健康相关的有氧能力的关键生理指标。对于从事骨科护理的护士来说，了解VO2 max如何受到手术和康复的影响，可以为患者教育、出院计划和术后恢复策略提供信息。主要结果：与匹配的健康对照相比，计划进行全膝关节或髋关节置换术的患者通常存在较低的术前最大摄氧量。虽然一些研究假设这是由于体力活动减少造成的，但通常缺乏对活动水平的直接测量或多变量调整。术后，有组织的康复计划可能导致VO2 max的改善，尽管结果因干预的类型、强度和持续时间而异。低频率或在家进行的锻炼显示出微小的改善，而高强度间歇训练等更密集的项目则有更大的效果。然而，许多研究排除了有常见合并症的患者，限制了通用性。主要结论：髋关节和膝关节置换手术可能为改善心血管健康提供了一个关键窗口，特别是当伴有有针对性的康复时。这些发现对护理实践具有重要意义。护士可以在促进有组织的有氧运动、支持可穿戴技术的使用以及确保康复途径解决心肺健康和关节活动方面发挥关键作用。需要进一步的研究来确定最佳的康复策略，提高VO2评估的包容性，并评估不同患者群体的长期结果。

{"title":"VO2 max before and after hip and knee replacement surgery for osteoarthritis patients: a narrative review","authors":"Chloe Bascombe , Tikki Immins , Robert G. Middleton , Thomas W. Wainwright","doi":"10.1016/j.ijotn.2026.101257","DOIUrl":"10.1016/j.ijotn.2026.101257","url":null,"abstract":"<div><h3>Purpose</h3><div>This narrative review investigates cardiovascular fitness in patients undergoing hip and knee replacement for osteoarthritis (OA), with a focus on changes in VO<sub>2</sub> max before and after surgery. VO<sub>2</sub> max is a key physiological marker of aerobic capacity that is associated with post-operative outcomes and long-term health. For nurses involved in orthopaedic care, understanding how VO<sub>2</sub> max is affected by surgery and rehabilitation can inform patient education, discharge planning, and postoperative recovery strategies.</div></div><div><h3>Principal results</h3><div>Patients scheduled for total knee or hip replacement commonly present with low preoperative VO<sub>2</sub> max compared to matched healthy controls. While some studies hypothesise that this is due to reduced physical activity, direct measurement of activity levels or multivariate adjustment was generally lacking. Postoperatively, structured rehabilitation programmes may lead to improvements in VO<sub>2</sub> max, although findings vary based on the type, intensity, and duration of the intervention. Low-frequency or home-based exercise showed small improvements, while more intensive programmes, such as high-intensity interval training, had greater effects. However, many studies excluded patients with common comorbidities, limiting generalisability.</div></div><div><h3>Major conclusions</h3><div>Hip and knee replacement surgery may provide a critical window for improving cardiovascular fitness, especially when accompanied by targeted rehabilitation. These findings have important implications for nursing practice. Nurses can play a pivotal role in promoting structured aerobic exercise, supporting use of wearable technologies, and ensuring recovery pathways address cardiorespiratory health alongside joint mobility. Further research is needed to determine optimal rehabilitation strategies, improve inclusivity in VO<sub>2</sub> assessment, and evaluate long-term outcomes in diverse patient populations.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101257"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119575","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

Experience of orthopaedic nurses managing pain in elderly surgical patients 骨科护士处理老年外科病人疼痛的体会。

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2026-02-01 Epub Date: 2026-02-06 DOI: 10.1016/j.ijotn.2026.101262

Alev Keski̇n , Zehra Eski̇mez , Şeyma Yurtseven , Muzaffer Sencer Özsezer

İntroduction

The world is entering a period in which the proportion of elderly people is steadily increasing In parallel with the increase in the elderly population, there has been an increase in the number of surgical procedures performed on elderly patients.

Objective

The aim of this study was to investigate orthopaedic nurses' experiences of pain management in elderly patients undergoing surgery.

Method

The study was conducted with 11 nurses with at least one year of experience working in the orthopaedic and traumatology clinic of a university hospital between 26 July and 1 October 2024. The research data were collected using the criterion sampling method of qualitative and survey methods, and the thematic analysis method was used in data analysis. Data were collected using a personal information form prepared by the researcher, and a semi-structured interview form prepared according to the purpose and scope of the study based on the literature.

Results

Our study presented the pain experiences of orthopaedic nurses in elderly patients undergoing surgery under the themes of pain management, communication, individualized care, difficulties, professional development and support.

Conclusion

Our study highlights the importance of nurses' pain management practices in elderly patients, the difficulties experienced in doing so, and the needs for improved implementation of pain management. Behavioural scales shown to be clinically reliable should be embedded in standard protocols. Nurses should receive continuous training to apply these tools effectively, with educational content strengthened through case discussions and simulation exercises.

İNTRODUCTION：世界正在进入一个老年人比例稳步增长的时期。与老年人口增加的同时，对老年患者进行外科手术的数量也在增加。目的：探讨骨科护士对老年手术患者疼痛管理的体会。方法：选取2024年7月26日至10月1日在某大学医院骨科与创伤科门诊工作一年以上的11名护士进行研究。研究数据的收集采用定性和调查相结合的标准抽样方法，数据分析采用专题分析方法。数据收集使用研究者准备的个人信息表，以及根据研究目的和范围根据文献准备的半结构化访谈表。结果：本研究以疼痛管理、沟通、个体化护理、困难、专业发展和支持为主题，介绍骨科护士在老年手术患者中的疼痛体验。结论：我们的研究强调了护士在老年患者中疼痛管理实践的重要性，所经历的困难，以及改进疼痛管理实施的必要性。临床证明可靠的行为量表应纳入标准方案。护士应接受持续培训，以有效地应用这些工具，并通过案例讨论和模拟练习加强教育内容。

{"title":"Experience of orthopaedic nurses managing pain in elderly surgical patients","authors":"Alev Keski̇n , Zehra Eski̇mez , Şeyma Yurtseven , Muzaffer Sencer Özsezer","doi":"10.1016/j.ijotn.2026.101262","DOIUrl":"10.1016/j.ijotn.2026.101262","url":null,"abstract":"<div><h3>İntroduction</h3><div>The world is entering a period in which the proportion of elderly people is steadily increasing In parallel with the increase in the elderly population, there has been an increase in the number of surgical procedures performed on elderly patients.</div></div><div><h3>Objective</h3><div>The aim of this study was to investigate orthopaedic nurses' experiences of pain management in elderly patients undergoing surgery.</div></div><div><h3>Method</h3><div>The study was conducted with 11 nurses with at least one year of experience working in the orthopaedic and traumatology clinic of a university hospital between 26 July and 1 October 2024. The research data were collected using the criterion sampling method of qualitative and survey methods, and the thematic analysis method was used in data analysis. Data were collected using a personal information form prepared by the researcher, and a semi-structured interview form prepared according to the purpose and scope of the study based on the literature.</div></div><div><h3>Results</h3><div>Our study presented the pain experiences of orthopaedic nurses in elderly patients undergoing surgery under the themes of pain management, communication, individualized care, difficulties, professional development and support.</div></div><div><h3>Conclusion</h3><div>Our study highlights the importance of nurses' pain management practices in elderly patients, the difficulties experienced in doing so, and the needs for improved implementation of pain management. Behavioural scales shown to be clinically reliable should be embedded in standard protocols. Nurses should receive continuous training to apply these tools effectively, with educational content strengthened through case discussions and simulation exercises.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101262"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167189","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

Nursing interventions for people with musculoskeletal injuries during physical activity: A scoping review 运动期间肌肉骨骼损伤患者的护理干预：范围综述。

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2026-02-01 Epub Date: 2026-01-24 DOI: 10.1016/j.ijotn.2026.101258

J. Pinheiro , A. Costa , P. Pedrosa , C. Marques-Vieira

Introduction

Physical inactivity is a major public health concern, with Portugal ranking among the European countries with the lowest levels of regular physical activity. Poorly managed physical activity is associated with a high incidence of musculoskeletal injuries, increasing the need for effective nursing interventions focused on prevention, rehabilitation, and safe return to activity. In orthopedic and trauma care, nurses play a key role in clinical assessment, patient education, functional recovery, and interdisciplinary coordination; however, nursing-specific interventions in this area remain insufficiently mapped.

Objective

To map the scientific literature on nursing interventions for individuals with musculoskeletal injuries related to physical activity.

Method

A scoping review was conducted following the Joanna Briggs Institute methodology, guided by the PCC framework: Population (individuals with musculoskeletal injuries), Concept (nursing interventions), and Context (physical activity). Searches were performed in MEDLINE Ultimate, CINAHL Ultimate, SPORTDiscus, Psychology and Behavioral Sciences Collection, and Scopus, complemented by grey literature. Studies published in English, Portuguese, Spanish, or French were included. Study selection and data extraction were conducted independently by two reviewers, following PRISMA 2021 guidelines.

Results

36 studies were included. Most originated from the United States and Europe, and were situated within medicine, physiotherapy, and rehabilitation sciences. Nursing-relevant interventions included comprehensive clinical assessment, pain management, health education, psychosocial support, multidisciplinary rehabilitation coordination, therapeutic exercise guidance, balance and proprioception training, activity modification, and reinjury prevention.

Conclusion

The evidence highlights multiple nursing interventions applicable to musculoskeletal injury rehabilitation of individuals with physical activity, reinforcing the importance of nurses within orthopedic and trauma care.

引言：缺乏身体活动是一个主要的公共卫生问题，葡萄牙是经常身体活动水平最低的欧洲国家之一。管理不善的身体活动与肌肉骨骼损伤的高发有关，这增加了对以预防、康复和安全恢复活动为重点的有效护理干预的需求。在骨科和创伤护理中，护士在临床评估、患者教育、功能恢复和跨学科协调方面发挥着关键作用；然而，这一领域的护理特定干预措施仍然没有得到充分的规划。目的：梳理体育锻炼所致肌肉骨骼损伤患者护理干预的相关文献。方法：根据乔安娜布里格斯研究所的方法，在PCC框架的指导下进行范围审查：人口（肌肉骨骼损伤个体），概念（护理干预）和背景（身体活动）。在MEDLINE Ultimate、CINAHL Ultimate、SPORTDiscus、Psychology and Behavioral Sciences Collection和Scopus中进行检索，并辅以灰色文献。包括以英语、葡萄牙语、西班牙语或法语发表的研究。研究选择和数据提取由两名审稿人独立进行，遵循PRISMA 2021指南。结果：共纳入36项研究。大多数起源于美国和欧洲，并位于医学，物理治疗和康复科学。护理相关干预措施包括综合临床评估、疼痛管理、健康教育、心理社会支持、多学科康复协调、治疗性运动指导、平衡和本体感觉训练、活动修改和再损伤预防。结论：证据强调了多种护理干预适用于体力活动个体的肌肉骨骼损伤康复，强化了护士在骨科和创伤护理中的重要性。

{"title":"Nursing interventions for people with musculoskeletal injuries during physical activity: A scoping review","authors":"J. Pinheiro , A. Costa , P. Pedrosa , C. Marques-Vieira","doi":"10.1016/j.ijotn.2026.101258","DOIUrl":"10.1016/j.ijotn.2026.101258","url":null,"abstract":"<div><h3>Introduction</h3><div>Physical inactivity is a major public health concern, with Portugal ranking among the European countries with the lowest levels of regular physical activity. Poorly managed physical activity is associated with a high incidence of musculoskeletal injuries, increasing the need for effective nursing interventions focused on prevention, rehabilitation, and safe return to activity. In orthopedic and trauma care, nurses play a key role in clinical assessment, patient education, functional recovery, and interdisciplinary coordination; however, nursing-specific interventions in this area remain insufficiently mapped.</div></div><div><h3>Objective</h3><div>To map the scientific literature on nursing interventions for individuals with musculoskeletal injuries related to physical activity.</div></div><div><h3>Method</h3><div>A scoping review was conducted following the Joanna Briggs Institute methodology, guided by the PCC framework: Population (individuals with musculoskeletal injuries), Concept (nursing interventions), and Context (physical activity). Searches were performed in MEDLINE Ultimate, CINAHL Ultimate, SPORTDiscus, Psychology and Behavioral Sciences Collection, and Scopus, complemented by grey literature. Studies published in English, Portuguese, Spanish, or French were included. Study selection and data extraction were conducted independently by two reviewers, following PRISMA 2021 guidelines.</div></div><div><h3>Results</h3><div>36 studies were included. Most originated from the United States and Europe, and were situated within medicine, physiotherapy, and rehabilitation sciences. Nursing-relevant interventions included comprehensive clinical assessment, pain management, health education, psychosocial support, multidisciplinary rehabilitation coordination, therapeutic exercise guidance, balance and proprioception training, activity modification, and reinjury prevention.</div></div><div><h3>Conclusion</h3><div>The evidence highlights multiple nursing interventions applicable to musculoskeletal injury rehabilitation of individuals with physical activity, reinforcing the importance of nurses within orthopedic and trauma care.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101258"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158611","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

Vitamin D deficiency and musculoskeletal pain intensity in young women: Evidence from a cross-sectional study in Karachi 年轻女性维生素D缺乏和肌肉骨骼疼痛强度：来自卡拉奇横断面研究的证据。

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2026-02-01 Epub Date: 2026-02-06 DOI: 10.1016/j.ijotn.2026.101263

Muhammad Muzzammil , Abdul Qadir , Muhammad Owais Minhas , Amna Jamil , Muhammad Zubair

Background

Vitamin D deficiency is highly prevalent in South Asia, yet its clinical impact on musculoskeletal pain in young women remains underexplored. This study assessed the prevalence of Vitamin D deficiency among young women with persistent nonspecific back and knee pain in Karachi, Pakistan, and analyzed lifestyle and clinical correlates.

Methods

A cross-sectional study was conducted from June to December 2022 at two tertiary care hospitals. A total of 200 women aged 14–35 years with musculoskeletal pain of at least three months’ duration were recruited. Demographics, sun exposure, diet, clothing, and residence data were collected. Serum 25-hydroxyvitamin D, calcium, phosphorus, and alkaline phosphatase were measured. Pain intensity was assessed using a Visual Analog Scale (VAS). Logistic regression identified predictors of vitamin D deficiency.

Results

Among 200 participants, 178 (89%) were vitamin D deficient. Limited sun exposure (p < 0.001), smaller skin exposure area (p < 0.01), poor dietary intake (p < 0.05), and overweight status were all significantly associated with lower vitamin D levels. Vitamin D deficiency was present in 68% of overweight participants, with a statistically significant association (p = 0.02). Logistic regression showed that participants with less than 1 h of daily sun exposure had 3.4 times higher odds of vitamin D deficiency (95% CI: 1.8–6.2), and those with poor dietary intake had 2.6 times higher odds (95% CI: 1.4–5.1). Participants with lower vitamin D levels reported higher VAS pain intensity scores (p = 0.01), with a clear gradient across pain intensity categories.

Conclusion

Vitamin D deficiency is nearly universal among young women with chronic musculoskeletal pain in Karachi. The strong correlation between vitamin D deficiency and pain intensity underscores the need for routine screening, preventive supplementation, and public health interventions including food fortification and awareness campaigns.

背景：维生素D缺乏症在南亚非常普遍，但其对年轻女性肌肉骨骼疼痛的临床影响仍未得到充分研究。本研究评估了巴基斯坦卡拉奇市患有持续性非特异性背部和膝关节疼痛的年轻女性中维生素D缺乏症的患病率，并分析了生活方式和临床相关性。方法：于2022年6月至12月在两家三级医院进行横断面研究。总共招募了200名年龄在14-35岁之间、肌肉骨骼疼痛持续至少三个月的女性。收集了人口统计、日晒、饮食、服装和居住数据。测定血清25-羟基维生素D、钙、磷、碱性磷酸酶。采用视觉模拟量表（VAS）评估疼痛强度。Logistic回归确定了维生素D缺乏的预测因素。结果：在200名参与者中，178人（89%）缺乏维生素D。结论：维生素D缺乏症在卡拉奇患有慢性肌肉骨骼疼痛的年轻女性中几乎是普遍存在的。维生素D缺乏与疼痛强度之间的强烈相关性强调了常规筛查、预防性补充和包括食品强化和宣传运动在内的公共卫生干预措施的必要性。

{"title":"Vitamin D deficiency and musculoskeletal pain intensity in young women: Evidence from a cross-sectional study in Karachi","authors":"Muhammad Muzzammil , Abdul Qadir , Muhammad Owais Minhas , Amna Jamil , Muhammad Zubair","doi":"10.1016/j.ijotn.2026.101263","DOIUrl":"10.1016/j.ijotn.2026.101263","url":null,"abstract":"<div><h3>Background</h3><div>Vitamin D deficiency is highly prevalent in South Asia, yet its clinical impact on musculoskeletal pain in young women remains underexplored. This study assessed the prevalence of Vitamin D deficiency among young women with persistent nonspecific back and knee pain in Karachi, Pakistan, and analyzed lifestyle and clinical correlates.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted from June to December 2022 at two tertiary care hospitals. A total of 200 women aged 14–35 years with musculoskeletal pain of at least three months’ duration were recruited. Demographics, sun exposure, diet, clothing, and residence data were collected. Serum 25-hydroxyvitamin D, calcium, phosphorus, and alkaline phosphatase were measured. Pain intensity was assessed using a Visual Analog Scale (VAS). Logistic regression identified predictors of vitamin D deficiency.</div></div><div><h3>Results</h3><div>Among 200 participants, 178 (89%) were vitamin D deficient. Limited sun exposure (p < 0.001), smaller skin exposure area (p < 0.01), poor dietary intake (p < 0.05), and overweight status were all significantly associated with lower vitamin D levels. Vitamin D deficiency was present in 68% of overweight participants, with a statistically significant association (p = 0.02). Logistic regression showed that participants with less than 1 h of daily sun exposure had 3.4 times higher odds of vitamin D deficiency (95% CI: 1.8–6.2), and those with poor dietary intake had 2.6 times higher odds (95% CI: 1.4–5.1). Participants with lower vitamin D levels reported higher VAS pain intensity scores (p = 0.01), with a clear gradient across pain intensity categories.</div></div><div><h3>Conclusion</h3><div>Vitamin D deficiency is nearly universal among young women with chronic musculoskeletal pain in Karachi. The strong correlation between vitamin D deficiency and pain intensity underscores the need for routine screening, preventive supplementation, and public health interventions including food fortification and awareness campaigns.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101263"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207937","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

Predictors of one-year postoperative complications in geriatric patients with hip fracture: A retrospective cohort study at a tertiary care centre 老年髋部骨折患者术后一年并发症的预测因素：一项三级保健中心的回顾性队列研究。

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2026-02-01 Epub Date: 2026-02-07 DOI: 10.1016/j.ijotn.2026.101265

Warangkana Saripan, Jasmine Krainuch

Background

Hip fracture (HF) commonly occurs in persons of older age following a fall or an accident or in association with osteoporosis and increases the risk of chronic illnesses and mortality. Specifically, HF complications might develop during admission or postsurgically following discharge. The aim of this study was to investigate the prevalence and predictors of one-year postoperative complications in geriatric patients with HF.

Methods

A retrospective study was conducted using data from the electronic medical records of Thai patients age 60 years and over with HFs who underwent HF surgery and were admitted to an orthopaedic ward between January 2019 and December 2022. Data were collected using a case report form detailing patient characteristics, including baseline demographics, clinical characteristics, and one-year postoperative complications. Data were analysed using descriptive statistics, Pearson's chi-square test and logistic regression.

Results

Participants were 376 Thai adults ages 60–99 (mean age 80 years). Within one year after HF surgery, 33.5% of the patients developed the following major clinical complications: urinary tract infection (25.2%), pneumonia (10.6%), pulmonary embolism (1.6%), deep vein thrombosis (0.8%), surgical site infection (0.8%) and hip dislocation (0.3%). The strongest predictors of postoperative complications were American Society of Anesthesiologists classification (p < 0.001), length of stay (p < 0.001) and nutritional status (p = 0.001).

Conclusion

This study provides helpful information for clinicians dealing with geriatric patients with HF, including the prevalence of one-year postoperative complications, while also identifying predictors of postoperative complications.

背景：髋部骨折（HF）通常发生在老年人跌倒或意外事故后，或与骨质疏松症有关，并增加慢性疾病和死亡率的风险。具体来说，心衰并发症可能在入院期间或术后出院后发生。本研究的目的是调查老年心衰患者术后一年并发症的患病率和预测因素。方法：对2019年1月至2022年12月期间接受心衰手术并入住骨科病房的60岁及以上HF泰国患者的电子病历数据进行回顾性研究。使用病例报告表格收集数据，详细说明患者特征，包括基线人口统计学、临床特征和术后一年的并发症。数据分析采用描述性统计、Pearson卡方检验和logistic回归。结果：参与者为376名泰国成年人，年龄60-99岁（平均年龄80岁）。HF术后1年内，33.5%的患者出现以下主要临床并发症：尿路感染（25.2%）、肺炎（10.6%）、肺栓塞（1.6%）、深静脉血栓形成（0.8%）、手术部位感染（0.8%）、髋关节脱位（0.3%）。结论：本研究为临床医生处理老年心衰患者提供了有用的信息，包括术后一年并发症的发生率，同时也确定了术后并发症的预测因素。

{"title":"Predictors of one-year postoperative complications in geriatric patients with hip fracture: A retrospective cohort study at a tertiary care centre","authors":"Warangkana Saripan, Jasmine Krainuch","doi":"10.1016/j.ijotn.2026.101265","DOIUrl":"10.1016/j.ijotn.2026.101265","url":null,"abstract":"<div><h3>Background</h3><div>Hip fracture (HF) commonly occurs in persons of older age following a fall or an accident or in association with osteoporosis and increases the risk of chronic illnesses and mortality. Specifically, HF complications might develop during admission or postsurgically following discharge. The aim of this study was to investigate the prevalence and predictors of one-year postoperative complications in geriatric patients with HF.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted using data from the electronic medical records of Thai patients age 60 years and over with HFs who underwent HF surgery and were admitted to an orthopaedic ward between January 2019 and December 2022. Data were collected using a case report form detailing patient characteristics, including baseline demographics, clinical characteristics, and one-year postoperative complications. Data were analysed using descriptive statistics, Pearson's chi-square test and logistic regression.</div></div><div><h3>Results</h3><div>Participants were 376 Thai adults ages 60–99 (mean age 80 years). Within one year after HF surgery, 33.5% of the patients developed the following major clinical complications: urinary tract infection (25.2%), pneumonia (10.6%), pulmonary embolism (1.6%), deep vein thrombosis (0.8%), surgical site infection (0.8%) and hip dislocation (0.3%). The strongest predictors of postoperative complications were American Society of Anesthesiologists classification (<em>p</em> < 0.001), length of stay (<em>p</em> < 0.001) and nutritional status (<em>p</em> = 0.001).</div></div><div><h3>Conclusion</h3><div>This study provides helpful information for clinicians dealing with geriatric patients with HF, including the prevalence of one-year postoperative complications, while also identifying predictors of postoperative complications.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101265"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158581","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 – Advancing nursing practice in the orthopaedic, fracture trauma operating room 文献综述-推进骨科、骨折创伤手术室的护理实践

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2026-02-01 Epub Date: 2025-10-29 DOI: 10.1016/j.ijotn.2025.101237

Sonya Clarke, Carmen Queiros, Shareena Bibi Mohd Arif

引用次数: 0

Corrigendum to “Nurses’ knowledge about palliative care needs of people with fragility hip fractures: a cross-sectional study” [Int. J. Orthopaedic Trauma Nurs. 59 (2025) 101242] “护士对脆性髋部骨折患者姑息治疗需求的了解：一项横断面研究”的勘误表[j]。[j].中华骨科杂志，2015(5):357 - 357。

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2026-02-01 Epub Date: 2025-11-25 DOI: 10.1016/j.ijotn.2025.101244

Sara Gomes , Ivo Paiva , Isabel Moreira , Andrèa Marques

Background

Nurses knowledge of palliative care is to ensuring patient-centred care, however, palliative care for individuals with fragility hip fractures remains insufficiently understood and underdeveloped.

Objective

This study aimed to assess nurses' knowledge of the palliative care needs of people with hip fragility fractures.

Methods

Descriptive-correlational, cross-sectional study. Portuguese nurses providing care to patients with hip fractures were selected through an intentional sample (n = 312), from February to April 2025, through an online questionnaire. Analysis used descriptive and inferential statistics. Ethical assumptions assured.

Results

Of the 312 nurses, 83,3 % were female. Most held a nursing degree (75,0 %) but were not specialized (59,9 %). The majority worked in the inpatient orthopaedic (32,1 %) and lacked education (57,7 %) or experience in palliative care (86,2 %). In the sample, 60.2 % of participants reported sufficient and insufficient levels of knowledge, while 53.2 % reported similar perceptions of competence. Most participants had never referred a person to palliative care (79.8 %) nor provided care to a patient with a hip fragility fracture under a palliative care team (76.9 %). The nurses' global knowledge was considered sufficient, particularly about symptom control, teamwork and communication, however, it was superior to the mean in the family support category. Some variables had significant correlations with global knowledge: academic qualifications, professional category, practice time, experience and education in palliative care, self-knowledge, and self-competence.

Conclusions

Most nurses demonstrated sufficient knowledge of the palliative care needs of people with fragility hip fractures, highlighting the need for greater investment in education and training to enhance nursing care responses.

背景：护士对姑息治疗的了解是为了确保以患者为中心的护理，然而，对脆性髋部骨折患者的姑息治疗仍然缺乏充分的了解和发展。目的：本研究旨在评估护士对髋部脆性骨折患者姑息治疗需求的了解程度。方法：描述性相关、横断面研究。从2025年2月至4月，通过在线问卷调查，通过有意抽样（n = 312）选择为髋部骨折患者提供护理的葡萄牙护士。分析采用描述性统计和推断性统计。道德假设得到了保证。结果：312名护士中，女性占83.3%。大多数人拥有护理学位（75.0%），但没有专科学位（59.9%）。大多数在住院骨科工作（32.1%），缺乏教育（57.7%）或姑息治疗经验（86.2%）。在样本中，60.2%的参与者报告了足够和不足的知识水平，而53.2%的参与者报告了类似的能力感知。大多数参与者从未将患者转介到姑息治疗（79.8%），也没有在姑息治疗团队下为髋部脆性骨折患者提供护理（76.9%）。护士在症状控制、团队合作和沟通方面的整体知识被认为是足够的，但在家庭支持方面的知识优于平均水平。一些变量与全球知识显著相关：学历、专业类别、执业时间、姑息治疗经验和教育程度、自我知识和自我能力。结论：大多数护士对脆性髋部骨折患者的姑息治疗需求有足够的了解，这表明需要加大对教育和培训的投资，以加强护理响应。

{"title":"Corrigendum to “Nurses’ knowledge about palliative care needs of people with fragility hip fractures: a cross-sectional study” [Int. J. Orthopaedic Trauma Nurs. 59 (2025) 101242]","authors":"Sara Gomes , Ivo Paiva , Isabel Moreira , Andrèa Marques","doi":"10.1016/j.ijotn.2025.101244","DOIUrl":"10.1016/j.ijotn.2025.101244","url":null,"abstract":"<div><h3>Background</h3><div>Nurses knowledge of palliative care is to ensuring patient-centred care, however, palliative care for individuals with fragility hip fractures remains insufficiently understood and underdeveloped.</div></div><div><h3>Objective</h3><div>This study aimed to assess nurses' knowledge of the palliative care needs of people with hip fragility fractures.</div></div><div><h3>Methods</h3><div>Descriptive-correlational, cross-sectional study. Portuguese nurses providing care to patients with hip fractures were selected through an intentional sample (n = 312), from February to April 2025, through an online questionnaire. Analysis used descriptive and inferential statistics. Ethical assumptions assured.</div></div><div><h3>Results</h3><div>Of the 312 nurses, 83,3 % were female. Most held a nursing degree (75,0 %) but were not specialized (59,9 %). The majority worked in the inpatient orthopaedic (32,1 %) and lacked education (57,7 %) or experience in palliative care (86,2 %). In the sample, 60.2 % of participants reported sufficient and insufficient levels of knowledge, while 53.2 % reported similar perceptions of competence. Most participants had never referred a person to palliative care (79.8 %) nor provided care to a patient with a hip fragility fracture under a palliative care team (76.9 %). The nurses' global knowledge was considered sufficient, particularly about symptom control, teamwork and communication, however, it was superior to the mean in the family support category. Some variables had significant correlations with global knowledge: academic qualifications, professional category, practice time, experience and education in palliative care, self-knowledge, and self-competence.</div></div><div><h3>Conclusions</h3><div>Most nurses demonstrated sufficient knowledge of the palliative care needs of people with fragility hip fractures, highlighting the need for greater investment in education and training to enhance nursing care responses.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"60 ","pages":"Article 101244"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606621","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