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Long-term maintenance of a fragility fracture initiative. 长期坚持脆性骨折倡议。
IF 1.5 Q3 NURSING Pub Date : 2024-11-15 DOI: 10.1016/j.ijotn.2024.101144
Christopher K Sullivan, Kristine Kocjan, Trevor Tompane, Jennifer Smith, Benjamin M Wheatley

Introduction: Fragility fractures are common and have an increased chance of refracture and mortality. A process improvement project was initiated including standardized orders to improve treatment of osteoporosis-related fractures. The primary objective was to determine the implementation and maintenance of this process over time. Secondary objectives were to determine the refracture and mortality risk before and after implementation.

Methods: A retrospective cohort of fragility fractures treated during the 6 months prior and 6 months after implementation and for one year 6 years after implementation of the process. We measured the proportion of patients who received DEXA scans, osteoporosis laboratory blood tests, Vitamin D/Calcium supplementation, Primary Care follow-up, refracture, and 6-year mortality.

Results: There was a significant improvement in interventions obtained immediately after process improvement implementation. At 6-years the proportion of interventions obtained had declined and were not significantly different from pre-implementation except laboratory blood tests ordered which remained significantly improved. Mortality risk was significantly lower in the 6 months after process improvement implementation (24% vs 10%; p = 0.027). There was no significant difference in refracture in our cohort (18% vs 19%; p = 0.675).

Discussion: Our process improvement project showed significant improvement in interventions being performed and decreased mortality but were unable to sustain high levels of intervention. We suggest that high surgeon and resident turnover limited our ability to maintain the process improvement project over time. This study supports orthopedic surgeons implementing an osteoporosis treatment protocol for fragility fractures and the importance of continued re-education and re-implementation of process improvement protocols.

导言脆性骨折是一种常见病,会增加再骨折和死亡率。为改善骨质疏松症相关骨折的治疗,我们启动了一项流程改进项目,其中包括标准化医嘱。首要目标是确定该流程的实施情况和长期保持情况。次要目标是确定实施前后的骨折和死亡率风险:方法:对实施前 6 个月和实施后 6 个月以及实施后 6 年内接受治疗的脆性骨折患者进行回顾性队列研究。我们测量了接受 DEXA 扫描、骨质疏松症实验室血液检测、维生素 D/钙补充剂、初级保健随访、再骨折和 6 年死亡率的患者比例:结果:实施流程改进后,干预措施立即得到明显改善。6 年后,获得干预的比例有所下降,与实施前相比没有显著差异,但实验室血液化验除外,后者仍有明显改善。流程改进实施后 6 个月内的死亡率风险明显降低(24% 对 10%;P = 0.027)。我们队列中的骨折率没有明显差异(18% vs 19%; p = 0.675):讨论:我们的流程改进项目显示,介入治疗的实施有了明显改善,死亡率也有所下降,但却无法维持高水平的介入治疗。我们认为,外科医生和住院医师的高流动率限制了我们长期维持流程改进项目的能力。本研究支持骨科医生针对脆性骨折实施骨质疏松症治疗方案,以及持续再教育和再实施流程改进方案的重要性。
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引用次数: 0
A qualitative study of older adults: The difficulties and needs of returning home after hip fractures 一项针对老年人的定性研究:髋部骨折后重返家园的困难和需求。
IF 1.5 Q3 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.ijotn.2024.101141
Paula Rocha , Cristina Lavareda Baixinho , Maria Adriana Henriques

Background

Falls and consequent fractures are an increasing problem among older adults, with low rates of return to previous functional condition and a substantial risk of subsequent falls. This scenario points to the need for an improved response to this population's needs.

Objective

To define the difficulties and needs felt by older adults with hip fractures when returning home.

Methods

This was a descriptive and exploratory qualitative study. Semi-structured interviews were conducted with hip fracture patients who had been submitted to surgery and who were treated at a hospital in the central region of Portugal. Bardin's content analysis was used to analyze the data. Content analysis was carried out with the support of MAXQDA® Analytic pro 2022 software.

Results

The analysis of the results of the 15 interviews yielded three categories related to the difficulties perceived by hip fracture patients on returning home: functional limitations; pain; and emotional management. Regarding the needs felt, the following categories emerged: resources/help with activities of daily living; capacity-building for the return home; and information.

Conclusions

The needs and difficulties of older adults with hip fractures on returning home are multiple and variable. Knowledge of these aspects can significantly enhance the standardized actions of nurses in this area of intervention, contributing to the improvement of continuity of care and ensuring a safe transition.
背景:在老年人中,跌倒和随之而来的骨折是一个日益严重的问题,其功能恢复率很低,而且再次跌倒的风险很大。这种情况表明,需要更好地满足这一人群的需求:方法:这是一项描述性和探索性研究:这是一项描述性和探索性的定性研究。我们对在葡萄牙中部地区一家医院接受手术治疗的髋部骨折患者进行了半结构化访谈。数据分析采用了 Bardin 内容分析法。内容分析在 MAXQDA® Analytic pro 2022 软件的支持下进行:通过对 15 个访谈结果的分析,得出了与髋部骨折患者回家后所感受到的困难有关的三个类别:功能限制、疼痛和情绪管理。在感受到的需求方面,出现了以下类别:日常生活活动的资源/帮助;重返家园的能力建设;信息:患有髋部骨折的老年人在返回家中时的需求和困难是多种多样的。对这些方面的了解可以大大加强护士在这一干预领域的标准化行动,有助于改善护理的连续性并确保安全过渡。
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引用次数: 0
Enhanced recovery pathways in orthopaedic and trauma care. Special issue 骨科和创伤护理中的强化康复途径。特刊。
IF 1.5 Q3 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.ijotn.2024.101142
Thomas Wainwright PhD (Prof, Guest Editor), Paul McLiesh (Guest Editor)
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引用次数: 0
Efficacy of vitamin C supplementation in preventing and treating complex regional pain syndrome type I (CRPS-I) in Orthopedic patients: A systematic review and meta-analysis 维生素 C 补充剂在预防和治疗骨科患者 I 型复杂区域疼痛综合征 (CRPS-I) 方面的功效:系统回顾与荟萃分析。
IF 1.5 Q3 NURSING Pub Date : 2024-10-18 DOI: 10.1016/j.ijotn.2024.101140
Malihe Ranjbar_moghaddam , Ebrahim Nasiri-Formi , Amirmohammad Merajikhah

Aim

Complex regional pain syndrome type I (CRPS-I) is a specific type of persistent pain which is often caused by fracture and surgery. There is no effective curative therapy available. However some studies have indicated that Vitamin C (VC) can reduce the incidence of CRPS-I. This study's objective is to investigate the effectiveness VC in preventing and treating CRPS-I.

Design

An Systematic review and Meta-analysis was done.

Data sources

Primary research studies from PubMed, Scopus, Web of Science, ProQuest, Embase database, and Cochran Library, and Google Scholar were reviewed. This search was conducted until March 27, 2024. This study was conducted without any language, place, and time restrictions. Study results were meta-analyzed with using effect sizes. To evaluate heterogeneity, we employed the Cochrane Q test and the I2 index.

Results

In our systematic review, 3947 articles were initially identified, with 3939 excluded for not meeting inclusion criteria, resulting in 8 studies being critically evaluated using Cochran's risk of bias checklist. The meta-analysis revealed that VC supplementation have effect on reducing CRPS-I post-limb surgery but this result shows that the pooled effect size is not statistically significant. The heterogeneity of the studies was low (I2 = 26.28%, p = 0.22). Publication bias was detected, indicating asymmetry in the funnel plot.

Conclusion

The results of our study showed the positive effect of VC supplementation in reducing the prevalence of CRPS-I after limb surgery.
目的:I 型复杂性区域疼痛综合征(CRPS-I)是一种特殊的持续性疼痛,通常由骨折和手术引起。目前尚无有效的治疗方法。不过,一些研究表明,维生素 C(VC)可以降低 CRPS-I 的发病率。本研究旨在探讨维生素 C 对预防和治疗 CRPS-I 的有效性:数据来源:PubMed、Medicast、Medicast、Medicast、Medicast、Medicast、Medicast、Medicast、Medicast、Medicast数据来源:对来自 PubMed、Scopus、Web of Science、ProQuest、Embase 数据库、Cochran Library 和 Google Scholar 的原始研究进行了审查。该搜索一直持续到 2024 年 3 月 27 日。本研究不受任何语言、地点和时间限制。我们使用效应大小对研究结果进行了荟萃分析。为了评估异质性,我们采用了 Cochrane Q 检验和 I2 指数:在我们的系统综述中,初步确定了 3947 篇文章,其中 3939 篇因不符合纳入标准而被排除,结果有 8 项研究使用 Cochran 的偏倚风险清单进行了严格评估。荟萃分析表明,补充 VC 有助于减轻肢体手术后 CRPS-I 的症状,但这一结果表明,汇总效应大小在统计学上并不显著。研究的异质性较低(I2 = 26.28%,P = 0.22)。研究发现了发表偏倚,显示漏斗图不对称:我们的研究结果表明,补充 VC 对降低肢体手术后 CRPS-I 的发病率有积极作用。
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引用次数: 0
Improving external fixator pin site care through user involvement: A quality improvement project 通过用户参与改进外固定器针脚部位护理:质量改进项目。
IF 1.5 Q3 NURSING Pub Date : 2024-10-10 DOI: 10.1016/j.ijotn.2024.101139
Anette Wulff Christiansen , Trine Ahlman Petersen , Cellina Maj Eline Hedkjær , Julie Santy-Tomlinson , Charlotte Myhre Jensen

Introduction

External fixation is widely used in treating complex fractures and limb reconstruction. Pin site infections remain a significant complication, impacting on patients' physical and psychosocial wellbeing. This clinical improvement project at a University Hospital in Denmark aimed to enhance pin site care by involving patients and caregivers throughout the treatment pathway.

Background

At our hospital, approximately 55 trauma patients are annually treated with lower limb external fixators. Pin site care is crucial for preventing serious infections/osteomyelitis and involves collaboration between hospital and municipal caregivers. Traditional pin site care in our unit was complex and time-consuming, causing patient anxiety and frequent unplanned clinic visits.

Methods

Inspired by the Participatory Design research methodology, a quality improvement project was conducted in three phases: (1) identifying users’ needs, (2) developing solutions collaboratively, and (3) testing/evaluating these solutions. Iterative cycles of planning, acting, observing, and reflecting were employed, facilitating mutual learning among participants. Interviews with patients, families and healthcare professionals and field observations both at the hospital and in the municipality were conducted. Inspiration was sought from international literature.

Results

Phase 1 identified the need for improved education about infection recognition, a less painful and time-consuming dressing method, and an assessment tool for pin site infection. Phase 2 involved extensive user input to develop and implement a new dressing procedure using PolyMem™ along with an assessment tool. Phase 3 evaluated the new methods, revealing reduced patient pain, fewer clinic visits, and stable infection rates as well as less time-consuming pin site care.

Conclusion

The project successfully enhanced pin site care, involving users in developing a new care process, thus improving patient satisfaction and care efficiency.

Implications for future practice

Incorporating patient perspectives and collaborative methods can significantly improve clinical care pathways. Future efforts should focus on further integrating patient centered and participatory approaches in healthcare improvements.
导言:外固定被广泛用于治疗复杂骨折和肢体重建。针脚部位感染仍然是一个重要的并发症,影响着患者的身体和心理健康。丹麦一所大学医院开展的这一临床改进项目旨在通过让患者和护理人员参与整个治疗过程来加强针脚部位护理:背景:在我们医院,每年约有 55 名外伤患者接受下肢外固定器治疗。插针部位护理对于预防严重感染/骨髓炎至关重要,需要医院和市政护理人员通力合作。我们科室传统的插针部位护理既复杂又耗时,导致患者焦虑不安,经常出现计划外就诊:受参与式设计研究方法的启发,质量改进项目分三个阶段进行:(1) 确定用户需求,(2) 合作开发解决方案,(3) 测试/评估这些解决方案。项目采用了计划、行动、观察和反思的迭代循环,促进了参与者之间的相互学习。对病人、家属和医护人员进行了访谈,并在医院和市镇进行了实地观察。从国际文献中寻求灵感:结果:第一阶段发现需要改进有关感染识别的教育、减少痛苦和耗时的包扎方法以及针刺部位感染的评估工具。第 2 阶段涉及广泛的用户输入,以开发和实施使用 PolyMem™ 的新包扎程序和评估工具。第 3 阶段对新方法进行了评估,结果显示患者疼痛减轻,就诊次数减少,感染率稳定,针刺部位护理耗时减少:结论:该项目成功加强了针刺部位护理,让用户参与制定新的护理流程,从而提高了患者满意度和护理效率:对未来实践的启示:纳入患者观点和协作方法可显著改善临床护理路径。未来的工作重点应是进一步将以患者为中心和参与式方法融入医疗保健的改进中。
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引用次数: 0
Psychometric properties of Japanese version15D and cultural characteristics of quality of life undergoing patients with hip and knee arthroplasty 髋关节和膝关节置换术患者生活质量日文版 15D 的心理计量特性和文化特征。
IF 1.5 Q3 NURSING Pub Date : 2024-10-05 DOI: 10.1016/j.ijotn.2024.101138
Kanako Yakushiji , Satomi Tanaka , Harri Sintonen , Heidi Siira , Yuriko Matsunaga-Myoji , Yasuko Tabuchi , Pirjo Kaakinen , Maria Kääriäinen , Kimie Fujita

Background

Health-related quality of life (HRQoL) following total hip and knee arthroplasty (THA/TKA) may decline more in Asian countries due to lifestyle and housing factors compared with patients in Western countries.

Aims

To evaluate the psychometric properties of the Japanese version of 15D and clarify the characteristics of HRQoL in Japanese patients who underwent THA/TKA compared with Finnish patients.

Methods

This longitudinal study included 182 patients between 2019 and 2021. Patients' HRQoL was measured using the 15D preoperatively and 3 months postoperatively. Student's t-tests were used to compare lifestyles between Japan and Finland.

Results

The Japanese version of the 15D showed good internal consistency, reliability, construct validity, and responsiveness. Patients with many steps inside their house had worse HRQoL in the dimensions of mobility, distress, and vitality in Japan. There were significant differences in mobility, distress, vitality, and sexual activity dimensions between Japan and Finland 3 months postoperatively.

Conclusions

The lower HRQoL in Japan in the dimensions of mobility, distress, and vitality is likely due to Japan's traditional housing structure with many steps. Identifying differences in cultural and psychological characteristics, as well as by residential setting, will enable health care providers to help patients improve their HRQoL.
背景:目的:评估日文版15D的心理测量学特性,并明确与芬兰患者相比,接受全髋关节和膝关节置换术(THA/TKA)的日本患者的HRQoL特征:这项纵向研究包括2019年至2021年期间的182名患者。患者的 HRQoL 在术前和术后 3 个月使用 15D 进行测量。采用学生 t 检验比较日本和芬兰的生活方式:结果:日文版 15D 显示出良好的内部一致性、可靠性、结构效度和反应性。在日本,屋内台阶较多的患者在行动能力、痛苦和活力方面的 HRQoL 较差。日本和芬兰患者在术后3个月的活动能力、痛苦、活力和性活动方面存在明显差异:结论:日本人在行动能力、痛苦和活力方面的 HRQoL 较低,这可能是由于日本的传统住房结构有很多台阶。识别文化和心理特征以及居住环境的差异将有助于医疗服务提供者帮助患者改善其 HRQoL。
{"title":"Psychometric properties of Japanese version15D and cultural characteristics of quality of life undergoing patients with hip and knee arthroplasty","authors":"Kanako Yakushiji ,&nbsp;Satomi Tanaka ,&nbsp;Harri Sintonen ,&nbsp;Heidi Siira ,&nbsp;Yuriko Matsunaga-Myoji ,&nbsp;Yasuko Tabuchi ,&nbsp;Pirjo Kaakinen ,&nbsp;Maria Kääriäinen ,&nbsp;Kimie Fujita","doi":"10.1016/j.ijotn.2024.101138","DOIUrl":"10.1016/j.ijotn.2024.101138","url":null,"abstract":"<div><h3>Background</h3><div>Health-related quality of life (HRQoL) following total hip and knee arthroplasty (THA/TKA) may decline more in Asian countries due to lifestyle and housing factors compared with patients in Western countries.</div></div><div><h3>Aims</h3><div>To evaluate the psychometric properties of the Japanese version of 15D and clarify the characteristics of HRQoL in Japanese patients who underwent THA/TKA compared with Finnish patients.</div></div><div><h3>Methods</h3><div>This longitudinal study included 182 patients between 2019 and 2021. Patients' HRQoL was measured using the 15D preoperatively and 3 months postoperatively. Student's <em>t</em>-tests were used to compare lifestyles between Japan and Finland.</div></div><div><h3>Results</h3><div>The Japanese version of the 15D showed good internal consistency, reliability, construct validity, and responsiveness. Patients with many steps inside their house had worse HRQoL in the dimensions of mobility, distress, and vitality in Japan. There were significant differences in mobility, distress, vitality, and sexual activity dimensions between Japan and Finland 3 months postoperatively.</div></div><div><h3>Conclusions</h3><div>The lower HRQoL in Japan in the dimensions of mobility, distress, and vitality is likely due to Japan's traditional housing structure with many steps. Identifying differences in cultural and psychological characteristics, as well as by residential setting, will enable health care providers to help patients improve their HRQoL.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101138"},"PeriodicalIF":1.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394036","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
The relationship of pain catastrophizing in principal caregivers of postoperative children with malignant bone tumors and children's kinesiophobia and pain perception: A cross-sectional survey 恶性骨肿瘤术后患儿主要照顾者的疼痛灾难化与患儿运动恐惧和疼痛感的关系:横断面调查
IF 1.5 Q3 NURSING Pub Date : 2024-09-14 DOI: 10.1016/j.ijotn.2024.101137
Qian Yu , Fang Fang , Lan Chen , Qiuli Wang , Wei Dai

Objective

To examine the phenomenon of pain catastrophizing among the principal caregivers of postoperative children with malignant bone tumors and explore its impact on pain perception and kinesiophobia in children.

Design

A cross-sectional study design.

Methods

Using a cross-sectional study design, a questionnaire-based survey was conducted among 140 children with malignant bone tumors and their principal caregivers, who were admitted to a tertiary hospital in Shanghai from 2020 to 2023. Pearson's univariate and multiple regression analyses were conducted. The questionnaire included general data, the Parental Pain Catastrophizing Scale, the Short-Form McGill Pain Questionnaire, and the Tampa Scale of Kinesiophobia.

Results

The frequency of pain catastrophizing for the principal caregivers was 16.8%. The frequency of kinesiophobia in children was 93.1%. The level of pain catastrophizing was positively correlated with the level of kinesiophobia and pain perception (r = 0.556, 0.614, p < 0.05). Multiple logistic regression analysis showed that the level of pain catastrophizing in principal caregivers was an important factor of kinesiophobia in children (B = 0.370, Std. = 0.119, Wald = 9.687, Ex (P) = 1.448, p = 0.002). Multiple linear regression analysis showed that the incidence of pain catastrophizing and the level of kinesiophobia were important influencing factors in pain perception (p < 0.05), with R2 = 0.272, adjusted R2 = 0.249, F = 11.579, and p < 0.001.

Conclusions

The level of pain catastrophizing in the principal caregivers was an important factor in postoperative kinesiophobia and pain perception in children with a malignant bone tumor.

Practice implications

It is important to evaluate the patients' and their families' emotional changes and psychological needs during the perioperative period. Nurses play a crucial role in providing appropriate interventions for patients or families to reduce the negative pain experience and improve patients’ prognosis.

摘要] 目的 研究恶性骨肿瘤术后患儿主要照顾者的疼痛灾难化现象,并探讨其对患儿疼痛知觉和运动恐惧的影响。采用皮尔逊单变量和多元回归分析。调查问卷包括一般数据、家长疼痛灾难化量表、短式麦吉尔疼痛问卷和坦帕运动恐惧症量表。儿童运动恐怖症的发生率为 93.1%。疼痛灾难化程度与运动恐怖症和疼痛知觉程度呈正相关(r = 0.556, 0.614, p <0.05)。多元逻辑回归分析表明,主要照顾者的疼痛灾难化水平是儿童运动恐惧的一个重要因素(B = 0.370,Std. = 0.119,Wald = 9.687,Ex (P) = 1.448,P = 0.002)。多元线性回归分析表明,疼痛灾难化的发生率和运动恐怖症的程度是疼痛知觉的重要影响因素(p < 0.05),R2 = 0.272,调整后 R2 = 0.249,F = 11.579,p < 0.001。结论主要护理人员的疼痛灾难化程度是影响恶性骨肿瘤患儿术后运动恐惧和疼痛知觉的重要因素。护士在为患者或家属提供适当的干预措施以减少负面疼痛体验和改善患者预后方面发挥着至关重要的作用。
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引用次数: 0
Current status of postoperative care for elderly osteoporotic fracture patients in Jiangsu Province, China: A multicenter cross-sectional study 中国江苏省老年骨质疏松性骨折患者术后护理现状:多中心横断面研究
IF 1.5 Q3 NURSING Pub Date : 2024-09-11 DOI: 10.1016/j.ijotn.2024.101136
Mengting Sun , Xiafen Zhang , Jie Wang , Yang Hong , Ying Zhang , Jing Wang , Dongmei Xu , Xian Yu , Yingchun Zhang , Hongxia Zhu , Xiaolan Feng

Background

The postoperative care behavior of elderly osteoporotic fracture patients has a significant impact on their prognosis and rehabilitation; thus, it is critical to completely comprehend their current state of care before optimizing postoperative care strategies.

Aims

To determine the current status of postoperative care for elderly osteoporotic fracture patients in Jiangsu Province.

Methods

From October to December 2023, 669 elderly postoperative patients with osteoporotic fractures were recruited for a cross-sectional study via convenience sampling and a self-designed questionnaire from 21 hospitals in seven urban areas in Jiangsu Province.

Results

A total of 800 questionnaires were distributed, and 709 questionnaires were recovered, for a return rate of 88.6%. The postoperative support and care received by the patients were mostly by their children and spouses, and the postoperative health education knowledge received by the patients was mostly about fracture-related knowledge and precautions for the use of medications. Health education methods were mainly conducted by medical staff explanations and health brochures; only 45.3% of the patients were treated with anti-osteoporosis therapy.

Conclusions

The current status of postoperative care for osteoporotic fracture patients in Jiangsu Province varies somewhat according to geographic location, hospital level and other factors, with tertiary hospitals and more economically developed areas having relatively better care outcomes. For in-hospital care, it is necessary to improve the content and methods of in-hospital education. For out-of-hospital care, it is necessary to raise the level of awareness of anti-osteoporosis treatment and the prevention and treatment of re-fractures, and to improve hospital-community referral services.

背景老年骨质疏松性骨折患者的术后护理行为对其预后和康复有重要影响,因此,在优化术后护理策略之前,全面了解其护理现状至关重要。 目的了解江苏省老年骨质疏松性骨折患者的术后护理现状。方法2023年10月至12月,通过便利抽样和自行设计的调查问卷,在江苏省7个市区的21家医院招募669例老年骨质疏松性骨折术后患者进行横断面研究。患者接受的术后支持和护理主要是其子女和配偶,接受的术后健康教育知识主要是骨折相关知识和用药注意事项。结论 江苏省骨质疏松性骨折患者术后护理现状因地理位置、医院级别等因素存在一定差异,三级医院和经济较发达地区的护理效果相对较好。在院内护理方面,有必要改进院内教育的内容和方法。在院外护理方面,有必要提高抗骨质疏松症治疗和预防及治疗再次骨折的认识水平,并改善医院-社区转诊服务。
{"title":"Current status of postoperative care for elderly osteoporotic fracture patients in Jiangsu Province, China: A multicenter cross-sectional study","authors":"Mengting Sun ,&nbsp;Xiafen Zhang ,&nbsp;Jie Wang ,&nbsp;Yang Hong ,&nbsp;Ying Zhang ,&nbsp;Jing Wang ,&nbsp;Dongmei Xu ,&nbsp;Xian Yu ,&nbsp;Yingchun Zhang ,&nbsp;Hongxia Zhu ,&nbsp;Xiaolan Feng","doi":"10.1016/j.ijotn.2024.101136","DOIUrl":"10.1016/j.ijotn.2024.101136","url":null,"abstract":"<div><h3>Background</h3><p>The postoperative care behavior of elderly osteoporotic fracture patients has a significant impact on their prognosis and rehabilitation; thus, it is critical to completely comprehend their current state of care before optimizing postoperative care strategies.</p></div><div><h3>Aims</h3><p>To determine the current status of postoperative care for elderly osteoporotic fracture patients in Jiangsu Province.</p></div><div><h3>Methods</h3><p>From October to December 2023, 669 elderly postoperative patients with osteoporotic fractures were recruited for a cross-sectional study via convenience sampling and a self-designed questionnaire from 21 hospitals in seven urban areas in Jiangsu Province.</p></div><div><h3>Results</h3><p>A total of 800 questionnaires were distributed, and 709 questionnaires were recovered, for a return rate of 88.6%. The postoperative support and care received by the patients were mostly by their children and spouses, and the postoperative health education knowledge received by the patients was mostly about fracture-related knowledge and precautions for the use of medications. Health education methods were mainly conducted by medical staff explanations and health brochures; only 45.3% of the patients were treated with anti-osteoporosis therapy.</p></div><div><h3>Conclusions</h3><p>The current status of postoperative care for osteoporotic fracture patients in Jiangsu Province varies somewhat according to geographic location, hospital level and other factors, with tertiary hospitals and more economically developed areas having relatively better care outcomes. For in-hospital care, it is necessary to improve the content and methods of in-hospital education. For out-of-hospital care, it is necessary to raise the level of awareness of anti-osteoporosis treatment and the prevention and treatment of re-fractures, and to improve hospital-community referral services.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101136"},"PeriodicalIF":1.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187812412400056X/pdfft?md5=e7504b0c7cdb2181defbd50bcaf99438&pid=1-s2.0-S187812412400056X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to "The effectiveness of prophylactic closed incision negative pressure wound therapy compared to conventional dressings in the prevention of periprosthetic joint infection post hip and knee revision arthroplasty surgery: A systematic review" [Int. J. Orthopaed. Trauma Nurs. 53 (2024) 101048]. 预防性闭合切口负压伤口疗法与传统敷料相比在预防髋关节和膝关节翻修关节置换术后假体周围感染方面的有效性:53 (2024) 101048]。
IF 1.5 Q3 NURSING Pub Date : 2024-09-06 DOI: 10.1016/j.ijotn.2024.101125
Tracy Morgan, Tamara Page, Zaneta Smith
{"title":"Corrigendum to \"The effectiveness of prophylactic closed incision negative pressure wound therapy compared to conventional dressings in the prevention of periprosthetic joint infection post hip and knee revision arthroplasty surgery: A systematic review\" [Int. J. Orthopaed. Trauma Nurs. 53 (2024) 101048].","authors":"Tracy Morgan, Tamara Page, Zaneta Smith","doi":"10.1016/j.ijotn.2024.101125","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101125","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":" ","pages":"101125"},"PeriodicalIF":1.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146543","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 – The effect of non-steroidal anti-inflammatory drugs (NSAIDs) on bone healing and tissue regeneration 文献综述 - 非甾体抗炎药(NSAIDs)对骨愈合和组织再生的影响
IF 1.5 Q3 NURSING Pub Date : 2024-08-28 DOI: 10.1016/j.ijotn.2024.101126
Sonya Clarke, Carmen Queiros, Shareena Bibi Mohd Arif
{"title":"LITERATURE REVIEWS – The effect of non-steroidal anti-inflammatory drugs (NSAIDs) on bone healing and tissue regeneration","authors":"Sonya Clarke,&nbsp;Carmen Queiros,&nbsp;Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2024.101126","DOIUrl":"10.1016/j.ijotn.2024.101126","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101126"},"PeriodicalIF":1.5,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142089141","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
期刊
International Journal of Orthopaedic and Trauma Nursing
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