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

Enhancing patient outcomes after anterior cruciate ligament reconstruction with continuous cryotherapy: A Nursing-Focused Randomized Control Trial 通过持续冷冻治疗提高前交叉韧带重建患者的预后：一项以护理为重点的随机对照试验

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-08-01 Epub Date: 2025-06-11 DOI: 10.1016/j.ijotn.2025.101206

Linh Thuy Khanh Tran , Quyen Thi Kim Nguyen , Huy Quoc Hoang , Bach Nguyen , Vinh Quang Pham

Objective

This nursing-focused study compared the effectiveness of continuous cryotherapy (CC) versus traditional ice packs (IP) in managing postoperative pain, knee swelling, range of motion (ROM), and patient satisfaction following anterior cruciate ligament reconstruction (ACLR).

Methods

A randomized controlled trial was conducted with 72 post-ACLR patients, equally assigned to receive either CC or IP. Cold therapy was administered by trained orthopedic nurses three times daily, each session lasting 30 min, over three consecutive postoperative days. Pain was assessed using the Visual Analog Scale (VAS). Knee swelling was measured by mid-patella circumference using a tape measure, and range of motion (ROM) was measured using a goniometer. All assessments were performed before and after each morning cold therapy session on postoperative days 1, 2, and 3 by one nurse assessor, before the administration of analgesics or physiotherapy, ensuring standardized, nursing-led evaluations.

Results

Participants were predominantly male, with sports injuries being the primary cause of ACL rupture. Baseline characteristics were comparable between groups. By day 3, the CC group demonstrated significantly lower VAS scores (1.03 ± 0.61) than the IP group (2.69 ± 0.89; p < 0.001), less swelling (0.93 ± 0.72 cm vs. 1.37 ± 0.78 cm; p = 0.015), and greater ROM (62.19 ± 6.57° vs. 48.08 ± 7.15°; p < 0.001).

Conclusions

When integrated into nursing practice, CC was more effective than traditional IP in reducing postoperative pain, swelling, and enhancing knee mobility following ACLR. These findings underscore the crucial role of nurses in delivering evidence-based interventions that promote recovery.

Clinicaltrials.gov idNCT06629285.

目的：本研究以护理为重点，比较了持续冷冻治疗（CC）与传统冰袋（IP）在前交叉韧带重建（ACLR）术后疼痛、膝关节肿胀、活动范围（ROM）和患者满意度方面的有效性。方法对72例aclr术后患者进行随机对照试验，随机分为CC组和IP组。冷疗法由训练有素的骨科护士进行，每天三次，每次持续30分钟，连续三天。采用视觉模拟评分法（VAS）评估疼痛。膝关节肿胀用卷尺测量髌骨中围，活动度（ROM）用测角仪测量。所有评估均在术后第1、2和3天每天早晨冷疗法之前和之后进行，由一名护士评估员在给药或物理治疗之前进行，以确保标准化、护理主导的评估。结果研究对象以男性为主，运动损伤是前交叉韧带破裂的主要原因。各组间基线特征具有可比性。第3天，CC组VAS评分（1.03±0.61）明显低于IP组（2.69±0.89）；p & lt;0.001),减少肿胀(0.93±0.72厘米和1.37±0.78厘米;p = 0.015),和更大的ROM(62.19±6.57°和48.08±7.15°;p & lt;0.001)。结论与护理实践相结合，CC在减轻ACLR术后疼痛、肿胀和增强膝关节活动能力方面比传统IP更有效。这些发现强调了护士在提供循证干预措施以促进康复方面的关键作用。

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引用次数: 0

Development and reliability testing of an orthopaedic nurses' knowledge, attitudes, and practices (KAP) questionnaire on perioperative nutrition management for older adults with hip fractures 老年人髋部骨折围手术期营养管理骨科护士知识、态度和实践（KAP）问卷的编制和可靠性检验

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-08-01 Epub Date: 2025-08-12 DOI: 10.1016/j.ijotn.2025.101217

Ying Zhang , Yang Hong , Jie Wang , Huan Liu , Peifang Xia

Background

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.

Objective

To develop and validate a questionnaire assessing orthopaedic nurses' knowledge, attitudes, and beliefs regarding perioperative nutritional management for older adults with hip fractures.

Methods

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.

Results

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.

Conclusion

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.

在中国，骨科护士是老年人髋部骨折围手术期营养管理的主要提供者。他们在营养管理方面的知识、态度和实践直接影响方案的实施、治疗效果和患者康复结果。虽然增强这些能力是至关重要的，但目前还没有针对这一特定环境的有效评估工具。目的编制并验证一份问卷，评估骨科护士对老年髋部骨折围手术期营养管理的知识、态度和信念。方法基于知识-态度-实践（Knowledge-Attitude-Practice， KAP）理论框架，采用文献分析、两轮德尔菲专家咨询和试点调查相结合的方法编制初步问卷。采用方便抽样的方法，于2024年10月至12月在江苏省11家三级公立医院（乙级以上）招募骨科护士387名。问卷经过严格的项目分析、信度评估和效度检验。结果最终问卷在三个维度上共包含39个条目，具有良好的信度（Cronbach’s α = 0.977）和效度（条目水平CVI = 0.800 - 1.000，量表水平CVI = 0.923）。探索性因子分析支持理论的知识-态度-实践框架，提取出三个负荷为。591 -的因子。总共解释了72.396%的方差。验证性因子分析进一步验证了结构，模型拟合指标可接受，问卷稳定性良好。结论骨科护士对老年髋部骨折围手术期营养管理的知识、态度和实践（KAP）问卷显示了强大的心理测量特性，建立了其作为评估该临床领域护理能力的评估工具的有效性和可靠性。

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引用次数: 0

The application of continuous care model in rehabilitation management for total hip arthroplasty patients 持续护理模式在全髋关节置换术患者康复管理中的应用

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-08-01 Epub Date: 2025-06-06 DOI: 10.1016/j.ijotn.2025.101205

Liqun Dai, Ruiyan Tong, Jingjing Cai, Chenxin Deng, Yanqin Chen

With the development of rapid rehabilitation surgery, the hospitalization time for patients undergoing total hip replacement has been shortened, resulting in a reduction in their direct medical care. Postoperatively, they need long-term rehabilitation exercises to restore joint function, which poses additional challenges for health professionals.

Objective

This study aims to construct a rehabilitation management plan for the entire nursing path of hip replacement patients using the continuous care model, solve the problem of interrupted rehabilitation, and thereby improve the rehabilitation effect of patients.

Method

40 patients from September 2023 to February 2024 were selected as the control group and received routine care. From March to August 2024, 40 patients were selected as the experimental group and received the intervention plan. The differences in rehabilitation exercise compliance, rehabilitation self-efficacy, pain condition, postoperative complications, and patient satisfaction between the two groups were compared.

Result

The compliance rate of rehabilitation exercises and self-efficacy in rehabilitation were significantly higher in the experimental group than in the control group. The joint stiffness, joint dislocation, deep vein thrombosis, and pain scores of the experimental group were lower than those of the control group (P < 0.05), while there was no significant difference in joint infection.

Conclusion

By implementing the rehabilitation management plan based on the continuous care model, it can promote the rehabilitation exercise effect of patients, alleviate their pain, reduce postoperative complications, and improve patient satisfaction.

随着快速康复手术的发展，全髋关节置换术患者住院时间缩短，直接医疗护理减少。术后，他们需要长期的康复锻炼来恢复关节功能，这给卫生专业人员带来了额外的挑战。目的采用连续护理模式构建髋关节置换术患者全护理路径的康复管理方案，解决患者康复中断问题，从而提高患者的康复效果。方法选择2023年9月~ 2024年2月收治的40例患者作为对照组，给予常规护理。于2024年3月至8月选取40例患者作为实验组，接受干预方案。比较两组患者在康复运动依从性、康复自我效能感、疼痛状况、术后并发症、患者满意度等方面的差异。结果实验组患者的康复训练依从率和康复自我效能感均显著高于对照组。实验组关节僵硬度、关节脱位、深静脉血栓形成、疼痛评分均低于对照组(P <；0.05)，而在关节感染方面差异无统计学意义。结论实施基于持续护理模式的康复管理方案，可促进患者康复运动效果，减轻患者疼痛，减少术后并发症，提高患者满意度。

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引用次数: 0

Risk factors and nomogram for postoperative delirium in elderly orthopedic patients in the Intensive Care Unit: Retrospective study based on MIMIC–IV 重症监护室老年骨科患者术后谵妄的危险因素和特征图：基于MIMIC-IV的回顾性研究

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-08-01 Epub Date: 2025-05-30 DOI: 10.1016/j.ijotn.2025.101196

Hao Chen, Jing Wang, Yu Zhang, Weihong Zhao, Mengnan Han, Jing Zhang, Jianli Li

Background

This study aimed to identify predictors of postoperative delirium (POD) in older adult orthopedic ICU patients and develop a nomogram for predicting POD.

Methods

Patient data were collected from the Medical Information Mart for Intensive Care (MIMIC–IV). Independent predictors for POD were identified using least absolute shrinkage and selection operator and logistic regression. The nomogram was developed using selected predictors and assessed by the bootstrap method. Area under the receiver operating characteristic curves (AUC) and calibration curve were used to determine the discrimination performance and calibration ability. Clinical usefulness was assessed using decision curve analysis (DCA) and clinical impact curve (CIC).

Results

A total of 430 older adult orthopedic patients were screened out, with an incidence of POD of 36.2 %. Four independent predictors were identified, including Braden skin score (OR = 0.886; 95 % CI: 0.800–0.982; p = 0.021), mechanical ventilation (OR = 1.883; 95 % CI: 1.179–3.008; p = 0.008), cerebrovascular disease (OR = 2.113; 95 % CI: 1.165–3.831; p = 0.014) and acute physiology score III (APS III) (OR = 1.029; 95 % CI: 1.017–1.042; p < 0.001). The AUC of our nomogram was 0.724 (95 % CI: 0.674–0.774), and internal validation revealed an AUC of 0.713, which suggested moderate predictive performance. The DCA and CIC analysis suggested good clinical utility.

Conclusion

Braden skin score, mechanical ventilation, cerebrovascular disease and APS III are significant predictors of POD in older adult orthopedic patients in the ICU, and the nomogram would be helpful in supporting nursing management of POD.

本研究旨在确定老年骨科ICU患者术后谵妄（POD）的预测因素，并建立预测POD的nomogram。方法从重症监护医学信息市场（MIMIC-IV）收集患者数据。使用最小绝对收缩、选择算子和逻辑回归确定POD的独立预测因子。使用选定的预测因子开发nomogram，并通过bootstrap方法进行评估。采用接收机工作特征曲线（AUC）下面积和校准曲线下面积来确定识别性能和校准能力。采用决策曲线分析（DCA）和临床影响曲线（CIC）评估临床有用性。结果共筛选出430例老年骨科患者，POD发生率为36.2%。确定了4个独立预测因子，包括Braden皮肤评分(OR = 0.886；95% ci: 0.800-0.982；p = 0.021)，机械通气(OR = 1.883；95% ci: 1.179-3.008；p = 0.008)，脑血管疾病(OR = 2.113；95% ci: 1.165-3.831；p = 0.014)和急性生理评分III (APS III) (OR = 1.029；95% ci: 1.017-1.042；p & lt;0.001)。我们的nomogram AUC为0.724 (95% CI: 0.674-0.774)，内部验证显示AUC为0.713，表明预测效果中等。DCA和CIC分析表明该方法具有良好的临床应用价值。结论braden皮肤评分、机械通气、脑血管疾病、APSⅲ是ICU老年骨科患者POD的重要预测指标，其nomogram评分有助于支持POD的护理管理。

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引用次数: 0

Nurses' perspective on transitional care for older person with hip fracture: a qualitative study 护士对老年髋部骨折过渡性护理的看法：一项质性研究

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-08-01 Epub Date: 2025-07-28 DOI: 10.1016/j.ijotn.2025.101214

Paula Rocha , Cristina Lavareda Baixinho , Carlos Albuquerque , Susana Batista , Maria Adriana Henriques

Background

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.

Objective

To analyze nurses' perceptions of the transition process of the older person with hip fractures on returning home.

Methods

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®.

Results

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.

Conclusion

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.

背景：衰老过程与身体机能的下降有关，决定了跌倒的风险增加，从而增加了相关骨折的风险。其中髋部骨折常引起功能下降，难以恢复到骨折前的状态。目的分析护理人员对老年髋部骨折患者回家后过渡过程的认知。方法在两个焦点小组（fg）的基础上，开展了一项定性的描述性探索性研究，该小组与为接受手术治疗的髋部骨折患者提供护理的护士进行了半结构化访谈，这些护士的活动在医院背景下和属于葡萄牙中部地区一家医院的初级保健单位进行。在meepulp®软件的支持下，进行了系统的数据分析和相应的归纳工作。结果：对两个有10名参与者的小组的分析，勾勒出影响个人、组织和政治领域的问题的轮廓。专业人员建议解决方案，以减轻护理过渡的障碍，例如：早期参与并在出院前为家庭成员提供更好的准备，为护理人员提供更多的支持，改善专业人员之间的沟通，建立电话支持线，强调网络和简化流程的重要性。结论护理人员认识到老年髋部骨折患者过渡过程中存在的重要问题，以及由此对家庭护理人员和卫生服务的影响。对这些方面的分析可以构成改组保健服务的基础，以寻求对这些需要的最佳反应。

{"title":"Nurses' perspective on transitional care for older person with hip fracture: a qualitative study","authors":"Paula Rocha , Cristina Lavareda Baixinho , Carlos Albuquerque , Susana Batista , 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":"2025-08-01","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}

引用次数: 0

Discharge transition experience and nursing needs of elderly patients with hip fracture: A qualitative systematic review 老年髋部骨折患者出院过渡经验及护理需求的定性系统评价

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-05-01 Epub Date: 2025-02-07 DOI: 10.1016/j.ijotn.2025.101162

Chun Huang , Jian Song , Lingli Peng , Zirong Tao

Background

Unmet nursing needs during hospital discharge for elderly patients with hip fractures may lead to increased readmission rates and mortality.

Objective

To investigate the discharge transition experience and nursing needs of elderly patients with hip fracture.

Methods

Five electronic databases (PubMed, Web of science, Ovid, CINAHL, Embase) were searched from Jan. 1st, 2014 to Nov. 1st, 2024. Qualitative studies that reported the experiences, perceptions, and needs of elderly patients with hip fractures during the discharge transition were included. Two authors independently screened, and extracted themes. The Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research was used to evaluate the quality of literature. Themes were generated by the thematic analysis method of data from the original study.

Results

A total of 11 qualitative studies were included. And three themes were identified: (1) challenges of transition and rehabilitation, (2) adaptation and coping, (3) ensuring patient-centered rehabilitation and discharge care.

Conclusion

It is crucial for healthcare staff to address the discharge transition experiences and nursing needs of elderly patients with hip fracture. Additionally, the findings of this review offer valuable insights for healthcare policymakers and administrators to enhance support for patients during the discharge process.

背景：老年髋部骨折患者出院时护理需求不满足可能导致再入院率和死亡率增加。目的探讨老年髋部骨折患者出院过渡经验及护理需求。方法检索2014年1月1日至2024年11月1日的5个电子数据库（PubMed、Web of science、Ovid、CINAHL、Embase）。定性研究报告了老年髋部骨折患者在出院过渡期间的经历、认知和需求。两位作者独立筛选和提取主题。采用乔安娜布里格斯研究所定性研究关键评价清单来评估文献的质量。主题是通过对原始研究数据的主题分析方法生成的。结果共纳入11项定性研究。并确定了三个主题：(1)过渡和康复的挑战；(2)适应和应对；(3)确保以患者为中心的康复和出院护理。结论了解老年髋部骨折患者的出院过渡期经历及护理需求对医护人员至关重要。此外，本综述的研究结果为医疗保健政策制定者和管理者提供了宝贵的见解，以加强对出院过程中的患者的支持。

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引用次数: 0

LITERATURE REVIEWS – Skin traction in orthopaedic care: Efficacy, management and clinical practices across the life course 文献综述-皮肤牵引在骨科护理中的疗效、管理和整个生命过程的临床实践

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-05-01 Epub Date: 2025-02-07 DOI: 10.1016/j.ijotn.2025.101160

Sonya Clarke, Shareena Bibi Mohd Arif, Carmen Queiros

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 : 2025-05-01 Epub 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

The effect of preoperative education on fear of first mobilization experienced after total knee arthroplasty in individuals 术前教育对个体全膝关节置换术后第一次活动恐惧的影响

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-05-01 Epub Date: 2025-05-06 DOI: 10.1016/j.ijotn.2025.101189

Ayşegül Kaya İmrek , Meryem Yilmaz

Objective

Total knee arthroplasty is a surgical intervention performed to reduce pain and movement restriction resulting from advanced joint deformity in individuals diagnosed with osteoarthritis, and to improve their quality of life and functionality. Meeting the preoperative educational needs of individuals undergoing total knee arthroplasty positively impacts postoperative recovery, mobilization, and rehabilitation. In this context, this study was conducted to determine the effect of preoperative education on fear of mobilization experienced after surgery in individuals who have undergone total knee arthroplasty.

Materials and methods

This study, was conducted using a single-group pre-test-post-test model, included 36 individuals who underwent total knee arthroplasty. Data were collected preoperatively and postoperatively using a questionnaire, a fear of falling and fall history assessment form, a Visual Analog Scale-10 (VAS-10), and a fall information exchange form.

Results

The average age of the 36 participants (27 women [75 %]; 9 men [25 %]) was 65.56 ± 4.39 years. The pre-education level of fear was 5.09 ± 1.57, the post-education level of fear was 3.73 ± 0.68, and the level of fear of pre-mobilization was 4.08 ± 0.81. A statistically significant difference was found between the pre-education and post-education level of fear of mobilization (t = 8.324, p = 0.000), between the post-education level and the level of fear before the first mobilization (t = −22.293, p = 0.000). However, it should be noted that fear of mobilization slightly increased during the postoperative first mobilization compared to after education; this may be related to patients' fear of mobilization, pain or anxiety.

Conclusion

The results of this study show that preoperative education provided to individuals undergoing total knee arthroplasty has positive effects on reducing fear of first mobilization experienced after surgery.

目的全膝关节置换术是一种外科干预措施，用于减少诊断为骨关节炎的个体因关节晚期畸形引起的疼痛和活动限制，并改善其生活质量和功能。满足全膝关节置换术患者术前教育需求对患者术后恢复、活动和康复有积极影响。在此背景下，本研究旨在确定术前教育对全膝关节置换术患者术后活动恐惧的影响。材料和方法本研究采用单组前-后-测试模型，包括36例接受全膝关节置换术的患者。术前和术后使用问卷、跌倒恐惧和跌倒史评估表、视觉模拟量表-10 （VAS-10）和跌倒信息交换表收集数据。结果36例参与者平均年龄（女性27例，占75%）；男性9例（25%），65.56±4.39岁。教育前恐惧水平为5.09±1.57，教育后恐惧水平为3.73±0.68，动员前恐惧水平为4.08±0.81。教育前与教育后动员恐惧水平差异有统计学意义（t = 8.324, p = 0.000），教育后与第一次动员前的恐惧水平差异有统计学意义（t = - 22.293, p = 0.000）。然而，需要注意的是，与教育后相比，术后第一次活动时对活动的恐惧略有增加；这可能与患者害怕活动、疼痛或焦虑有关。结论对全膝关节置换术患者进行术前教育对减少术后首次活动的恐惧有积极作用。

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引用次数: 0

Discharge transition experience and nursing needs of elderly patients with hip fracture: A qualitative systematic review [Letter] 老年髋部骨折患者出院过渡经验与护理需求的定性系统评价[j]。

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing

Pub Date : 2025-05-01 Epub Date: 2025-03-27 DOI: 10.1016/j.ijotn.2025.101177

Sari Luthfiyah , Triwiyanto Triwiyanto , Hery Sumasto , Mohammed Ismath

This letter addresses the article "Discharge Transition Experience and Nursing Needs of Elderly Patients with Hip Fracture: A Qualitative Systematic Review" by Chun Huang et al., published in the International Journal of Orthopaedic and Trauma Nursing. The review offers valuable insights into the discharge transition experiences and nursing needs of elderly patients recovering from hip fractures, emphasizing critical aspects of care, such as rehabilitation, emotional well-being, and coordinated discharge planning. However, the review has notable limitations, including its focus on studies from developed countries, exclusion of patients with significant cognitive impairments, and the absence of quantitative data on the effectiveness of nursing interventions. Future research should aim to include a broader range of patient populations, particularly those with cognitive impairments, and consider diverse healthcare systems. Incorporating mixed-methods research and digital health technologies could also enhance the understanding and management of discharge transitions. The letter concludes by appreciating the contributions of the original review and suggesting directions for further research to improve care for elderly hip fracture patients.

此信针对黄春等发表在《国际骨科与创伤护理杂志》上的文章《老年髋部骨折患者出院过渡经验与护理需求：定性系统综述》。该综述为老年髋部骨折患者的出院过渡经验和护理需求提供了有价值的见解，强调了护理的关键方面，如康复、情绪健康和协调出院计划。然而，该综述有明显的局限性，包括其关注于来自发达国家的研究，排除了有明显认知障碍的患者，以及缺乏关于护理干预有效性的定量数据。未来的研究应着眼于包括更广泛的患者群体，特别是那些有认知障碍的患者，并考虑不同的医疗保健系统。结合混合方法研究和数字卫生技术还可以加强对出院过渡的理解和管理。这封信最后感谢了原始综述的贡献，并建议了进一步研究的方向，以改善老年髋部骨折患者的护理。

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引用次数: 0