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Rehabilitation following periacetabular osteotomy for acetabular dysplasia: A qualitative interview study exploring challenges, hopes and expectations among patients in Denmark and Australia 髋臼周围截骨术治疗髋臼发育不良后的康复:一项定性访谈研究,探讨丹麦和澳大利亚患者面临的挑战、希望和期望
IF 1.5 Q3 NURSING Pub Date : 2024-06-04 DOI: 10.1016/j.ijotn.2024.101116
Julie S. Jacobsen , Michael J.M. O'Brien , Jeanette Reffstrup Christensen , May Arna Risberg , Lachlan Milne , Jitendra Balakumar , Stig Storgaard Jakobsen , Inger Mechlenburg , Joanne Kemp

Introduction

Guidelines have been proposed for post-operative rehabilitation following periacetabular osteotomy (PAO). However, the perspectives of individuals undergoing PAO have not been considered.

Aim

The present study aimed to explore the perceived challenges of everyday life and hopes for and expectations of post-PAO rehabilitation from the perspective of individuals with acetabular dysplasia living in Denmark and Australia.

Methods

In this qualitative study, we used a hermeneutic phenomenological approach with semi-structured interviews to explore the perspectives of 25 participants (four males), aged 16–43 years, who underwent a PAO. Purposeful sampling was used to provide variations in age and sex. Inclusion criteria were age above 15 years, radiographic evidence of acetabular dysplasia, PAO within the last seven weeks and undergoing post-operative rehabilitation. Inductive content analysis was adopted to code and analyse interviews.

Results

The analysis of the interview transcripts revealed four major themes: different expectations, self-confidence, tailored rehabilitation and aligning expectations. Several subthemes emerged within each theme, and similar patterns with minor variations were identified across countries. However, the financial burden of self-funded surgery and rehabilitation challenged some Australian participants, whereas none of the Danish participants mentioned this challenge.

Conclusion

Our findings elucidate the diverse range of hopes and expectations in individuals undergoing PAO, and how these relate to their perceived challenges. In particular, the findings highlight the importance of aligning expectations between individuals and clinicians when designing the rehabilitation.

导言已经提出了髋臼周围截骨术(PAO)术后康复指南,但尚未考虑接受 PAO 术者的观点。本研究旨在从居住在丹麦和澳大利亚的髋臼发育不良患者的角度,探讨他们所感受到的日常生活挑战以及对髋臼周围截骨术后康复的希望和期待。方法在这项定性研究中,我们采用诠释学现象学方法,通过半结构式访谈,探讨了 25 名年龄在 16-43 岁之间、接受过髋臼周围截骨术的参与者(4 名男性)的观点。我们采用了有目的的抽样,以提供年龄和性别上的差异。纳入标准为年龄在 15 岁以上、有髋臼发育不良的影像学证据、在过去七周内接受过 PAO 且正在进行术后康复。采用归纳式内容分析法对访谈进行编码和分析。结果对访谈记录的分析揭示了四个主要的主题:不同的期望、自信、量身定制的康复治疗和统一期望。在每个主题中都出现了几个次主题,在不同国家也发现了类似的模式,但略有不同。然而,自费手术和康复的经济负担给一些澳大利亚参与者带来了挑战,而丹麦参与者中没有一人提到这一挑战。研究结果特别强调了在设计康复方案时,个人和临床医生之间统一期望的重要性。
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引用次数: 0
The treatment, outcomes and management of hand, wrist, finger, and thumb injuries in the professional/amateur contact sport athletes: A scoping review 职业/业余接触性运动运动员手部、腕部、手指和拇指损伤的治疗、结果和管理:范围审查
IF 1.4 Q3 NURSING Pub Date : 2024-05-31 DOI: 10.1016/j.ijotn.2024.101108
Linda Ryan , Owen Doody

Introduction

Amateur and professional participation in sport and physical activity worldwide is increasing in popularity, which in turn is increasing the volume and types of injuries sustained by athletes. Ensuring these injuries are treated appropriately and efficiently is paramount for athletes’ recovery and return to sport in a timely and safe manner.

Methods

A scoping review to map the evidence regarding the treatment, outcomes and management of hand, wrist, finger, and thumb injuries in the professional/amateur athlete from contact sports. A search of seven electronic databases; SPORTdiscus, CINAHL, Medline, Scopus, Web of Science, Embase and Cochrane Library and grey literature was conducted in January 2024. The reporting of the review is in line with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews Checklist. Inductive content analysis was used to examine the data and the Critical Appraisal Skills Programme was used to appraise the quality of the included studies.

Results

Eight papers met the inclusion criteria and three themes emerged addressing the return to play/sport, surgical and conservative treatment and the most common/reoccurring injuries sustained from contact sports.

Conclusion

Managing hand, wrist, finger, and thumb injuries in athletes requires a varied approach depending on the type of injury, treatment options, and external pressures. While conservative treatment is common and effective, surgical intervention may be necessary in certain cases to improve recovery and facilitate a faster return to sport. Preventive measures in high-risk sports settings could help reduce the incidence of these injuries.

引言 世界各地的业余和专业体育运动日益普及,运动员受伤的数量和类型也随之增加。方法对职业/业余运动员在接触性运动中手部、腕部、手指和拇指损伤的治疗、结果和管理方面的证据进行范围界定。2024 年 1 月,对 SPORTdiscus、CINAHL、Medline、Scopus、Web of Science、Embase 和 Cochrane Library 七个电子数据库以及灰色文献进行了检索。综述报告符合《系统综述和元分析首选报告项目扩展范围综述核对表》。结果8篇论文符合纳入标准,出现了三个主题,分别涉及恢复比赛/运动、手术和保守治疗以及接触性运动中最常见/复发的损伤。虽然保守治疗很常见也很有效,但在某些情况下可能需要手术干预,以改善恢复情况并促进更快地重返运动场。在高风险运动环境中采取预防措施有助于降低这些损伤的发生率。
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引用次数: 0
Patient experience during their joint replacement journey: The role of the Orthopaedic Nurse Practitioner 患者在关节置换过程中的体验:骨科执业护士的作用
IF 1.4 Q3 NURSING Pub Date : 2024-05-17 DOI: 10.1016/j.ijotn.2024.101106
Lesley Thomas, Nicole Hadfield, Rebecca Munt

Background

The benefits of the Nurse Practitioner role in acute care are known however, the patient's experience of having an Orthopaedic Nurse Practitioner involved in their joint replacement care is unknown.

Aim

This study aimed to explore the experience of patients undergoing a hip or knee joint replacement who had an Orthopaedic Nurse Practitioner involved in their care.

Methods

This study used a qualitative descriptive design using semi-structured interviews with eleven participants. Data were analysed using Braun and Clark's six step reflexive thematic analysis framework.

Results

Four themes emerged from the thematic analysis: 1) Information sharing and education; 2) Support throughout the journey; 3) Coordination of care, and 4) Reassurance.

Conclusion

The role of the Orthopaedic Nurse Practitioner in supporting participants throughout their joint replacement journey provided benefits for the patient's health and recovery.

背景众所周知,执业护士在急症护理中发挥着重要作用,但患者对骨科执业护士参与其关节置换护理的体验却不得而知。研究目的本研究旨在探讨接受髋关节或膝关节置换的患者在骨科执业护士参与其护理后的体验。结果主题分析中出现了四个主题:1)信息共享和教育;2)全程支持;3)护理协调;4)保证。
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引用次数: 0
Assessment of kinesiophobia levels in patients with musculoskeletal pathologies: A demographic, physical, and clinical perspective 评估肌肉骨骼疾病患者的运动恐惧水平:从人口、身体和临床角度看问题。
IF 1.4 Q3 NURSING Pub Date : 2024-05-10 DOI: 10.1016/j.ijotn.2024.101105
Tuba Yerlikaya, Melis Bağkur, Hüseyin Bilal Özkader

Introduction

Kinesiophobia is a crucial factor influencing the rehabilitation process for individuals with musculoskeletal pathologies. Assessing kinesiophobia levels is crucial for personalized interventions.

Aim

The aim of this study is to investigate the level of kinesiophobia in individuals with musculoskeletal pathology based on the pathology areas, demographic, physical, and clinical characteristics.

Methods

A total of 210 participants with musculoskeletal pathologies were included in the study. All participants were assessed using a sociodemographic information form for demographic and physical characteristics, the Tampa Kinesiophobia Scale for kinesiophobia level, and the McGill-Melzack Pain Questionnaire for pain location and intensity.

Results

There was no statistically significant difference observed in kinesiophobia level between patients in terms of pathology location and sex. However, a significant difference in kinesiophobia levels was found among patients based on the acute and chronic duration of the disease (p = 0.00), previous treatment history (p = 0.04), and exercise engagement (p = 0.00). When kinesiophobia levels were examined according to educational status, a significant difference was found between the primary education group and the undergraduate and above group (p = 0.00).

Conclusions

According to the results of this study, kinesiophobia levels appear to be independent of pathology location and sex, but vary based on educational level, exercise habits, pain duration and history of previous treatment. Considering these findings, it is essential to take into account these factors in treatment programs in clinical practice and to provide support in exercise and physical activity training to individuals who have previously received treatment and individuals with low education levels.

简介运动恐惧是影响肌肉骨骼疾病患者康复过程的一个重要因素。目的:本研究旨在根据病理部位、人口统计学特征、身体特征和临床特征,调查肌肉骨骼病变患者的运动恐惧程度:研究共纳入了 210 名肌肉骨骼病变患者。所有参与者均使用社会人口信息表评估了人口和身体特征,使用坦帕运动恐惧量表评估了运动恐惧程度,使用麦吉尔-梅尔扎克疼痛问卷评估了疼痛部位和强度:结果:在病理位置和性别方面,运动恐惧程度在患者之间没有明显的统计学差异。然而,根据疾病的急性期和慢性期(p = 0.00)、既往治疗史(p = 0.04)和运动参与度(p = 0.00),患者的运动恐惧水平存在明显差异。根据受教育程度对运动恐惧水平进行研究,发现小学教育组与本科及以上教育组之间存在显著差异(p = 0.00):根据这项研究的结果,运动恐惧的程度似乎与病变部位和性别无关,但会因教育程度、运动习惯、疼痛持续时间和既往治疗史的不同而有所差异。考虑到这些研究结果,在临床实践中制定治疗方案时必须考虑到这些因素,并为曾经接受过治疗的患者和受教育程度较低的患者提供运动和体育锻炼方面的支持。
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引用次数: 0
Metaphorical perceptions of surgical nurses regarding care for earthquake victims 外科护士对护理地震灾民的比喻性认识
IF 1.4 Q3 NURSING Pub Date : 2024-05-09 DOI: 10.1016/j.ijotn.2024.101104
Hamide Şişman , Şeyma Yurtseven , Sevban Arslan

Background

The physical, psychological, and social effects of the earthquake affect a person's functionality directly. It challenges individuals because it is often traumatizing, intense fear is experienced, and it is unpredictable, uncontrollable, and destructive. Nurses are one of the professional groups that have important duties in social disasters, and they are constantly exposed to the details of the traumatic situation, sometimes physically and sometimes by listening. To understand the severity of the trauma caused by this exposure, it is important to understand the emotions and thoughts that nurses feel while caring for earthquake victims.

Aims

This study was planned to reveal the perceptions of nurses, who were themselves earthquake victims, regarding caring for earthquake victims through metaphors.

Methods

This study was conducted as a phenomenological study with a qualitative research approach, in a province affected by the earthquake, with 85 surgical clinic nurses who were also earthquake victims and cared for earthquake victims.

Results

The metaphors produced were examined together with their reasons and grouped under 3 categories (positive, negative, both positive and negative).

Conclusions

As a result, when the metaphors used by earthquake victims are evaluated, the effects of nurses being earthquake victims themselves can be seen in the metaphors. It is revealed through metaphors that nurses' earthquake-related traumas are triggered while caring for earthquake victims.

背景地震对身体、心理和社会的影响直接影响到一个人的功能。地震给人们带来的挑战包括:创伤、强烈的恐惧感、不可预测、不可控制和破坏性。护士是在社会灾难中承担重要职责的专业群体之一,他们经常接触到创伤情况的细节,有时是身体接触,有时是通过倾听。为了了解这种接触所造成的创伤的严重性,了解护士在照顾地震灾民时的情感和想法非常重要。本研究计划通过隐喻揭示本身是地震灾民的护士对照顾地震灾民的看法。方法本研究是一项现象学研究,采用定性研究方法,在一个受地震影响的省份进行,85 名外科诊所护士也是地震灾民,并护理过地震灾民。结论对地震灾民使用的隐喻进行评估时,可以从隐喻中看出护士本身是地震灾民的影响。通过隐喻可以看出,护士在护理地震灾民时引发了与地震有关的创伤。
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引用次数: 0
Transitioning from hospital to home after a major lower extremity amputation: Interview study on patients' and relatives’ perspectives 下肢大截肢后从医院到家庭的过渡:关于患者和亲属观点的访谈研究
IF 1.4 Q3 NURSING Pub Date : 2024-04-19 DOI: 10.1016/j.ijotn.2024.101103
Charlotte Abrahamsen , Dorte Dall-Hansen , Malene Tofteng Igelski , Thea-Louise Schober , Charlotte Myhre Jensen

Introduction

Patients often feel unprepared and concerned about their new life after a major lower extremity amputation (LEA). Therefore, we implemented an integrated care program, Safe Journey, to optimize the quality and continuity of care for patients with LEA due to vascular disease when transitioning from hospital to home. This study aims to illuminate and explore the experiences of patients with LEA and their relatives with the transition from hospital to home after implementing Safe Journey.

Material and methods

This qualitative, exploratory study individually interviewed six patients with a major LEA and four relatives and jointly interviewed eight patients with their relatives.

Results

The participants’ experiences transitioning from hospital to home were centered around two major themes: (1) Going home: mixed emotions and confusion, and (2) bridging the gap. The main themes encompassed six subthemes: (1) simultaneously expectant and worried, (2) a lack of knowledge creating uncertainty, (3) an unexpressed but pending need for psychosocial support, (4) reassurance but safety comes at a price, (5) navigating the system, and (6) lack of involvement.

Conclusion

Transitioning from hospital to home after a major LEA creates mixed emotions. Knowledge, feeling involved, and being prepared and cared for were highlighted as important during the transition. The Safe Journey program made patients and relatives feel physically reassured and safe, but all the home visits strained the families. The program's benefits are consistent with existing knowledge on patients with complex needs benefitting from integrated care models. However, a more individualized and person-centered approach is needed.

导言:下肢大截肢(LEA)后,患者往往对新生活感到毫无准备和担忧。因此,我们实施了一项名为 "安全之旅"(Safe Journey)的综合护理计划,以优化因血管疾病导致下肢截肢的患者从医院向家庭过渡时的护理质量和连续性。本研究旨在阐明和探讨在实施 "安全之旅 "后,LEA 患者及其亲属从医院向家庭过渡的经历。材料和方法这项定性、探索性研究单独采访了 6 名重度 LEA 患者和 4 名亲属,并联合采访了 8 名患者及其亲属。结果参与者从医院向家庭过渡的经历主要围绕两个主题:(1)回家:复杂的情绪和困惑,以及(2)弥合差距。主要主题包括六个次主题:(1) 既期待又担心;(2) 缺乏知识造成不确定性;(3) 未表达但急需社会心理支持;(4) 放心但安全是有代价的;(5) 系统导航;(6) 缺乏参与。在过渡期间,知识、参与感以及做好准备和得到照顾被强调为非常重要。安全之旅 "计划让病人和亲属感到安心和安全,但所有的家访都让家属感到紧张。该计划的益处与现有的关于有复杂需求的病人从综合护理模式中受益的知识是一致的。然而,还需要一种更加个性化和以人为本的方法。
{"title":"Transitioning from hospital to home after a major lower extremity amputation: Interview study on patients' and relatives’ perspectives","authors":"Charlotte Abrahamsen ,&nbsp;Dorte Dall-Hansen ,&nbsp;Malene Tofteng Igelski ,&nbsp;Thea-Louise Schober ,&nbsp;Charlotte Myhre Jensen","doi":"10.1016/j.ijotn.2024.101103","DOIUrl":"10.1016/j.ijotn.2024.101103","url":null,"abstract":"<div><h3>Introduction</h3><p>Patients often feel unprepared and concerned about their new life after a major lower extremity amputation (LEA). Therefore, we implemented an integrated care program, <em>Safe Journey</em>, to optimize the quality and continuity of care for patients with LEA due to vascular disease when transitioning from hospital to home. This study aims to illuminate and explore the experiences of patients with LEA and their relatives with the transition from hospital to home after implementing <em>Safe Journey</em>.</p></div><div><h3>Material and methods</h3><p>This qualitative, exploratory study individually interviewed six patients with a major LEA and four relatives and jointly interviewed eight patients with their relatives.</p></div><div><h3>Results</h3><p>The participants’ experiences transitioning from hospital to home were centered around two major themes: (1) Going home: mixed emotions and confusion, and (2) bridging the gap. The main themes encompassed six subthemes: (1) simultaneously expectant and worried, (2) a lack of knowledge creating uncertainty, (3) an unexpressed but pending need for psychosocial support, (4) reassurance but safety comes at a price, (5) navigating the system, and (6) lack of involvement.</p></div><div><h3>Conclusion</h3><p>Transitioning from hospital to home after a major LEA creates mixed emotions. Knowledge, feeling involved, and being prepared and cared for were highlighted as important during the transition. The <em>Safe Journey</em> program made patients and relatives feel physically reassured and safe, but all the home visits strained the families. The program's benefits are consistent with existing knowledge on patients with complex needs benefitting from integrated care models. However, a more individualized and person-centered approach is needed.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101103"},"PeriodicalIF":1.4,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000236/pdfft?md5=ffd9e367e6c049f1c210729aefb47dca&pid=1-s2.0-S1878124124000236-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140785405","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
Focus on Fragility Fracture Training and education for Nurses 关注脆性骨折对护士的培训和教育
IF 1.4 Q3 NURSING Pub Date : 2024-04-18 DOI: 10.1016/j.ijotn.2024.101102
Ms Lingli Peng
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引用次数: 0
Adult patients' experiences after a distal radius fracture – A qualitative systematic review 桡骨远端骨折后成人患者的经历--定性系统回顾
IF 1.4 Q3 NURSING Pub Date : 2024-04-13 DOI: 10.1016/j.ijotn.2024.101101
Caroline Moos , Charlotte Abrahamsen , Bjarke Viberg , Charlotte Myhre Jensen

Background

Distal radius fractures are a common presentation in emergency departments. Synthesis of qualitative research of treatment, care and rehabilitation this fracture presents from the patient perspective could improve clinical practice and care. The purpose of this systematic review was to synthesize the qualitative literature on patient experiences after sustaining a distal radius fracture.

Methods

We searched Embase, MEDLINE, CINAHL, Psycinfo and CINAHL to identify qualitative studies published from database conception to May 2023. All studies were screened, extracted, analysed and quality assessed by two blinded reviewers. A thematic synthesis approach was used to analyse the findings from included studies.

Results

A total of 9 studies interviewing 160 unique patients were included. We identified 3 themes in relation to patient experiences after sustaining a distal radius fracture: 1) Concerns about dependency, 2) Fear and pain and 3) Motivators for recovery. The themes did not exist as sharply demarcated topics but were intertwined with patients reflecting that more information and knowledge could assist in managing expectations and the recovery period.

Conclusion

Our synthesis highlighted that adult patients with DRF experience a lack of information about the care and treatment inhibiting independence and successful management of expectations due to pain, fear and lack of motivation. Our findings can inform orthopaedic units and assist in tailoring information to patient needs.

背景桡骨远端骨折是急诊科的常见病。从患者的角度对这种骨折的治疗、护理和康复进行定性研究,可以改善临床实践和护理。方法我们检索了Embase、MEDLINE、CINAHL、Psycinfo和CINAHL,以确定从数据库建立到2023年5月期间发表的定性研究。所有研究均由两名盲审稿人进行筛选、提取、分析和质量评估。结果 共纳入了 9 项研究,采访了 160 名患者。我们就桡骨远端骨折患者的经历确定了 3 个主题:1)对依赖性的担忧;2)恐惧和疼痛;3)康复的动力。这些主题并不是截然分开的,而是交织在一起的,患者反映更多的信息和知识可以帮助他们管理期望值和恢复期。我们的研究结果可为骨科单位提供参考,并有助于根据患者的需求调整信息。
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引用次数: 0
Evaluation of reduced (‘Lite’) compression versus brief bandaging to manage post-operative pain after total knee arthroplasty surgery; a single-centre randomised controlled trial 全膝关节置换术后减轻("轻")压迫与短暂包扎以控制术后疼痛的评估;单中心随机对照试验
IF 1.4 Q3 NURSING Pub Date : 2024-04-05 DOI: 10.1016/j.ijotn.2024.101100
Matt Dawson , William Hage , Cristian Nita , Lucy Bell , Janice Gorman , Leon Jonker

Purpose

Investigate efficacy of reduced compression bandage for the control of pain after total knee arthroplasty.

Patients & methods

Prospective, single-centre, randomised controlled trial involving data for 56 out of 94 consented patients; 29 standard care versus 27 Andoflex TLC Calamine Lite. Comparison of standard care (non-compression bandage applied for up to one day) versus Andoflex TLC Calamine Lite (25–30 mmHg) two-layer compression bandage worn for five days. Outcomes measured with validated pain (McGill, 10-cm visual scale) and functionality (KOOS) tools.

Results

At day 5 post-surgery, the median pain level was 3.0 cm vs 4.0 cm (p-value 0.47, Mann-Whitney U test) respectively. Generic pain levels, pain types, and knee functionality did not differ between the interventions at days 3/5/12 and week 6 post-surgery. An exception was the degree of ‘tender’ pain at day 12, which was significantly lower in the Andoflex TLC Calamine Lite arm (p-value 0.041, Mann-Whitney U test). Binary logistic regression analysis showed that application of Andoflex TLC Calamine Lite, administration of oxycodone, and male sex were all significantly associated with less ‘tender’ pain.

Conclusion

Reduced compression bandaging does not affect overall pain levels post knee arthroplasty surgery, but may alleviate pain experienced as ‘tender’, highlighting the different types of pain that may be experienced. Patients' need for, and the use of, opioid medication (oxycodone) is a significant confounding variable when assessing adjuvant therapy to control pain. The applicability of reduced compression bandaging may therefore be limited and is less efficient than medical pain control.

目的研究减压绷带在控制全膝关节置换术后疼痛方面的疗效。患者与样本;方法前瞻性、单中心、随机对照试验,涉及 94 名同意患者中 56 名的数据;29 名标准护理与 27 名 Andoflex TLC Calamine Lite。比较标准护理(最多使用一天的非压力绷带)与使用五天的 Andoflex TLC Calamine Lite(25-30 mmHg)双层压力绷带。结果术后第 5 天,中位疼痛水平分别为 3.0 厘米和 4.0 厘米(P 值为 0.47,Mann-Whitney U 检验)。在术后第 3/5/12 天和第 6 周,干预措施之间的一般疼痛程度、疼痛类型和膝关节功能没有差异。但在第 12 天,"触痛 "程度在 Andoflex TLC Calamine Lite 治疗组明显降低(P 值 0.041,Mann-Whitney U 检验)。二元逻辑回归分析表明,使用 Andoflex TLC Calamine Lite、服用羟考酮、男性性别都与 "压痛 "程度较轻有明显关系。在评估控制疼痛的辅助疗法时,患者对阿片类药物(羟考酮)的需求和使用是一个重要的混杂变量。因此,减压绷带的适用性可能有限,而且不如药物止痛有效。
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引用次数: 0
Literature reviews 文献综述
IF 1.4 Q3 NURSING Pub Date : 2024-04-05 DOI: 10.1016/j.ijotn.2024.101097
Mary Drozd, Carmen Queiros, Shareena Bibi Mohd Arif
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引用次数: 0
期刊
International Journal of Orthopaedic and Trauma Nursing
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