International Journal of Orthopaedic and Trauma Nursing最新文献_第6页

Ijotn 101184:Response letter to comment letter of YJOON-D-24-00130 ijon 101184：对yjon - d -24-00130评议函的回复函。

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-05-01 DOI: 10.1016/j.ijotn.2025.101184

Lingli Peng , Chun Huang

引用次数: 0

Postoperative recovery in orthopedic surgery: Exploring the roles of pain intensity, opioid consumption, pain catastrophizing, and emotional distress 骨科术后恢复：探讨疼痛强度、阿片类药物消耗、疼痛灾难化和情绪困扰的作用

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-04-23 DOI: 10.1016/j.ijotn.2025.101185

Heba Khalil , Abedalmajeed Shajrawi , Fatma Refaat Ahmed , Wegdan Bani-Issa , Nabeel Al-Yateem , Loai Abu Shahrour , Alham Al-Sharman , Muhammad Arsyad Subu , Richard Mottershead , Ahmed Mohammad Al-Smadi , Khalil Yousef

Background

Quality of Recovery (QoR) is a multidimensional construct that includes physical, psychological, and functional domains and is a key indicator of surgical outcomes. Better QoR is linked to shorter hospital stays, fewer complications, and greater patient satisfaction.

Purpose

This study evaluates the QoR of postoperative orthopedic patients in Jordan, focusing on the impact of pain, pain management, and emotional distress on recovery.

Methods

A cross-sectional study was conducted with 300 postoperative orthopedic patients within 24 h of surgery. Data included demographic and clinical information, preoperative and postoperative pain, and patient-reported outcomes using the Depression Anxiety and Stress Scale (DASS), Pain Catastrophizing Scale (PCS), and the Quality of Recovery-40 (QoR-40) questionnaire. Statistical analyses included t-tests, ANOVA, correlation, and linear regression.

Results

The mean QoR-40 score was 156.48 ± 19.65, with 61 % reporting a "good recovery", 36.7 % an "excellent recovery", and 2.6 % a "poor recovery". Higher preoperative and postoperative pain correlated with lower QoR scores (r = −0.26 and −0.46, p < 0.001). Greater opioid consumption in the first 24 h post-surgery correlated with better recovery (B = 0.28, p = 0.00). Emotional distress, particularly pain catastrophizing (B = −0.22, p = 0.01) and stress (B = −0.48, p = 0.00), was associated with a negative impact on QoR. Additionally, nonsmokers, married individuals, unemployed patients, and those undergoing arthroscopy reported better recovery (p < 0.001).

Conclusion

Findings highlight the importance of integrated physical and emotional management strategies to optimize QoR, reduce complications, and enhance patient satisfaction.

康复质量（QoR）是一个多维结构，包括身体、心理和功能领域，是手术结果的关键指标。更好的QoR与更短的住院时间、更少的并发症和更高的患者满意度有关。目的本研究评估约旦骨科术后患者的QoR，重点关注疼痛、疼痛管理和情绪困扰对康复的影响。方法对300例骨科术后24 h内患者进行横断面研究。数据包括人口统计学和临床信息、术前和术后疼痛、患者报告的抑郁、焦虑和压力量表（DASS）、疼痛灾难量表（PCS）和恢复质量40 （QoR-40）问卷。统计分析包括t检验、方差分析、相关分析和线性回归。结果QoR-40平均评分为156.48±19.65，其中“良好”为61%，“极好”为36.7%，“较差”为2.6%。术前和术后较高的疼痛与较低的QoR评分相关(r = - 0.26和- 0.46,p <；0.001)。术后24 h阿片类药物用量越大，恢复越好（B = 0.28, p = 0.00）。情绪困扰，特别是疼痛灾难化（B = - 0.22, p = 0.01）和压力（B = - 0.48, p = 0.00）与QoR的负面影响相关。此外，不吸烟者、已婚人士、失业患者和接受关节镜检查的患者报告恢复较好(p <；0.001)。结论综合身心管理策略对优化QoR、减少并发症、提高患者满意度具有重要意义。

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引用次数: 0

Effect of surgical treatment on mental health, disability and quality of life in active military and law enforcement personnel with non-specific chronic low back pain: A retrospective study 外科治疗对现役军人和执法人员非特异性慢性腰痛的心理健康、残疾和生活质量的影响：一项回顾性研究

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-04-22 DOI: 10.1016/j.ijotn.2025.101183

Christos Karampalis , Stavros Stamiris , Athanasios Sarridimitriou , Dimitrios Stamiris , Elissavet Anestiadou , Panagiotis Kakoulidis , Pavlos Sarafis , Christiana Chatzianestiadou , Pavlos Christodoulou , Vasileios Vrangalas , Maria Malliarou

Background

Military and law enforcement personnel face an increased risk of chronic low back pain (CLBP), yet evidence on the outcomes of surgical treatment in these high-risk groups remains limited. This study aims to evaluate the effect of spinal fusion on quality of life (QOL), disability, and mental health in military and law enforcement personnel with CLBP.

Methods

The study included 39 patients who underwent spinal fusion for CLBP. Quality of life, disability, and mental health were assessed using the 36-Item Short Form Survey (SF-36), Oswestry Disability Index (ODI), and Depression-Anxiety-Stress Scale (DASS-21), respectively. Patients completed the questionnaires preoperatively and two years postoperatively. The primary outcome was the change in scores after surgery. Subgroup analyses were conducted based on sex, marital status, education level, smoking, alcohol consumption, and employment sector.

Results

Significant improvements were observed in seven of eight SF-36 subscales: Physical Health Role Limitation (p = 0.005), Emotional Health Role Limitation (p = 0.008), Energy (p = 0.004), Emotional Well-Being (p = 0.006), Social Function (p = 0.004), Physical Pain (p < 0.001), and General Health (p = 0.005). Physical (p = 0.002) and mental health components (p = 0.002) also improved. ODI decreased significantly (p = 0.014). Finally, improvement was observed only for the stress subcategory of the DASS-21 (p = 0.033). In subgroup analysis, Married patients showed greater improvements in emotional health (p = 0.008), while patients with lower educational levels experienced greater relief in physical pain (p = 0.028) and functionality (p = 0.010).

Conclusions

Spinal fusion in military and law enforcement personnel with CLBP led to significant improvements in QOL and disability, though mental health benefits are more limited.

军事和执法人员面临慢性腰痛（CLBP）的风险增加，但这些高危人群的手术治疗结果的证据仍然有限。本研究旨在评估脊柱融合术对CLBP军人和执法人员生活质量（QOL）、残疾和心理健康的影响。方法39例CLBP患者行脊柱融合术。生活质量、残疾和心理健康分别采用36项短表调查（SF-36）、Oswestry残疾指数（ODI）和抑郁-焦虑-压力量表（DASS-21）进行评估。患者术前和术后2年分别完成问卷调查。主要结果是手术后评分的变化。根据性别、婚姻状况、教育程度、吸烟、饮酒和就业部门进行了分组分析。结果SF-36 8个分量表中有7个有显著改善：身体健康角色限制（p = 0.005）、情绪健康角色限制（p = 0.008）、精力（p = 0.004）、情绪健康（p = 0.006）、社会功能（p = 0.004）、身体疼痛(p <；0.001)和一般健康（p = 0.005）。身体（p = 0.002）和心理健康成分（p = 0.002）也有所改善。ODI显著降低（p = 0.014）。最后，仅在DASS-21的应力子类别中观察到改善（p = 0.033）。在亚组分析中，已婚患者在情绪健康方面表现出更大的改善（p = 0.008），而教育水平较低的患者在身体疼痛（p = 0.028）和功能方面表现出更大的缓解（p = 0.010）。结论脊柱融合术对军人和执法人员CLBP患者的生活质量和残疾有显著改善，但对心理健康的益处有限。

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引用次数: 0

Increasing primary care nurse practitioner student confidence in select therapeutic musculoskeletal injections: A pilot study 增加初级保健护士从业学生对选择治疗性肌肉骨骼注射的信心：一项试点研究

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-04-15 DOI: 10.1016/j.ijotn.2025.101182

Nancy G. Russell, Rita F. D’Aoust, Chakra Budhathoki, Brenda Douglass, Catherine Ling

Background

Musculoskeletal conditions are commonly seen in outpatient settings, where many advanced practice nurses (registered nurses with additional graduate education and training) are filling the gap of primary care provider shortages globally. Family nurse practitioners (FNPs) are the most common advanced practice nurse type in primary care settings in the U.S. Therapeutic injections are recommended in a variety of knee and shoulder musculoskeletal disorders to provide short to moderate term improvement, but are underutilized in primary care, due in part to lack of provider comfort and training. Literature is limited regarding primary care nurse practitioner student training on therapeutic musculoskeletal injections. The purpose of this project was to increase family nurse practitioner (FNP) student confidence in providing therapeutic subacromial bursae shoulder and knee joint corticosteroid injections.

Methods

A pre/post design was used to evaluate participant confidence in knowledge and skill performance before and after an in-person workshop intervention focused on subacromial bursae shoulder and knee joint therapeutic injections.

Results

Twenty-four graduate nursing students training to be FNPs in a Doctor of Nurse Practice (DNP) program at one school of nursing participated. All knowledge and skill confidence change scores were statistically significant (p < .001) after the intervention. Most participants reported they were more likely to perform an intra-articular knee and subacromial bursae shoulder injection after the intervention.

Conclusions

Therapeutic corticosteroid injections are an important skill for advanced practice nurses in primary care. An in-person, experiential procedure workshop can increase the confidence of FNP students in therapeutic subacromial bursae shoulder and knee joint corticosteroid injections.

肌肉骨骼疾病常见于门诊，许多高级执业护士（具有额外研究生教育和培训的注册护士）正在填补全球初级保健提供者短缺的空白。家庭执业护士（FNPs）是美国初级保健机构中最常见的高级执业护士类型。治疗性注射被推荐用于各种膝关节和肩部肌肉骨骼疾病，以提供短期到中度的改善，但在初级保健中未得到充分利用，部分原因是缺乏提供者的舒适和培训。文献是有限的关于初级保健护士执业学生培训治疗性肌肉骨骼注射。这个项目的目的是增加家庭护理从业者（FNP）学生提供治疗肩峰下滑囊肩关节和膝关节皮质类固醇注射的信心。方法采用事前/事后设计，评估参与者在肩峰下滑囊肩关节和膝关节治疗性注射的现场工作坊干预前后对知识和技能表现的信心。结果某护理学院护理实践博士（DNP）项目的24名研究生参加了FNPs培训。所有知识和技能信心变化得分均有统计学意义(p <；.001)。大多数参与者报告说，在干预后，他们更有可能进行关节内膝关节和肩峰下滑囊肩部注射。结论治疗性皮质类固醇注射是初级保健高级实习护士的一项重要技能。一个面对面的，经验的程序研讨会可以增加FNP学生对治疗肩峰下滑囊肩关节和膝关节皮质类固醇注射的信心。

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引用次数: 0

Healthcare professional's management of the risk for postoperative urinary retention in hip surgery patients – a qualitative interview study 医疗保健专业人员对髋关节手术患者术后尿潴留风险的管理-一项定性访谈研究

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-04-11 DOI: 10.1016/j.ijotn.2025.101180

Ami Hommel , Nina Hummerdal , Lovisa Strålöga , Joan Ostaszkiewicz , Maria Hälleberg-Nyman

Background

Postoperative urine retention can lead to permanent bladder dysfunction. This occurs even though healthcare personnel can access evidence-based guidelines on avoiding urine bladder injuries related to care.

Aim

This study aimed to describe healthcare professionals’ experiences with, and strategies to avoid post-operative urinary retention among hip surgery patients.

Method

A descriptive qualitative study using telephone interviews, were conducted in April to June 2021, with 22 healthcare professionals (13 nurses, 7 nursing assistants and 2 occupational therapists) in 17 orthopaedic wards in Sweden. Qualitative content analysis of interview data was performed.

Results

Five categories were identified: “Knowledge about guidelines regarding bladder monitoring”, “Understanding of patients' prehospital bladder function influences healthcare professionals’ reasoning and actions”, “Strategies are applied to make it easier for the patients to empty their bladder”, “Indwelling catheter is used routinely” and “Short length of stay creates stress”.

Conclusion

To optimise safe patient bladder monitoring after hip surgery, health care professionals need to be more aware of the availability of guidelines about bladder monitoring to adopt consistent monitoring practices, and to have enough time to care for patients.

背景：术后尿潴留可导致永久性膀胱功能障碍。即使医护人员可以获得关于避免与护理相关的膀胱损伤的循证指南，也会发生这种情况。目的本研究旨在描述医疗保健专业人员对髋关节手术患者术后尿潴留的经验和避免策略。方法采用电话访谈的描述性定性研究，于2021年4月至6月对瑞典17个骨科病房的22名医疗保健专业人员（13名护士、7名护理助理和2名职业治疗师）进行了调查。对访谈资料进行定性内容分析。结果确定了5个类别：“对膀胱监测指南的了解”、“对患者院前膀胱功能的了解影响医护人员的推理和行动”、“采用策略使患者更容易排尿”、“常规使用留置导尿管”和“住院时间短造成压力”。结论为了优化髋关节术后患者膀胱监测的安全性，医护人员需要更多地了解膀胱监测指南的可用性，采取一致的监测做法，并有足够的时间来照顾患者。

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引用次数: 0

Validity and reliability of the Italian version of painad for postoperative pain assessment in geriatric patients with proximal femur fractures 意大利版painad对老年股骨近端骨折患者术后疼痛评估的有效性和可靠性

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-04-11 DOI: 10.1016/j.ijotn.2025.101181

Massimo Guasconi , Margherita Marchioni , Melania Miedico , Alessia Brusca , Giulia Guarnaccia , Marina Bolzoni , Pietro Maniscalco , Corrado Ciatti , Antonio Bonacaro , Andrea Contini , Fabrizio Quattrini

Background

Pain assessment is essential in nursing care. The Numerical Rating Scale (NRS) is widely used but may not fully capture pain's multidimensional nature. The Pain Assessment in Advanced Dementia (PAINAD) scale is reliable for assessing pain in cognitively impaired patients. This study aims to evaluate the validity of the Italian version of PAINAD (PAINAD-IT) for postoperative pain assessment in geriatric patients with femur fractures.

Methods

This study employs the PAINAD-IT, which was translated and validated for the Italian context by Costardi et al. (2007). Face and content validity (I-CVI and S-CVI) for non-cognitively impaired patients were evaluated by experts. Pain assessments were conducted at rest (T0) and during movement (T1). Convergent validity was tested using Spearman correlation, discriminant validity with the Wilcoxon test, and inter-rater reliability with Cohen's kappa. Sensitivity and specificity were calculated.

Results

I-CVIs were ≥0.90 and S-CVI was 0.96. 75 patients were included. Cohen's kappa was 0.918 at T0 and 0.881 at T1. Both PAINAD and NRS detected a significant increase in pain from T0 to T1 (Wilcoxon p < 0.001). Sensitivity was 26 % and specificity was 99 % for PAINAD-IT scores ≥3.

Conclusion

PAINAD showed strong reliability and correlation with NRS, effectively distinguishing between rest and pain stages, these results suggest that PAINAD-IT may be a useful tool for pain assessment in geriatric patients operated for femur fracture. PAINAD-IT scores ≥3 may suggest severe pain. Further multi-centre studies with larger sample sizes are needed to fully validate PAINAD-IT for postoperative pain assessment in geriatric patients with.

背景疼痛评估在护理工作中至关重要。数字评定量表（NRS）被广泛使用，但可能无法完全反映疼痛的多维性。晚期痴呆症患者疼痛评估（PAINAD）量表在评估认知障碍患者的疼痛方面是可靠的。本研究旨在评估意大利语版 PAINAD（PAINAD-IT）在老年股骨骨折患者术后疼痛评估中的有效性。专家对非认知障碍患者的面效度和内容效度（I-CVI 和 S-CVI）进行了评估。疼痛评估在静息（T0）和运动（T1）时进行。使用斯皮尔曼相关性检验了收敛有效性，使用 Wilcoxon 检验了判别有效性，使用 Cohen's kappa 检验了评分者之间的可靠性。结果 I-CVI 均≥0.90，S-CVI 为 0.96。共纳入 75 名患者。T0时的Cohen's kappa为0.918，T1时为0.881。PAINAD 和 NRS 均能检测到从 T0 到 T1 疼痛的显著增加（Wilcoxon p < 0.001）。PAINAD-IT 评分≥3 分的灵敏度为 26%，特异度为 99%。结论 PAINAD 显示出很强的可靠性和与 NRS 的相关性，能有效区分休息和疼痛阶段，这些结果表明 PAINAD-IT 可能是老年股骨骨折手术患者疼痛评估的有用工具。PAINAD-IT 评分≥3分可能提示严重疼痛。要全面验证 PAINAD-IT 在老年股骨骨折患者术后疼痛评估中的有效性，还需要进一步开展样本量更大的多中心研究。

{"title":"Validity and reliability of the Italian version of painad for postoperative pain assessment in geriatric patients with proximal femur fractures","authors":"Massimo Guasconi , Margherita Marchioni , Melania Miedico , Alessia Brusca , Giulia Guarnaccia , Marina Bolzoni , Pietro Maniscalco , Corrado Ciatti , Antonio Bonacaro , Andrea Contini , Fabrizio Quattrini","doi":"10.1016/j.ijotn.2025.101181","DOIUrl":"10.1016/j.ijotn.2025.101181","url":null,"abstract":"<div><h3>Background</h3><div>Pain assessment is essential in nursing care. The Numerical Rating Scale (NRS) is widely used but may not fully capture pain's multidimensional nature. The Pain Assessment in Advanced Dementia (PAINAD) scale is reliable for assessing pain in cognitively impaired patients. This study aims to evaluate the validity of the Italian version of PAINAD (PAINAD-IT) for postoperative pain assessment in geriatric patients with femur fractures.</div></div><div><h3>Methods</h3><div>This study employs the PAINAD-IT, which was translated and validated for the Italian context by Costardi et al. (2007). Face and content validity (I-CVI and S-CVI) for non-cognitively impaired patients were evaluated by experts. Pain assessments were conducted at rest (T0) and during movement (T1). Convergent validity was tested using Spearman correlation, discriminant validity with the Wilcoxon test, and inter-rater reliability with Cohen's kappa. Sensitivity and specificity were calculated.</div></div><div><h3>Results</h3><div>I-CVIs were ≥0.90 and S-CVI was 0.96. 75 patients were included. Cohen's kappa was 0.918 at T0 and 0.881 at T1. Both PAINAD and NRS detected a significant increase in pain from T0 to T1 (Wilcoxon p < 0.001). Sensitivity was 26 % and specificity was 99 % for PAINAD-IT scores ≥3.</div></div><div><h3>Conclusion</h3><div>PAINAD showed strong reliability and correlation with NRS, effectively distinguishing between rest and pain stages, these results suggest that PAINAD-IT may be a useful tool for pain assessment in geriatric patients operated for femur fracture. PAINAD-IT scores ≥3 may suggest severe pain. Further multi-centre studies with larger sample sizes are needed to fully validate PAINAD-IT for postoperative pain assessment in geriatric patients with.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101181"},"PeriodicalIF":1.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of specialised orthopaedic surgical nurses on operating room time. 骨科专科护士对手术室时间的影响。

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-04-01 DOI: 10.1016/j.ijotn.2025.101179

Di Costa Doriana , El Motassime Alessandro , Mazzella Giovan Giuseppe , Alfano Massimo , Addei Rossana , Arras Domizia , Fontana Marika , El Ezzo Omar , Maccauro Giulio , Vitiello Raffaele

Objective

Proximal femur fractures (PFF) have been widely recognised as a significant social and health issue due to their costs and their impact on patient mortality, representing one of the most common types of fracture in the elderly population. The most commonly used procedures for this type of fracture are intramedullary nailing or endoprosthesis, depending on the fracture pattern. There is limited research on dedicated surgical teams in the fields of orthopedics surgery. The purpose of this study is to evaluate the importance of having a specialised surgical nurse and the impact this can have on surgical timings.

Methods

This study was conducted in a level - 2 trauma center. We evaluated all patients who underwent surgery at our hospital from January 1st, 2021, to January 1st, 2022. We divided the patients into two groups, based on the type of treatment performed, then further subdivided based on the presence or absence of a specialised surgical nurse in the operating room.

Results

A total of 167 patients were categorized into two groups: those treated with an intramedullary nail (n=72) and those receiving an endoprosthesis (n=95). Each group was further divided based on the presence or absence of a specialised surgical nurse. We noticed significantly shorter operative times in procedures assisted by specialised nurses: 55.37 min (σ 12.97) vs. 81 min (σ 32) for intramedullary nailing (p=0.0001) and 80.2 min (σ 27) vs. 91.48 min (σ 27) for endoprosthesis (p=0.04).

Conclusions

In conclusion, surgical time has a significant impact on elderly patients undergoing surgery for hip fractures. Therefore, a specialised team, including a specialist orthopedic nurse, which helps reduce operative time, is essential.

股骨近端骨折（PFF）由于其成本和对患者死亡率的影响已被广泛认为是一个重大的社会和健康问题，是老年人最常见的骨折类型之一。这类骨折最常用的治疗方法是髓内钉或假体内固定，具体取决于骨折类型。在骨科领域，关于专门的外科团队的研究有限。本研究的目的是评估拥有专业外科护士的重要性及其对手术时机的影响。方法本研究在二级创伤中心进行。我们评估了从2021年1月1日至2022年1月1日在我院接受手术的所有患者。我们根据所进行的治疗类型将患者分为两组，然后根据手术室中是否有专门的外科护士进一步细分。结果167例患者分为髓内钉治疗组（72例）和假体治疗组（95例）。每组根据是否有专门的外科护士进一步划分。我们注意到在专业护士的协助下，手术时间明显缩短：55.37分钟（σ 12.97）比髓内钉81分钟（σ 32）（p=0.0001）， 80.2分钟（σ 27）比91.48分钟（σ 27）（p=0.04）。结论手术时间对老年髋部骨折患者手术治疗有显著影响。因此，一个专业的团队，包括一个专业的骨科护士，这有助于减少手术时间，是必不可少的。

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引用次数: 0

Impact of self-management training on quality of life, medication adherence, and self-efficacy among rheumatoid arthritis patients 自我管理训练对类风湿关节炎患者生活质量、药物依从性和自我效能的影响

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-04-01 DOI: 10.1016/j.ijotn.2025.101178

Puvaneswari Kanagaraj

Introduction

Rheumatoid Arthritis(RA) can result in significant joint destruction and work disability which needs physical and psychosocial adjustment to deal with pain, and fatigue.

Methods

True experimental parallel arm design with a pre-test post-test wait-listed control group was used to assess the impact of self-management training on Quality of life, medication adherence and self-efficacy among patients with RA. Participants were randomly allocated to the study(70) or control(70)group by simple randomization by the researcher. The study group underwent a self-management training consisting of six sessions over a 12-week period, while the control group received routine care. Importantly, the research assistant responsible for outcome assessment remained blinded to the treatment allocation at 1st, 3rd and 5th month post intervention using Short form- 36, Compliance Questionnaire, Rheumatology and Arthritis self efficacy scale.

Results

The SMT led to significant improvements in QoL-physical components including Pain (p = 0.001, partial eta squared(η²) = 0.372) and General Health (p = 0.001, η² = 0.320). Significant between-group differences were observed for Pain (p = 0.007), while other measures showed no differences. Mental health components also improved significantly in the study group, particularly in Energy (p = 0.001, η² = 0.344). Medication adherence improved initially but stabilized over time. The study group showed significant improvements in self-efficacy for pain, function, and other symptoms (p < 0.009), with large effect sizes and sustained progress.

Conclusion

By empowering patients with knowledge, skills, and confidence to effectively manage their condition, such health educations can contribute significantly improve overall health outcomes.

类风湿性关节炎（RA）可导致严重的关节破坏和工作残疾，需要身体和心理调节来应对疼痛和疲劳。方法采用平行实验设计，采用前测后候列对照组，评估自我管理训练对RA患者生活质量、药物依从性和自我效能感的影响。研究人员将参与者随机分为研究组（70人）和对照组（70人）。研究组接受了为期12周的6次自我管理培训，而对照组接受常规护理。重要的是，负责结果评估的研究助理使用Short form- 36、依从性问卷、风湿病和关节炎自我效能量表对干预后第1、3和5个月的治疗分配保持盲法。结果SMT显著改善了QoL-physical components，包括Pain （p = 0.001，偏eta平方（η²）= 0.372）和General Health （p = 0.001, η²= 0.320）。疼痛组间差异有统计学意义（p = 0.007），其他组间差异无统计学意义。研究组的心理健康成分也有显著改善，特别是在能量方面（p = 0.001, η²= 0.344）。药物依从性最初有所改善，但随着时间的推移稳定下来。研究组在疼痛、功能和其他症状的自我效能方面有显著改善(p <；0.009)，效应量大且进展持续。结论通过增强患者的知识、技能和信心来有效地管理自己的病情，这种健康教育有助于显著改善整体健康状况。

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引用次数: 0

Parents' and nurses’ experiences when children undergo limb lengthening treatment 儿童接受肢体延长治疗时父母和护士的经验

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-03-19 DOI: 10.1016/j.ijotn.2025.101176

Anders Ringnér , Malin Ljung , Anna-Clara Rullander

引用次数: 0

Post-operative outcomes among knee osteoarthritis patients undergoing simultaneous bilateral total knee arthroplasty 同时行双侧全膝关节置换术的膝关节骨性关节炎患者的术后疗效

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-03-04 DOI: 10.1016/j.ijotn.2025.101175

Dalathorn Wathsuleelanond, Phichpraorn Youngcharoen, Suchira Chaiviboontham

Background and objectives

Simultaneous bilateral total knee arthroplasty (SBTKA) can improve post-surgical outcomes and reduce complications and cost of care. This study aimed to compare: (a) pain intensity levels in patients undergoing SBTKA between and before discharge, and 6 weeks after surgery, and (b) activities of daily living (ADL) and quality of life between the pre-operative period and 6 weeks after surgery.

Material and methods

Forty patients who were scheduled for SBTKA at inpatient units in a university-affiliated hospital in Bangkok, Thailand were recruited on the first day of admission using the face-to-face method. The research instruments included a demographic questionnaire, the Numeric Rating Scale (NRS), and the Knee and Osteoarthritis Outcome Score (KOOS): ADL, and knee-related quality of life subscales. The data were analyzed using descriptive statistics, paired t-test, and Wilcoxon Signed Rank Test.

Results

The results showed that the pain intensity level at six weeks after surgery was statistically significantly reduced when comparing the pre-discharge from the hospital (p = 0.000). Patients had improvements in their ADL (p = 0.000) and their quality of life (p = 0.000) at six weeks after surgery compared to before surgery.

Conclusions

Patients who underwent SBTKA had clinical improvement in terms of pain intensity reduction and enhancement of their ADL and quality of life.

背景与目的双侧同期全膝关节置换术（SBTKA）可以改善术后预后，减少并发症和护理费用。本研究旨在比较：(a) SBTKA患者在出院前后和术后6周的疼痛强度水平，以及(b)术前和术后6周的日常生活活动（ADL）和生活质量。材料和方法在泰国曼谷的一所大学附属医院的住房部招募了40名预定进行SBTKA的患者，他们在入院的第一天采用面对面的方法。研究工具包括人口统计问卷、数字评定量表（NRS）、膝关节和骨关节炎结局评分（oos）： ADL和膝关节相关生活质量亚量表。采用描述性统计、配对t检验和Wilcoxon sign Rank检验对数据进行分析。结果术后6周疼痛强度与出院前比较，差异有统计学意义（p = 0.000）。与术前相比，术后6周患者的ADL （p = 0.000）和生活质量（p = 0.000）均有改善。结论行SBTKA的患者在减轻疼痛强度、提高生活自理能力和生活质量方面均有临床改善。

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引用次数: 0