International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Impact of obesity on outcomes after total hip and knee replacement: A study on hospital length of stay and readmission rates in NHS Scotland","authors":"Wissem Tafat ,&nbsp;David McDonald ,&nbsp;Marcin Budka ,&nbsp;Thomas W. Wainwright","doi":"10.1016/j.ijotn.2025.101216","DOIUrl":"10.1016/j.ijotn.2025.101216","url":null,"abstract":"<div><h3>Introduction</h3><div>Obesity presents significant challenges in the perioperative management of patients undergoing total hip replacement (THR) and total knee replacement (TKR). This study investigates the association between BMI and the outcome measures length of stay and 30-day readmission rate, among National Health Service (NHS) patients in Scotland.</div></div><div><h3>Methods</h3><div>This analysis included data from 50,751 patients who underwent THR or TKR between July 2019 and February 2025. BMI was categorised into six groups then further divided into two categories: “Not Obese” and “Obese”. LOS was classified as short or long. The analysis included a statistical method to visualise the relationship between BMI and the outcomes and logistic regression models that incorporated additional factors to assess their association with the outcomes.</div></div><div><h3>Results</h3><div>Patients with a BMI ≥40 had a longer mean length of stay (LOS) of 3.44 days and a median of 3 days, compared to a mean of 3.02 days and a median of 2 days among those with BMI &lt;40 (p &lt; 0.001). The odds of experiencing a prolonged hospital stay increased progressively with BMI thresholds: odds ratios were 1.43 for BMI ≥40, 1.53 for BMI ≥45, and 1.89 for BMI ≥50 (all p &lt; 0.001). Patients with higher BMI, particularly those classified as Super Obese, demonstrated elevated 30-day readmission rates, reaching up to 17.5 %.</div></div><div><h3>Conclusion</h3><div>Higher BMI, especially in the morbidly and super obese ranges, is associated with extended hospital stays and increased 30-day readmission rates following THR and TKR.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101216"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831369","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}

{"title":"Corrigendum to “Postoperative recovery in orthopedic surgery: Exploring the roles of pain intensity, opioid consumption, pain catastrophizing, and emotional distress” [Int. J. Orthopaedic Trauma Nurs. 57 (2025) 101185]","authors":"Heba Khalil ,&nbsp;Abedalmajeed Shajrawi ,&nbsp;Fatma Refaat Ahmed ,&nbsp;Wegdan Bani-Issa ,&nbsp;Nabeel Al-Yateem ,&nbsp;Loai Abu Shahrour ,&nbsp;Alham Al-Sharman ,&nbsp;Muhammad Arsyad Subu ,&nbsp;Richard Mottershead ,&nbsp;Ahmed Mohammad Al-Smadi ,&nbsp;Khalil Yousef","doi":"10.1016/j.ijotn.2025.101220","DOIUrl":"10.1016/j.ijotn.2025.101220","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101220"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902430","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}

{"title":"Corrigendum to “Examining postoperative care: Predictors of perceived pain relief and satisfaction with pain management after orthopedic surgeries”[Int. J. Orthopaedic Trauma Nurs. 56 (2025) 101159]","authors":"Heba Khalil ,&nbsp;Abedalmajeed Shajrawi ,&nbsp;Ahmed Mohammad Al-Smadi ,&nbsp;Wegdan Bani-Issa ,&nbsp;Fatma Refaat Ahmed ,&nbsp;Loai AbuSharour ,&nbsp;Nabeel Al-Yateem ,&nbsp;Khalil Yousef","doi":"10.1016/j.ijotn.2025.101219","DOIUrl":"10.1016/j.ijotn.2025.101219","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101219"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895303","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}

{"title":"Development and reliability testing of an orthopaedic nurses' knowledge, attitudes, and practices (KAP) questionnaire on perioperative nutrition management for older adults with hip fractures","authors":"Ying Zhang ,&nbsp;Yang Hong ,&nbsp;Jie Wang ,&nbsp;Huan Liu ,&nbsp;Peifang Xia","doi":"10.1016/j.ijotn.2025.101217","DOIUrl":"10.1016/j.ijotn.2025.101217","url":null,"abstract":"<div><h3>Background</h3><div>In China, orthopaedic nurses serve as the primary providers of perioperative nutritional management for older adults with hip fractures. Their knowledge, attitudes, and practices regarding nutritional management directly impact protocol implementation, therapeutic efficacy, and patient rehabilitation outcomes. Although enhancing these competencies is crucial, no validated assessment tool currently exists for this specific context.</div></div><div><h3>Objective</h3><div>To develop and validate a questionnaire assessing orthopaedic nurses' knowledge, attitudes, and beliefs regarding perioperative nutritional management for older adults with hip fractures.</div></div><div><h3>Methods</h3><div>The preliminary questionnaire was developed based on the Knowledge-Attitude-Practice (KAP) theory framework, incorporating literature analysis, a two-round Delphi expert consultation, and a pilot survey. Using convenience sampling, we recruited 387 orthopaedic nurses from 11 tertiary-level public hospitals (Grade B or above) in Jiangsu Province between October and December 2024. The questionnaire underwent rigorous item analysis, reliability assessment and validity testing.</div></div><div><h3>Results</h3><div>The final questionnaire comprised 39 items across three dimensions, demonstrating excellent reliability (Cronbach's α = 0.977) and validity (item-level CVI = .800–1.000; scale-level CVI = .923). Exploratory factor analysis supported the theoretical Knowledge-Attitude-Practice framework, extracting three factors with loadings of .591–.855 that collectively explained 72.396 % of variance. Confirmatory factor analysis further validated the structure, showing acceptable model fit indices and questionnaire stability.</div></div><div><h3>Conclusion</h3><div>The Orthopaedic Nurses' Knowledge, Attitudes and Practices (KAP) on Perioperative Nutritional Management for Older Adults with Hip Fractures Questionnaire demonstrates robust psychometric properties, establishing its validity and reliability as an assessment tool for evaluating nursing competencies in this clinical domain.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101217"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866829","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}

{"title":"Nurses' perspective on transitional care for older person with hip fracture: a qualitative study","authors":"Paula Rocha ,&nbsp;Cristina Lavareda Baixinho ,&nbsp;Carlos Albuquerque ,&nbsp;Susana Batista ,&nbsp;Maria Adriana Henriques","doi":"10.1016/j.ijotn.2025.101214","DOIUrl":"10.1016/j.ijotn.2025.101214","url":null,"abstract":"<div><h3>Background</h3><div>The aging process, being associated with a decrease in physical functionality, determines an increased risk of falling and, consequently, a greater risk of associated fractures. Among them, hip fracture often causes functional decline and difficulty returning to the state before the fracture.</div></div><div><h3>Objective</h3><div>To analyze nurses' perceptions of the transition process of the older person with hip fractures on returning home.</div></div><div><h3>Methods</h3><div>A descriptive, exploratory study of a qualitative nature was developed, based on two focus groups (FGs) with semi-structured interviews with nurses providing care to patients with hip fractures undergoing surgical treatment, whose activity takes place in a hospital context and care primary healthcare units, belonging to a Hospital in the central region of Portugal. Systematic data analysis and respective inductive work were carried out, with support from software Meetpulp®.</div></div><div><h3>Results</h3><div>The analysis of the two FGs, with 10 participants, outlines the contours of the problem that influences the personal, organizational and political spheres. Professionals recommend solutions to mitigate obstacles to the transition of care, such as: early involvement and better preparation of family members before discharge, offering greater support to caregivers, improving communication between professionals, creating a telephone support line, highlighting the importance networking and streamlining processes.</div></div><div><h3>Conclusion</h3><div>Nurses perceive important problems inherent to the transition process of older person with hip fractures, and the resulting impact on family caregivers and health services. The analysis of these aspects can constitute a basis for the reorganization of health services, in search of the best response to these needs.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101214"},"PeriodicalIF":2.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722965","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}

{"title":"Development and reliability testing of a symptom assessment scale for postoperative patients with adolescent idiopathic scoliosis","authors":"Rong Yan ,&nbsp;Wei Liu ,&nbsp;Yan He ,&nbsp;Xuedan Li ,&nbsp;Jie Luo ,&nbsp;Huiwen Wang ,&nbsp;Suyun Li","doi":"10.1016/j.ijotn.2025.101213","DOIUrl":"10.1016/j.ijotn.2025.101213","url":null,"abstract":"<div><h3>Background</h3><div>Patients with adolescent idiopathic scoliosis (AIS) often experience pain, fatigue, decreased appetite, anxiety and depression, etc. Previous studies have focused on investigating a single symptom in patients with AIS, ignoring possible synergistic effects between symptoms, or using self-administered questionnaires that have not been scientifically evaluated.</div></div><div><h3>Aims</h3><div>To develop a symptom assessment scale for postoperative patients with AIS and test its reliability and validity.</div></div><div><h3>Methods</h3><div>Using the symptom experience model as the theoretical framework, we constructed a bank of scale items based on literature review and semi-structured interviews; formed the initial scale after 2 rounds of expert correspondence; and supplemented the descriptive definitions of each item through pre-surveys. To test the reliability of the scale, 175 postoperative AIS patients attending the department of spine and orthopedics in a tertiary hospital in Wuhan city were conveniently selected for a formal survey.</div></div><div><h3>Results</h3><div>The scale consisted of 24 items, and 5 common factors were extracted by exploratory factor analysis, with a cumulative variance contribution rate of 67.982 %; the content validity index of the scale was 0.875, and the content validity index of the items was 0.800–1.000; the overall Cronbach's α coefficient of the scale was 0.878, the folding reliability was 0.836, and the retest reliability was 0.947.</div></div><div><h3>Conclusions</h3><div>The symptom assessment scale for postoperative patients with AIS has demonstrated adequate reliability and validity, thus serving as a valid instrument for evaluating the postoperative symptom experience of patients with AIS.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101213"},"PeriodicalIF":1.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713754","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}

{"title":"Enhanced recovery after surgery in total joint arthroplasty: Nurses experiences of a pilot model of care","authors":"Kate Schimmelbusch ,&nbsp;Karen Blakemore ,&nbsp;Marisa Delahunt ,&nbsp;Rebekah McGaw ,&nbsp;Rebecca J. Jarden ,&nbsp;Andrew Hardidge ,&nbsp;Elizabeth Walkley","doi":"10.1016/j.ijotn.2025.101212","DOIUrl":"10.1016/j.ijotn.2025.101212","url":null,"abstract":"<div><h3>Background</h3><div>Implementation of a fast-track model of care to support next-day discharge in joint arthroplasty can enhance the patient journey, improve nurses’ job satisfaction while also reducing length of stay.</div></div><div><h3>Objectives</h3><div>The objectives of this study were to explore nurses' experiences and perceptions of an Enhanced Recovery Program and develop an understanding of the contribution of the program to the delivery of care. The research question was: what are nurses’ experiences and perceptions of an enhanced recovery program?</div></div><div><h3>Methods</h3><div>A multidisciplinary team developed, piloted, and evaluated an Enhanced Recovery Program for hip and knee arthroplasty patients. Nurses’ experiences and perceptions of using an Enhanced Recovery Program were explored through semi-structured focus group discussion. Data were inductively thematically analysed through an iterative and reflexive process.</div></div><div><h3>Findings</h3><div>Eight nurses participated in the focus group in February 2025. Three themes became apparent: (1) Patient preparedness which encompassed patient education and goal setting expectations, (2) Nurses leading care including early mobilisation, multimodal analgesia, and use of a clinical pathway and (3) Nurse satisfaction resulting in perceived increased collaboration amongst the multidisciplinary team and positive workload impacts.</div></div><div><h3>Conclusions</h3><div>There was a consensus amongst participants that the enhanced recovery program had a positive impact on participants’ working lives and supported high quality and safe patient care.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101212"},"PeriodicalIF":1.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613820","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}

{"title":"“Collagenase injections versus limited fasciectomy in treating patients with Dupuytren's contracture: A systematic review and meta-analysis”","authors":"Najaf Ahmed Rajpar ,&nbsp;Sanya Ashraf Khaskheli ,&nbsp;Sabahat Ul Ain Munir Abbasi ,&nbsp;Aamna Rehman ,&nbsp;Muhammad Salman Nadeem ,&nbsp;Hajira Arooj","doi":"10.1016/j.ijotn.2025.101211","DOIUrl":"10.1016/j.ijotn.2025.101211","url":null,"abstract":"<div><h3>Background</h3><div>Dupuytren's contracture is a progressive disorder characterized by palmar fascia thickening, leading to nodules and cords formation. Limited fasciectomy (LF) is the standard surgical treatment, while Collagenase Clostridium Histolyticum (CCH) injection offers a minimally invasive alternative. Despite multiple studies, the comparative efficacy and safety of these approaches remain debated.</div></div><div><h3>Purpose</h3><div>To compare the effectiveness and safety of CCH and LF by analyzing change in extension deficit (ED), recurrence rate, residual contracture, Michigan Hand Questionnaire (MHQ) score, and complications.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis of randomized controlled trials (RCTs) and observational studies.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in PubMed, EMBASE, Cochrane, and Scopus. The review followed PRISMA guidelines for transparent reporting. Fifteen studies (RCTs and observational) comparing CCH and LF were included. Data were extracted on MHQ score, change in ED, recurrence rate, residual contracture, and complications. Meta-analysis was performed using RevMan 5.4. Heterogeneity was assessed using Higgins' I². Risk of bias was evaluated with the Newcastle-Ottawa Scale and RoB-2 tool, while certainty of evidence was assessed using GRADEPro.</div></div><div><h3>Results</h3><div>LF resulted in a significantly lower change in ED and lower recurrence rate compared to CCH. However, CCH had higher residual contracture and a lower complication rate. MHQ score improvements were comparable between groups.</div></div><div><h3>Conclusions</h3><div>LF is superior in reducing recurrence and residual contracture but has a higher complication rate. CCH yields greater change in ED. Further research is needed to refine treatment strategies.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101211"},"PeriodicalIF":1.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580367","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}

{"title":"The hip instructional prehabilitation program for enhanced recovery (HIPPER) as an eHealth approach to presurgical hip replacement Education: Feasibility randomized controlled trial","authors":"Somayyeh Mohammadi ,&nbsp;Marie D. Westby ,&nbsp;Amy Schneeberg ,&nbsp;Wendy Watson ,&nbsp;Aditya Dhariwal ,&nbsp;Ethan Simpson ,&nbsp;William C. Miller","doi":"10.1016/j.ijotn.2025.101210","DOIUrl":"10.1016/j.ijotn.2025.101210","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the fidelity of our study protocol and the fidelity of a co-developed eHealth program designed for people having total hip replacement.</div></div><div><h3>Method</h3><div>A single-center, assessor-masked, feasibility randomized controlled trial (RCT) was used. Fifty-one participants aged 50 and older with hip osteoarthritis who were scheduled to receive a total hip replacement participated in this study. We randomized participants into an experiment or a control group. The experiment group used an eHealth prehabilitation program called the Hip Instructional Prehabilitation Program for Enhanced Recovery (HIPPER). The control group received the usual care (i.e., attended an educational webinar). Feasibility indicators addressed process, resources, management, and treatment, and the primary clinical outcome measure was the Hospital Anxiety Depression Scale (HADS).</div></div><div><h3>Results</h3><div>Eight out of 14 feasibility indicators were achieved. All management indicators were achieved. Participant consent and data completion strategies need revision, as 38 % (n = 36) refused participation and 33 % (n = 17) had incomplete data. There were no statistically significant differences between groups for the clinical outcomes (anxiety, pain, activities of daily living, and self-efficacy). Most HIPPER participants rated the eHealth program as “acceptable.”</div></div><div><h3>Conclusion</h3><div>Results show evidence for the feasibility of the study protocol. The results reveal minor modifications to the study protocol to improve participant engagement, retention rate, and data completion. Moreover, to increase the perceived benefits, the content of the HIPPER can be modified. A refined version of HIPPER can provide accessible pre-operative care to patients undergoing total hip replacement. This program can also improve surgery outcomes by increasing patients’ readiness.</div></div><div><h3>Trial registration</h3><div>ClinicalTrials.gov ID: NCT02969512. Registered on November 21, 2016.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101210"},"PeriodicalIF":1.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491263","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}

{"title":"Determination of the discharge education needs of patients with day hand surgery operation in Turkey","authors":"Ufuk Burak Karcioglu ,&nbsp;Gonul Bodur","doi":"10.1016/j.ijotn.2025.101208","DOIUrl":"10.1016/j.ijotn.2025.101208","url":null,"abstract":"<div><h3>Aim</h3><div>The research was conducted to identify the discharge education needs of patients undergoing day surgery for hand surgery.</div></div><div><h3>Method</h3><div>This descriptive and cross-sectional study included patients who underwent day surgery for hand conditions, both emergency and elective, over the course of a year at public hospitals under the Istanbul Provincial Health Directorate, specifically in the Department of Hand Surgery on the European side of Istanbul. The total patient count was 1195. The study sample consisted of 100 patients, determined using the G Power analysis method with an effect size of 2.25, a significance level (α) of 0.05, and a power of 90 %. Data were collected using a \"Patient Identification Form\" and \"The Patient Learning Needs Scale,\" both developed by the researcher.</div></div><div><h3>Results</h3><div>The average age of the patients participating in the study was 41.59 ± 15.53, with the majority being male (55.39 %), married (62.31 %), unemployed (53.85 %), and without chronic diseases (75.38 %). The average score of the \"Patient Learning Needs Scale\" for day surgery hand patients was 156.461 ± 12.133, with the highest average scores in the sub-dimensions \"Treatment and Complications\" being 32.62 ± 3.75. A significant relationship was found between age and the \"Treatment and Complications\" sub-dimension of the PLNS, with a correlation of 0.103 (r = 0.103; p &lt; 0.05). It was determined that male patients had greater learning needs regarding skin care (p &lt; 0.05), and statistically significant differences were found among the educational levels in the sub-dimensions of \"Activities of Daily Living\" \"Community and Follow-up,\" and \"Skin Care\" of the PLNS (p &lt; 0.05). The educational needs of employed patients were higher in all sub-dimensions except \"Treatment and Complications\" and the total score of the scale, with a statistically significant difference found in the \"Situation-Related Emotions\" sub-dimension. Patients who applied to the emergency department had a higher average total score on the PLNS.</div></div><div><h3>Conclusion</h3><div>It has been determined that patients undergoing day surgery for hand surgery have educational needs regarding treatment and complications, medications, skin care, quality of life, and home care during the discharge process. It is recommended that discharge education programs be increased to consider the needs of the patients.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101208"},"PeriodicalIF":1.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365252","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}