首页 > 最新文献

International Journal of Orthopaedic and Trauma Nursing最新文献

英文 中文
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 Q2 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。
{"title":"Patient experience during their joint replacement journey: The role of the Orthopaedic Nurse Practitioner","authors":"Lesley Thomas,&nbsp;Nicole Hadfield,&nbsp;Rebecca Munt","doi":"10.1016/j.ijotn.2024.101106","DOIUrl":"10.1016/j.ijotn.2024.101106","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Aim</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>Four themes emerged from the thematic analysis: 1) Information sharing and education; 2) Support throughout the journey; 3) Coordination of care, and 4) Reassurance.</p></div><div><h3>Conclusion</h3><p>The role of the Orthopaedic Nurse Practitioner in supporting participants throughout their joint replacement journey provided benefits for the patient's health and recovery.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029766","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
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 Q2 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。
{"title":"Assessment of kinesiophobia levels in patients with musculoskeletal pathologies: A demographic, physical, and clinical perspective","authors":"Tuba Yerlikaya,&nbsp;Melis Bağkur,&nbsp;Hüseyin Bilal Özkader","doi":"10.1016/j.ijotn.2024.101105","DOIUrl":"10.1016/j.ijotn.2024.101105","url":null,"abstract":"<div><h3>Introduction</h3><p>Kinesiophobia is a crucial factor influencing the rehabilitation process for individuals with musculoskeletal pathologies. Assessing kinesiophobia levels is crucial for personalized interventions.</p></div><div><h3>Aim</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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).</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945279","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
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 Q2 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。
{"title":"Metaphorical perceptions of surgical nurses regarding care for earthquake victims","authors":"Hamide Şişman ,&nbsp;Şeyma Yurtseven ,&nbsp;Sevban Arslan","doi":"10.1016/j.ijotn.2024.101104","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101104","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Aims</h3><p>This study was planned to reveal the perceptions of nurses, who were themselves earthquake victims, regarding caring for earthquake victims through metaphors.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>The metaphors produced were examined together with their reasons and grouped under 3 categories (positive, negative, both positive and negative).</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140948810","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
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 Q2 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":null,"pages":null},"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 Q2 Nursing Pub Date : 2024-04-18 DOI: 10.1016/j.ijotn.2024.101102
Ms Lingli Peng
{"title":"Focus on Fragility Fracture Training and education for Nurses","authors":"Ms Lingli Peng","doi":"10.1016/j.ijotn.2024.101102","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101102","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140641325","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
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 Q2 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。
{"title":"Adult patients' experiences after a distal radius fracture – A qualitative systematic review","authors":"Caroline Moos ,&nbsp;Charlotte Abrahamsen ,&nbsp;Bjarke Viberg ,&nbsp;Charlotte Myhre Jensen","doi":"10.1016/j.ijotn.2024.101101","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101101","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000212/pdfft?md5=68e6b87c832a6078d5f958daafee5ac2&pid=1-s2.0-S1878124124000212-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140605125","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
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 Q2 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。
{"title":"Evaluation of reduced (‘Lite’) compression versus brief bandaging to manage post-operative pain after total knee arthroplasty surgery; a single-centre randomised controlled trial","authors":"Matt Dawson ,&nbsp;William Hage ,&nbsp;Cristian Nita ,&nbsp;Lucy Bell ,&nbsp;Janice Gorman ,&nbsp;Leon Jonker","doi":"10.1016/j.ijotn.2024.101100","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101100","url":null,"abstract":"<div><h3>Purpose</h3><p>Investigate efficacy of reduced compression bandage for the control of pain after total knee arthroplasty.</p></div><div><h3>Patients &amp; methods</h3><p>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.</p></div><div><h3>Results</h3><p>At day 5 post-surgery, the median pain level was 3.0 cm vs 4.0 cm (p-value 0.47, Mann-Whitney <em>U</em> 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 <em>U</em> 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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000200/pdfft?md5=164c65c72f05a14819f5dd2a5f890c16&pid=1-s2.0-S1878124124000200-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140554799","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
Literature reviews 文献综述
IF 1.4 Q2 Nursing Pub Date : 2024-04-05 DOI: 10.1016/j.ijotn.2024.101097
Mary Drozd, Carmen Queiros, Shareena Bibi Mohd Arif
{"title":"Literature reviews","authors":"Mary Drozd,&nbsp;Carmen Queiros,&nbsp;Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2024.101097","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101097","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350724","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
Sense of coherence as a predictor for patients’ quality of recovery after total hip or knee arthroplasty - A descriptive cohort study 一致性感是全髋关节或膝关节置换术后患者康复质量的预测因素--一项描述性队列研究
IF 1.4 Q2 Nursing Pub Date : 2024-04-04 DOI: 10.1016/j.ijotn.2024.101099
Dorthe Hasfeldt , Jimmy Højberg Holm , Martin Lindberg-Larsen , Søren Overgaard

Background

Patients' postoperative quality of recovery (QOR) is an important outcome measurement and predicting and preventing impaired quality of recovery is essential. In this study, we aimed to investigate if patients Sense of Coherence (SOC) could be a potential predictor and screening instrument for impaired quality of recovery. We hypothesized that patients’ SOC is positively related to their QOR.

Material and methods

The study was performed as a descriptive single-center prospective cohort study. Data was collected using digital questionnaires. Patients undergoing total hip (THA) or knee arthroplasty (TKA) received the SOC13 questionnaire prior to their surgery to establish their SOC and a questionnaire on postoperative day 2 and 7, respectively, establishing their QOR. Multiple linear regression was used to fit a model for the QOR score using SOC, age, sex, and type of surgery as potential explanatory variables.

Results

206 patients were included in the study analysis. The results showed a highly significant positive correlation between patients’ SOC and their postoperative QOR on both postoperative day 2 and 7 (p < 0.01). Patients with a lower SOC score also presented a significantly lower QOR score, meaning they experienced impaired QOR compared to patients with a higher SOC score.

Conclusions

The results indicate that a weak SOC (low SOC score) can be considered a clinically important indicator for risk of impaired QOR (low QOR score) after THA and TKA. The SOC13 questionnaire may be a potential screening instrument identifying patients in risk of impaired postoperative QOR based on a low SOC score.

背景患者的术后恢复质量(QOR)是一项重要的结果测量指标,预测和预防恢复质量受损至关重要。在本研究中,我们旨在探讨患者的一致性感觉(SOC)是否可以作为潜在的康复质量受损预测和筛查工具。我们假设患者的 SOC 与他们的 QOR 呈正相关。使用数字问卷收集数据。接受全髋关节置换术(THA)或膝关节置换术(TKA)的患者在手术前接受 SOC13 问卷调查,以确定其 SOC,并分别在术后第 2 天和第 7 天接受问卷调查,以确定其 QOR。以 SOC、年龄、性别和手术类型为潜在解释变量,采用多元线性回归拟合 QOR 评分模型。结果显示,在术后第 2 天和第 7 天,患者的 SOC 与术后 QOR 之间均存在高度显著的正相关性(p < 0.01)。结果表明,SOC 弱(SOC 得分低)可被视为 THA 和 TKA 术后 QOR 受损(QOR 得分低)风险的重要临床指标。SOC13 问卷可作为一种潜在的筛查工具,根据低 SOC 得分识别术后 QOR 受损风险的患者。
{"title":"Sense of coherence as a predictor for patients’ quality of recovery after total hip or knee arthroplasty - A descriptive cohort study","authors":"Dorthe Hasfeldt ,&nbsp;Jimmy Højberg Holm ,&nbsp;Martin Lindberg-Larsen ,&nbsp;Søren Overgaard","doi":"10.1016/j.ijotn.2024.101099","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101099","url":null,"abstract":"<div><h3>Background</h3><p>Patients' postoperative quality of recovery (QOR) is an important outcome measurement and predicting and preventing impaired quality of recovery is essential. In this study, we aimed to investigate if patients Sense of Coherence (SOC) could be a potential predictor and screening instrument for impaired quality of recovery. We hypothesized that patients’ SOC is positively related to their QOR.</p></div><div><h3>Material and methods</h3><p>The study was performed as a descriptive single-center prospective cohort study. Data was collected using digital questionnaires. Patients undergoing total hip (THA) or knee arthroplasty (TKA) received the SOC13 questionnaire prior to their surgery to establish their SOC and a questionnaire on postoperative day 2 and 7, respectively, establishing their QOR. Multiple linear regression was used to fit a model for the QOR score using SOC, age, sex, and type of surgery as potential explanatory variables.</p></div><div><h3>Results</h3><p>206 patients were included in the study analysis. The results showed a highly significant positive correlation between patients’ SOC and their postoperative QOR on both postoperative day 2 and 7 (p &lt; 0.01). Patients with a lower SOC score also presented a significantly lower QOR score, meaning they experienced impaired QOR compared to patients with a higher SOC score.</p></div><div><h3>Conclusions</h3><p>The results indicate that a weak SOC (low SOC score) can be considered a clinically important indicator for risk of impaired QOR (low QOR score) after THA and TKA. The SOC13 questionnaire may be a potential screening instrument identifying patients in risk of impaired postoperative QOR based on a low SOC score.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000194/pdfft?md5=f8f0864d5f42b1e65e6e32eb50e21c2c&pid=1-s2.0-S1878124124000194-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140536910","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
Non-linear relationship between preoperative albumin-globulin ratio and postoperative pneumonia in patients with hip fracture 髋部骨折患者术前白蛋白-球蛋白比值与术后肺炎之间的非线性关系
IF 1.4 Q2 Nursing Pub Date : 2024-04-03 DOI: 10.1016/j.ijotn.2024.101098
Daxue Zhang , Yu Zhang , Shiwei Yang

Background and objective

Postoperative pneumonia (POP) is the leading cause of death among patients with hip fractures. Simple and cost-effective markers can be used to assess the risk of these patients. This study aims to investigate the association between POP and preoperative albumin-globulin ratio (AGR) in patients with hip fractures.

Methods

A retrospective analysis was conducted on data from 1417 hip fracture patients admitted to the Department of Orthopaedics at the hospital. Generalized additive and logistic regression models were used to determine both linear and non-linear associations between preoperative AGR and POP. A two-piece regression model was employed to determine the threshold effect.

Results

The study included 1417 participants, with a mean age of 77.57 (8.53) years and 26.96% (382/1417) male patients. The prevalence of POP was 6.21%. Following full covariate adjustment, each unit increase in AGR was associated with a 79% reduction in the incidence of POP (OR, 0.23; 95% CI: 0.08–0.63; P = 0.0046). The inflection point was found to be 1.33 using a two-piecewise regression model. For each unit increase in AGR on the left side of the inflection point, the incidence of POP decreased by 93% (OR, 0.07; 95%CI: 0.02–0.34; P = 0.0010). However, there was no statistically significant correlation on the right side of the inflection point (OR, 0.84; 95% CI: 0.17–4.10; P = 0.8287).

Conclusion

There exists a non-linear association between preoperative AGR and the incidence of POP in elderly hip fracture patients. When AGR is less than 1.33, the incidence of POP is negatively correlated with AGR. However, there is no correlation when AGR is greater than 1.33.

背景和目的术后肺炎(POP)是导致髋部骨折患者死亡的主要原因。评估这些患者的风险可以使用简单而经济的指标。本研究旨在探讨髋部骨折患者术后肺炎(POP)与术前白蛋白-球蛋白比值(AGR)之间的关联。采用广义加和逻辑回归模型确定术前 AGR 与 POP 之间的线性和非线性关系。结果该研究共纳入 1417 名参与者,平均年龄为 77.57(8.53)岁,男性患者占 26.96%(382/1417)。POP 患病率为 6.21%。经全面协变量调整后,AGR 每增加一个单位,POP 发病率就会降低 79%(OR,0.23;95% CI:0.08-0.63;P = 0.0046)。使用两件式回归模型发现拐点为 1.33。拐点左侧的 AGR 每增加一个单位,POP 的发生率就会降低 93%(OR,0.07;95%CI:0.02-0.34;P = 0.0010)。结论老年髋部骨折患者术前 AGR 与 POP 发生率之间存在非线性关系。当 AGR 小于 1.33 时,POP 的发生率与 AGR 呈负相关。但是,当 AGR 大于 1.33 时,两者之间没有相关性。
{"title":"Non-linear relationship between preoperative albumin-globulin ratio and postoperative pneumonia in patients with hip fracture","authors":"Daxue Zhang ,&nbsp;Yu Zhang ,&nbsp;Shiwei Yang","doi":"10.1016/j.ijotn.2024.101098","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101098","url":null,"abstract":"<div><h3>Background and objective</h3><p>Postoperative pneumonia (POP) is the leading cause of death among patients with hip fractures. Simple and cost-effective markers can be used to assess the risk of these patients. This study aims to investigate the association between POP and preoperative albumin-globulin ratio (AGR) in patients with hip fractures.</p></div><div><h3>Methods</h3><p>A retrospective analysis was conducted on data from 1417 hip fracture patients admitted to the Department of Orthopaedics at the hospital. Generalized additive and logistic regression models were used to determine both linear and non-linear associations between preoperative AGR and POP. A two-piece regression model was employed to determine the threshold effect.</p></div><div><h3>Results</h3><p>The study included 1417 participants, with a mean age of 77.57 (8.53) years and 26.96% (382/1417) male patients. The prevalence of POP was 6.21%. Following full covariate adjustment, each unit increase in AGR was associated with a 79% reduction in the incidence of POP (OR, 0.23; 95% CI: 0.08–0.63; P = 0.0046). The inflection point was found to be 1.33 using a two-piecewise regression model. For each unit increase in AGR on the left side of the inflection point, the incidence of POP decreased by 93% (OR, 0.07; 95%CI: 0.02–0.34; P = 0.0010). However, there was no statistically significant correlation on the right side of the inflection point (OR, 0.84; 95% CI: 0.17–4.10; P = 0.8287).</p></div><div><h3>Conclusion</h3><p>There exists a non-linear association between preoperative AGR and the incidence of POP in elderly hip fracture patients. When AGR is less than 1.33, the incidence of POP is negatively correlated with AGR. However, there is no correlation when AGR is greater than 1.33.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140545967","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
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1