首页 > 最新文献

International Journal of Orthopaedic and Trauma Nursing最新文献

英文 中文
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 Pub Date : 2025-05-01 Epub Date: 2025-03-19 DOI: 10.1016/j.ijotn.2025.101176
Anders Ringnér , Malin Ljung , Anna-Clara Rullander
{"title":"Parents' and nurses’ experiences when children undergo limb lengthening treatment","authors":"Anders Ringnér , Malin Ljung , Anna-Clara Rullander","doi":"10.1016/j.ijotn.2025.101176","DOIUrl":"10.1016/j.ijotn.2025.101176","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101176"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697616","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
Enhanced recovery pathways improve early outcomes and reduce length of stay in primary hip and knee arthroplasty: A systematic review of randomized controlled trials 增强的恢复途径改善了初级髋关节和膝关节置换术的早期结果并缩短了住院时间:一项随机对照试验的系统综述
IF 1.5 Q3 NURSING Pub Date : 2025-05-01 Epub Date: 2025-04-28 DOI: 10.1016/j.ijotn.2025.101186
Larissa Sattler , Elizabeth Puze , Kendal Sands , William Talbot

Background

Enhanced Recovery After Surgery (ERAS) protocols represent an evidence-based approach to perioperative care, though evidence from randomized controlled trials in primary hip and knee arthroplasty remains limited.

Objective

This systematic review aims to synthesize evidence from randomized controlled trials (RCTs) comparing ERAS protocols with standard care for primary hip and knee arthroplasty.

Methods

Four databases were searched following PRISMA guidelines. RCTs comparing ERAS protocols with standard care for primary hip or knee arthroplasty were included. Primary outcome was length of stay (LOS), with secondary outcomes including patient-reported outcomes, functional measures, and complications.

Results

Five RCTs (710 patients) met inclusion criteria. ERAS pathways reduced LOS by an average of 4.7 days compared to standard care. Patients in ERAS protocols demonstrated superior early functional recovery, particularly in the first postoperative week, with improved performance in mobility tests and daily activities. Patient-reported outcomes generally favoured ERAS protocols, though measurement heterogeneity limited synthesis. No studies reported increased complications with ERAS implementation. The role of multidisciplinary teams, particularly nurse coordinators, was identified as an important for protocol success.

Conclusion

This systematic review of RCTs provides strong evidence that ERAS pathways reduce length of stay following primary hip and knee arthroplasty without compromising patient outcomes or safety. While ERAS protocols were associated with improved early functional recovery, heterogeneity in assessment methods limits definitive conclusions.
尽管来自原发性髋关节和膝关节置换术的随机对照试验的证据仍然有限,但手术后增强恢复(ERAS)方案代表了一种循证的围手术期护理方法。目的本系统综述旨在综合随机对照试验(rct)的证据,比较ERAS方案与标准护理在原发性髋关节和膝关节置换术中的应用。方法按照PRISMA指南对4个数据库进行检索。纳入了比较ERAS方案与标准护理的初级髋关节或膝关节置换术的rct。主要结局是住院时间(LOS),次要结局包括患者报告的结局、功能测量和并发症。结果5项rct(710例)符合纳入标准。与标准治疗相比,ERAS途径平均减少了4.7天的LOS。ERAS方案的患者表现出良好的早期功能恢复,特别是在术后第一周,在活动能力测试和日常活动方面的表现有所改善。患者报告的结果通常支持ERAS方案,尽管测量异质性限制了综合。没有研究报告ERAS实施后并发症增加。多学科小组的作用,特别是护士协调员,被认为是协议成功的重要因素。结论:对随机对照试验的系统回顾提供了强有力的证据,表明ERAS通路在不影响患者预后或安全性的情况下缩短了初次髋关节和膝关节置换术后的住院时间。虽然ERAS方案与改善早期功能恢复有关,但评估方法的异质性限制了明确的结论。
{"title":"Enhanced recovery pathways improve early outcomes and reduce length of stay in primary hip and knee arthroplasty: A systematic review of randomized controlled trials","authors":"Larissa Sattler ,&nbsp;Elizabeth Puze ,&nbsp;Kendal Sands ,&nbsp;William Talbot","doi":"10.1016/j.ijotn.2025.101186","DOIUrl":"10.1016/j.ijotn.2025.101186","url":null,"abstract":"<div><h3>Background</h3><div>Enhanced Recovery After Surgery (ERAS) protocols represent an evidence-based approach to perioperative care, though evidence from randomized controlled trials in primary hip and knee arthroplasty remains limited.</div></div><div><h3>Objective</h3><div>This systematic review aims to synthesize evidence from randomized controlled trials (RCTs) comparing ERAS protocols with standard care for primary hip and knee arthroplasty.</div></div><div><h3>Methods</h3><div>Four databases were searched following PRISMA guidelines. RCTs comparing ERAS protocols with standard care for primary hip or knee arthroplasty were included. Primary outcome was length of stay (LOS), with secondary outcomes including patient-reported outcomes, functional measures, and complications.</div></div><div><h3>Results</h3><div>Five RCTs (710 patients) met inclusion criteria. ERAS pathways reduced LOS by an average of 4.7 days compared to standard care. Patients in ERAS protocols demonstrated superior early functional recovery, particularly in the first postoperative week, with improved performance in mobility tests and daily activities. Patient-reported outcomes generally favoured ERAS protocols, though measurement heterogeneity limited synthesis. No studies reported increased complications with ERAS implementation. The role of multidisciplinary teams, particularly nurse coordinators, was identified as an important for protocol success.</div></div><div><h3>Conclusion</h3><div>This systematic review of RCTs provides strong evidence that ERAS pathways reduce length of stay following primary hip and knee arthroplasty without compromising patient outcomes or safety. While ERAS protocols were associated with improved early functional recovery, heterogeneity in assessment methods limits definitive conclusions.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101186"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895600","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
A less invasive catheterization protocol for managing urinary retention in patients undergoing hip and knee arthroplasty: A prospective cohort study 一种微创导尿管治疗髋关节和膝关节置换术患者尿潴留的方案:一项前瞻性队列研究
IF 1.5 Q3 NURSING Pub Date : 2025-05-01 Epub Date: 2025-02-27 DOI: 10.1016/j.ijotn.2025.101172
Keetie Kremers-van de Hei , Bob Evers , Lotte Weijers , Diederick Duijvesz , Berend Willem Schreurs , Sander Koeter

Background

Postoperative urinary retention is a frequently seen serious complication after surgery. After orthopaedic hip or knee arthroplasty the incidence is relatively high, between 30 and 50% in previous studies. Currently, there is no consensus on the indication for urinary catheterization and a uniform guideline is lacking. This prospective cohort study examined the safety of a modified catheterization protocol with a catheterization threshold of 800 ml instead of 400 ml (usual care) after elective joint arthroplasty using ultrasound bladder scans. The hypothesis was that the incidence of catheterization will be reduced without increasing urinary complications.

Method

We prospectively included 305 patients who were treated according to the local fast track arthroplasty protocol in which a modified catheterization protocol was used. Catheterization was only performed at a scan volume of 800 ml or more. Bladder contents were monitored preoperatively, immediately postoperatively and at outpatient follow-up. Urological scores and complications were monitored. The usual care control group was treated according to the usual care protocol with a threshold for catheterization of 400 ml, these results were published in a previous study.

Results

The incidence of catheterization for urinary retention was significantly lower in patients who were treated with the less invasive protocol than the usual care control group (11.1% versus 48.8%, p < 0.001). The rate of urologic complications was low using the new protocol (4% urinary tract infection and 0.3% pharmacological interventions).

Conclusion

The results of our study provide strong empirical support for modifying catheterization protocols after orthopaedic surgery. A less invasive protocol is safe, provides reduction in workload for nurses, is patient-friendly and reduces costs.
背景术后尿潴留是术后常见的严重并发症。在骨科髋关节或膝关节置换术后,发病率相对较高,在先前的研究中为30 - 50%。目前,关于导尿的指征没有共识,缺乏统一的指南。这项前瞻性队列研究检查了选择性关节置换术后使用超声膀胱扫描将置管阈值改为800ml而不是400ml(常规护理)的改进置管方案的安全性。假设导尿的发生率会降低,而不会增加泌尿系统并发症。方法前瞻性纳入305例采用局部快速通道关节置换术的患者,其中采用改良的置管方案。仅在扫描容积为800毫升或更多时进行导管插入。术前、术后及门诊随访监测膀胱内容物。监测泌尿系统评分和并发症。常规护理对照组按常规护理方案治疗,置管阈值为400ml,这些结果已在既往研究中发表。结果微创治疗组尿潴留导尿发生率明显低于常规治疗组(11.1% vs 48.8%, p <;0.001)。使用新方案的泌尿系统并发症发生率较低(4%尿路感染和0.3%药物干预)。结论本研究结果为骨科术后置管方案的修改提供了有力的实证支持。侵入性较小的方案是安全的,减少了护士的工作量,对患者友好,并降低了成本。
{"title":"A less invasive catheterization protocol for managing urinary retention in patients undergoing hip and knee arthroplasty: A prospective cohort study","authors":"Keetie Kremers-van de Hei ,&nbsp;Bob Evers ,&nbsp;Lotte Weijers ,&nbsp;Diederick Duijvesz ,&nbsp;Berend Willem Schreurs ,&nbsp;Sander Koeter","doi":"10.1016/j.ijotn.2025.101172","DOIUrl":"10.1016/j.ijotn.2025.101172","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative urinary retention is a frequently seen serious complication after surgery. After orthopaedic hip or knee arthroplasty the incidence is relatively high, between 30 and 50% in previous studies. Currently, there is no consensus on the indication for urinary catheterization and a uniform guideline is lacking. This prospective cohort study examined the safety of a modified catheterization protocol with a catheterization threshold of 800 ml instead of 400 ml (usual care) after elective joint arthroplasty using ultrasound bladder scans. The hypothesis was that the incidence of catheterization will be reduced without increasing urinary complications.</div></div><div><h3>Method</h3><div>We prospectively included 305 patients who were treated according to the local fast track arthroplasty protocol in which a modified catheterization protocol was used. Catheterization was only performed at a scan volume of 800 ml or more. Bladder contents were monitored preoperatively, immediately postoperatively and at outpatient follow-up. Urological scores and complications were monitored. The usual care control group was treated according to the usual care protocol with a threshold for catheterization of 400 ml, these results were published in a previous study.</div></div><div><h3>Results</h3><div>The incidence of catheterization for urinary retention was significantly lower in patients who were treated with the less invasive protocol than the usual care control group (11.1% versus 48.8%, p &lt; 0.001). The rate of urologic complications was low using the new protocol (4% urinary tract infection and 0.3% pharmacological interventions).</div></div><div><h3>Conclusion</h3><div>The results of our study provide strong empirical support for modifying catheterization protocols after orthopaedic surgery. A less invasive protocol is safe, provides reduction in workload for nurses, is patient-friendly and reduces costs.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101172"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579400","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 transition of young people to adult services within orthopaedic healthcare -Editorial for May 2025 issue 年轻人向成人服务在骨科医疗保健的过渡-社论为2025年5月问题
IF 1.5 Q3 NURSING Pub Date : 2025-05-01 Epub Date: 2025-02-19 DOI: 10.1016/j.ijotn.2025.101165
Sonya Clarke (Dr)
{"title":"The transition of young people to adult services within orthopaedic healthcare -Editorial for May 2025 issue","authors":"Sonya Clarke (Dr)","doi":"10.1016/j.ijotn.2025.101165","DOIUrl":"10.1016/j.ijotn.2025.101165","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101165"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474785","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
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 Pub Date : 2025-05-01 Epub 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。
{"title":"Healthcare professional's management of the risk for postoperative urinary retention in hip surgery patients – a qualitative interview study","authors":"Ami Hommel ,&nbsp;Nina Hummerdal ,&nbsp;Lovisa Strålöga ,&nbsp;Joan Ostaszkiewicz ,&nbsp;Maria Hälleberg-Nyman","doi":"10.1016/j.ijotn.2025.101180","DOIUrl":"10.1016/j.ijotn.2025.101180","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Aim</h3><div>This study aimed to describe healthcare professionals’ experiences with, and strategies to avoid post-operative urinary retention among hip surgery patients.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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”.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101180"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143833348","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
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 Pub Date : 2025-05-01 Epub 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。
{"title":"Impact of self-management training on quality of life, medication adherence, and self-efficacy among rheumatoid arthritis patients","authors":"Puvaneswari Kanagaraj","doi":"10.1016/j.ijotn.2025.101178","DOIUrl":"10.1016/j.ijotn.2025.101178","url":null,"abstract":"<div><h3>Introduction</h3><div>Rheumatoid Arthritis(RA) can result in significant joint destruction and work disability which needs physical and psychosocial adjustment to deal with pain, and fatigue.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 &lt; 0.009), with large effect sizes and sustained progress.</div></div><div><h3>Conclusion</h3><div>By empowering patients with knowledge, skills, and confidence to effectively manage their condition, such health educations can contribute significantly improve overall health outcomes.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101178"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777049","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
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 Pub Date : 2025-05-01 Epub 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。
{"title":"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","authors":"Christos Karampalis ,&nbsp;Stavros Stamiris ,&nbsp;Athanasios Sarridimitriou ,&nbsp;Dimitrios Stamiris ,&nbsp;Elissavet Anestiadou ,&nbsp;Panagiotis Kakoulidis ,&nbsp;Pavlos Sarafis ,&nbsp;Christiana Chatzianestiadou ,&nbsp;Pavlos Christodoulou ,&nbsp;Vasileios Vrangalas ,&nbsp;Maria Malliarou","doi":"10.1016/j.ijotn.2025.101183","DOIUrl":"10.1016/j.ijotn.2025.101183","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 &lt; 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).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101183"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874031","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
Feasibility of repeated early mobilization in orthostatic intolerance after total hip arthroplasty 全髋关节置换术后直立不耐受患者早期重复活动的可行性
IF 1.5 Q3 NURSING Pub Date : 2025-05-01 Epub Date: 2025-04-28 DOI: 10.1016/j.ijotn.2025.101187
Mikkel Nicklas Frandsen , Jesper Mehlsen , Claus Varnum , Martin Lindberg-Larsen , Nicolai Bang Foss , Henrik Kehlet

Introduction

Orthostatic intolerance (OI) is a barrier for early mobilization and same-day discharge after total hip arthroplasty (THA), with an estimated 30 % of patients affected within the first 6 h after surgery. Since repeated mobilization is known to be valuable in non-surgical OI conditions, we aimed to evaluate the feasibility of an early standardized repeated mobilization procedure as treatment of postoperative OI after THA.

Methods

This study was a single-arm, two-center hypothesis-generating feasibility study in patients undergoing THA. At first mobilization 4 h after surgery patients were categorized as having orthostatic tolerance (OT) or OI. Patients with OI underwent an hourly standardized repeated mobilization procedure until achieving OT or reaching 8 h post-surgery.

Results

Of 84 patients screened for OI, 25 (30 %) had OI 4 h postoperatively. Four patients left the study before achieving OT. Of the 21 completing the study per protocol, 16 patients achieved OT at 5 h and the remaining 5 achieved OT at 6 h postoperatively.

Discussion

Early repeated mobilization in patients with postoperative OI was feasible and potentially valuable after THA. This hypothesis-generating study calls for future large-scale studies in surgical patients with OI.
直立不耐受(OI)是全髋关节置换术(THA)后早期活动和当日出院的障碍,估计有30%的患者在手术后最初6小时内受到影响。由于反复活动在非手术性成骨不全中是有价值的,我们的目的是评估早期标准化反复活动手术治疗THA术后成骨不全的可行性。方法本研究是一项单臂、双中心的可行性研究,研究对象为THA患者。术后第一次活动4小时,患者被分类为直立耐受(OT)或成骨不全。成骨不全患者每小时进行一次标准化的重复活动,直到完成OT或术后8小时。结果84例成骨不全患者中,25例(30%)术后4小时成骨不全。4名患者在完成OT前退出了研究。在每个方案完成研究的21名患者中,16名患者在术后5小时达到OT,其余5名患者在术后6小时达到OT。讨论THA术后成骨不全患者早期反复活动是可行的,并且具有潜在的价值。这项产生假设的研究呼吁未来对手术成骨不全患者进行大规模研究。
{"title":"Feasibility of repeated early mobilization in orthostatic intolerance after total hip arthroplasty","authors":"Mikkel Nicklas Frandsen ,&nbsp;Jesper Mehlsen ,&nbsp;Claus Varnum ,&nbsp;Martin Lindberg-Larsen ,&nbsp;Nicolai Bang Foss ,&nbsp;Henrik Kehlet","doi":"10.1016/j.ijotn.2025.101187","DOIUrl":"10.1016/j.ijotn.2025.101187","url":null,"abstract":"<div><h3>Introduction</h3><div>Orthostatic intolerance (OI) is a barrier for early mobilization and same-day discharge after total hip arthroplasty (THA), with an estimated 30 % of patients affected within the first 6 h after surgery. Since repeated mobilization is known to be valuable in non-surgical OI conditions, we aimed to evaluate the feasibility of an early standardized repeated mobilization procedure as treatment of postoperative OI after THA.</div></div><div><h3>Methods</h3><div>This study was a single-arm, two-center hypothesis-generating feasibility study in patients undergoing THA. At first mobilization 4 h after surgery patients were categorized as having orthostatic tolerance (OT) or OI. Patients with OI underwent an hourly standardized repeated mobilization procedure until achieving OT or reaching 8 h post-surgery.</div></div><div><h3>Results</h3><div>Of 84 patients screened for OI, 25 (30 %) had OI 4 h postoperatively. Four patients left the study before achieving OT. Of the 21 completing the study per protocol, 16 patients achieved OT at 5 h and the remaining 5 achieved OT at 6 h postoperatively.</div></div><div><h3>Discussion</h3><div>Early repeated mobilization in patients with postoperative OI was feasible and potentially valuable after THA. This hypothesis-generating study calls for future large-scale studies in surgical patients with OI.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101187"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902147","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
Corrigendum to “Feasibility of repeated early mobilization in orthostatic intolerance after total hip arthroplasty” [International J. Orthopaedic Trauma Nurs. 57 (2025) 101187] “全髋关节置换术后直立不耐受患者早期重复活动的可行性”[j].国际骨科创伤护理杂志,57(2025)101187]。
IF 1.5 Q3 NURSING Pub Date : 2025-05-01 Epub Date: 2025-05-15 DOI: 10.1016/j.ijotn.2025.101188
Mikkel Nicklas Frandsen , Jesper Mehlsen , Claus Varnum , Martin Lindberg-Larsen , Nicolai Bang Foss , Henrik Kehlet
{"title":"Corrigendum to “Feasibility of repeated early mobilization in orthostatic intolerance after total hip arthroplasty” [International J. Orthopaedic Trauma Nurs. 57 (2025) 101187]","authors":"Mikkel Nicklas Frandsen ,&nbsp;Jesper Mehlsen ,&nbsp;Claus Varnum ,&nbsp;Martin Lindberg-Larsen ,&nbsp;Nicolai Bang Foss ,&nbsp;Henrik Kehlet","doi":"10.1016/j.ijotn.2025.101188","DOIUrl":"10.1016/j.ijotn.2025.101188","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101188"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086800","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
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 Pub Date : 2025-05-01 Epub Date: 2025-04-30 DOI: 10.1016/j.ijotn.2025.101184
Lingli Peng , Chun Huang
{"title":"Ijotn 101184:Response letter to comment letter of YJOON-D-24-00130","authors":"Lingli Peng ,&nbsp;Chun Huang","doi":"10.1016/j.ijotn.2025.101184","DOIUrl":"10.1016/j.ijotn.2025.101184","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101184"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003724","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:604180095
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