首页 > 最新文献

International Journal of Orthopaedic and Trauma Nursing最新文献

英文 中文
Literature reviews 文学评论
IF 1.4 Q3 NURSING Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101033
Mary Drozd, Carmen Queiros, Shareena Bibi Mohd Arif
{"title":"Literature reviews","authors":"Mary Drozd, Carmen Queiros, Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2023.101033","DOIUrl":"https://doi.org/10.1016/j.ijotn.2023.101033","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"50 ","pages":"Article 101033"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49857462","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
Editorial Board/Title Page 编委会/标题页
IF 1.4 Q3 NURSING Pub Date : 2023-08-01 DOI: 10.1016/S1878-1241(23)00046-1
{"title":"Editorial Board/Title Page","authors":"","doi":"10.1016/S1878-1241(23)00046-1","DOIUrl":"https://doi.org/10.1016/S1878-1241(23)00046-1","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"50 ","pages":"Article 101042"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49857463","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 effect of discharge training with the teach-back method on post-discharge challenges in lumbar disc herniation patients: A quasi-experimental study 背教法出院训练对腰椎间盘突出症患者出院后挑战的影响:一项准实验研究
IF 1.4 Q3 NURSING Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101020
Arzu Tat Çatal , Fatma Cebeci

Background

Shortened length of hospital stay in patients undergoing lumbar disc herniation surgery forces to undertake interventions that facilitate optimal patient outcomes.

Aim

The aim of this study was to investigate the effect of discharge training given by teach-back method, and counseling based on individual needs and a study-specific training booklet on postoperative pain and challenges experienced by lumbar disc herniation patients.

Methods

This study had a quasi-experimental design and was conducted with 94 patients. Patients were divided into a control group (n = 48) and an intervention group (n = 46) using the blocking method. The pain was assessed at the time of patient admission, at discharge, and at follow-up; postoperative challenges were evaluated at discharge and follow-up.

Results

Most patients experienced pain and challenges such as kinesiophobia, weakness-exhaustion-fatigue, irritability, constipation, and insomnia. The patients in the intervention group had less back and leg pain and challenges.

Conclusions

The benefits of education given by teach-back method, and counseling in reducing the postoperative problems experienced by patients who underwent surgery for lumbar disc herniation were demonstrated in this study. The findings suggest that study-specific training and counseling may be useful for addressing the pain and challenges of patients with lumbar disc herniation.

背景:腰椎间盘突出症手术患者住院时间的缩短迫使患者采取干预措施,以促进患者的最佳预后。目的本研究的目的是探讨采用背教方法进行出院训练、基于个体需求的咨询和研究特异性训练手册对腰椎间盘突出症患者术后疼痛和挑战的影响。方法采用准实验设计,共纳入94例患者。采用阻断法将患者分为对照组(n = 48)和干预组(n = 46)。疼痛在患者入院、出院和随访时进行评估;在出院和随访时评估术后挑战。结果大多数患者经历疼痛和挑战,如运动恐惧症、虚弱-疲惫-疲劳、易怒、便秘和失眠。干预组患者的背部和腿部疼痛和挑战较少。结论:本研究证实了以背教方式进行的教育和咨询在减少腰椎间盘突出症手术患者的术后问题方面的益处。研究结果表明,研究特定的训练和咨询可能有助于解决腰椎间盘突出症患者的疼痛和挑战。
{"title":"The effect of discharge training with the teach-back method on post-discharge challenges in lumbar disc herniation patients: A quasi-experimental study","authors":"Arzu Tat Çatal ,&nbsp;Fatma Cebeci","doi":"10.1016/j.ijotn.2023.101020","DOIUrl":"10.1016/j.ijotn.2023.101020","url":null,"abstract":"<div><h3>Background</h3><p><span>Shortened length of hospital stay in patients undergoing </span>lumbar disc herniation surgery forces to undertake interventions that facilitate optimal patient outcomes.</p></div><div><h3>Aim</h3><p>The aim of this study was to investigate the effect of discharge training given by teach-back method, and counseling based on individual needs and a study-specific training booklet on postoperative pain and challenges experienced by lumbar disc herniation patients.</p></div><div><h3>Methods</h3><p>This study had a quasi-experimental design and was conducted with 94 patients. Patients were divided into a control group (n = 48) and an intervention group (n = 46) using the blocking method. The pain was assessed at the time of patient admission, at discharge, and at follow-up; postoperative challenges were evaluated at discharge and follow-up.</p></div><div><h3>Results</h3><p>Most patients experienced pain and challenges such as kinesiophobia, weakness-exhaustion-fatigue, irritability, constipation, and insomnia. The patients in the intervention group had less back and leg pain and challenges.</p></div><div><h3>Conclusions</h3><p>The benefits of education given by teach-back method, and counseling in reducing the postoperative problems experienced by patients who underwent surgery for lumbar disc herniation were demonstrated in this study. The findings suggest that study-specific training and counseling may be useful for addressing the pain and challenges of patients with lumbar disc herniation.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"50 ","pages":"Article 101020"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10035299","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 effect of in-bed turning and mobilization training given to patients who undergo lumbar disk surgery on postoperative first mobility level: A single-blind, randomized controlled trial 对腰椎间盘手术患者进行卧床翻身和活动训练对术后首次活动水平的影响:一项单盲、随机对照试验
IF 1.4 Q3 NURSING Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101022
Hatice Akkaya , Hatice Ayhan

Objective

This study was conducted to investigate the effects of mobilization and in-bed turning training given through the role-playing technique to patients to undergo lumbar disk surgery on the patient's pain, strain and dependence level during the first postoperative mobilization (turning, sitting, standing and walking).

Methods

Patients who would undergo a lumbar disk hernia surgery were recruited from a neurosurgery clinic in Turkey. Patients who met inclusion criteria and agreed to participate (n = 40) in the study were randomly assigned to an intervention group (in-bed turning and mobilization training simulated with the role-playing technique, n = 19) and a control group (usual clinical care, n = 21). The outcome of the study was patient mobility and observer mobility scale scores.

Results

Postoperative scores obtained from the patient mobility and observer mobility scale were lower in the intervention group than the scores of the control group, and the difference between the groups was found statistically significant (p < 0.05). The anxiety levels of the intervention group before (38.00 ± 6.59, p < 0.001) and after mobilization (31.63 ± 4.57, p = 0.032) were significantly lower.

Conclusion

The findings indicate training improves patient care outcomes for first postoperative mobility. It is recommended that structured training for in-bed turning and mobilization should be integrated into routine clinical care in the preoperative period for patients to undergo lumbar disk hernia surgery.

Practice implications

Preoperative training increases the patient's willingness to be mobilized and decreases the anxiety level and perceived pain and strain.

目的探讨通过角色扮演技术对腰椎间盘手术患者进行活动和卧床翻身训练对患者术后第一次活动(翻身、坐、站、行)时疼痛、劳损及依赖程度的影响。方法从土耳其一家神经外科诊所招募将接受腰椎间盘突出手术的患者。符合纳入标准并同意参与研究的患者(n = 40)被随机分配到干预组(用角色扮演技术模拟床上翻身和活动训练,n = 19)和对照组(常规临床护理,n = 21)。研究的结果是患者活动能力和观察者活动能力量表得分。结果干预组术后患者活动能力评分、观察者活动能力评分均低于对照组,组间差异有统计学意义(p <0.05)。干预组治疗前焦虑水平(38.00±6.59,p <0.001),活动后(31.63±4.57,p = 0.032)显著降低。结论培训可提高患者术后首次活动能力的护理效果。建议将床上翻身和活动的结构化训练纳入腰椎间盘突出症手术患者的术前常规临床护理。实践意义:术前训练提高了患者活动的意愿,降低了焦虑水平和感知的疼痛和紧张。
{"title":"The effect of in-bed turning and mobilization training given to patients who undergo lumbar disk surgery on postoperative first mobility level: A single-blind, randomized controlled trial","authors":"Hatice Akkaya ,&nbsp;Hatice Ayhan","doi":"10.1016/j.ijotn.2023.101022","DOIUrl":"10.1016/j.ijotn.2023.101022","url":null,"abstract":"<div><h3>Objective</h3><p>This study was conducted to investigate the effects of mobilization and in-bed turning training given through the role-playing technique to patients to undergo lumbar disk surgery on the patient's pain, strain and dependence level during the first postoperative mobilization (turning, sitting, standing and walking).</p></div><div><h3>Methods</h3><p><span>Patients who would undergo a lumbar disk hernia surgery were recruited from a </span>neurosurgery<span> clinic in Turkey. Patients who met inclusion criteria and agreed to participate (n = 40) in the study were randomly assigned to an intervention group (in-bed turning and mobilization training simulated with the role-playing technique, n = 19) and a control group (usual clinical care, n = 21). The outcome of the study was patient mobility and observer mobility scale scores.</span></p></div><div><h3>Results</h3><p>Postoperative scores obtained from the patient mobility and observer mobility scale were lower in the intervention group than the scores of the control group, and the difference between the groups was found statistically significant (p &lt; 0.05). The anxiety levels of the intervention group before (38.00 ± 6.59, p &lt; 0.001) and after mobilization (31.63 ± 4.57, p = 0.032) were significantly lower.</p></div><div><h3>Conclusion</h3><p>The findings indicate training improves patient care outcomes for first postoperative mobility. It is recommended that structured training for in-bed turning and mobilization should be integrated into routine clinical care in the preoperative period for patients to undergo lumbar disk hernia surgery.</p></div><div><h3>Practice implications</h3><p>Preoperative training increases the patient's willingness to be mobilized and decreases the anxiety level and perceived pain and strain.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"50 ","pages":"Article 101022"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10035307","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
Commentary 评论
IF 1.4 Q3 NURSING Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101032
Julie Santy-Tomlinson (Emeritus Editor in Chief and Social Media Editor)
{"title":"Commentary","authors":"Julie Santy-Tomlinson (Emeritus Editor in Chief and Social Media Editor)","doi":"10.1016/j.ijotn.2023.101032","DOIUrl":"10.1016/j.ijotn.2023.101032","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"50 ","pages":"Article 101032"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988000","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
Focus on practice development: The value of sharing expertise 注重实践发展:分享专业知识的价值
IF 1.4 Q3 NURSING Pub Date : 2023-08-01 DOI: 10.1016/j.ijotn.2023.101021
Wendy Duperouzel (Clinical Editor)
{"title":"Focus on practice development: The value of sharing expertise","authors":"Wendy Duperouzel (Clinical Editor)","doi":"10.1016/j.ijotn.2023.101021","DOIUrl":"10.1016/j.ijotn.2023.101021","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"50 ","pages":"Article 101021"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10035303","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
Literature reviews 文献综述
IF 1.4 Q3 NURSING Pub Date : 2023-05-01 DOI: 10.1016/j.ijotn.2023.101019
Mary Drozd, Carmen Queiros, Shareena Bibi Mohd Arif
{"title":"Literature reviews","authors":"Mary Drozd,&nbsp;Carmen Queiros,&nbsp;Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2023.101019","DOIUrl":"10.1016/j.ijotn.2023.101019","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"49 ","pages":"Article 101019"},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49505298","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
Editorial – Global shortage of nurses – Rebecca Jester for May 2023 issue 社论-全球护士短缺-丽贝卡·杰斯特2023年5月号
IF 1.4 Q3 NURSING Pub Date : 2023-05-01 DOI: 10.1016/j.ijotn.2023.101018
Rebecca Jester
{"title":"Editorial – Global shortage of nurses – Rebecca Jester for May 2023 issue","authors":"Rebecca Jester","doi":"10.1016/j.ijotn.2023.101018","DOIUrl":"10.1016/j.ijotn.2023.101018","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"49 ","pages":"Article 101018"},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9753801","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: 1
Traditional compared to modified method of disinfection before hip fracture surgery - Experiences of nursing personnel 髋部骨折手术前传统消毒方法与改良消毒方法的比较——护理人员的体会
IF 1.4 Q3 NURSING Pub Date : 2023-05-01 DOI: 10.1016/j.ijotn.2023.101002
Noelle Probert , Karin Blomberg , Per Wretenberg , Åsa G. Andersson

Background

National guidelines in Sweden recommend preoperative full-body disinfection (FBD) with 4% chlorhexidine to prevent surgical-site infection (SSI) after hip fracture surgery, a method causing patients’ severe pain. Although, due to little evidence in research, orthopedic clinics in Sweden are wavering in favor of simpler methods such as local disinfection (LD) of the surgical site.

Purpose

The aim of this study was to describe the experiences of nursing personnel regarding the performance of preoperative LD on patients prior to hip fracture surgery after having switched from FBD.

Methods

This study has a qualitative design where data were collected via focus-group discussions (FGDs) including in total 12 participants and analysed using content analysis.

Results

Six categories were identified describing the aim: sparing the patients' physical harm, sparing the patients’ psychological distress, involving the patients in the procedure, improving the working environment for personnel, preventing unethical situations and a more adequate utilization of resources.

Conclusions

All participants considered LD of the surgical site as a favorable method to FBD, witnessing of an increased wellbeing in patients and the method facilitating a better involvement of patients in the procedure, findings that are supported by other studies promoting person-centered care.

瑞典国家指南推荐术前用4%氯己定全身消毒(FBD)来预防髋部骨折手术后手术部位感染(SSI),这种方法会导致患者剧烈疼痛。虽然,由于研究证据很少,瑞典的骨科诊所倾向于更简单的方法,如手术部位的局部消毒(LD)。目的本研究的目的是描述护理人员在髋部骨折手术前从FBD转换为术前LD的经验。方法本研究采用定性设计,通过焦点小组讨论(fgd)收集数据,共包括12名参与者,并使用内容分析进行分析。结果将护理目的分为6个类别:避免患者的身体伤害、避免患者的心理困扰、让患者参与到护理过程中来、改善医护人员的工作环境、防止不道德的情况和更充分地利用资源。所有参与者都认为手术部位的LD是FBD的一种有利方法,见证了患者的幸福感增加,该方法促进了患者更好地参与手术,其他研究也支持了这一发现,促进了以人为本的护理。
{"title":"Traditional compared to modified method of disinfection before hip fracture surgery - Experiences of nursing personnel","authors":"Noelle Probert ,&nbsp;Karin Blomberg ,&nbsp;Per Wretenberg ,&nbsp;Åsa G. Andersson","doi":"10.1016/j.ijotn.2023.101002","DOIUrl":"10.1016/j.ijotn.2023.101002","url":null,"abstract":"<div><h3>Background</h3><p>National guidelines in Sweden recommend preoperative full-body disinfection (FBD) with 4% chlorhexidine to prevent surgical-site infection (SSI) after hip fracture surgery, a method causing patients’ severe pain. Although, due to little evidence in research, orthopedic clinics in Sweden are wavering in favor of simpler methods such as local disinfection (LD) of the surgical site.</p></div><div><h3>Purpose</h3><p>The aim of this study was to describe the experiences of nursing personnel regarding the performance of preoperative LD on patients prior to hip fracture surgery after having switched from FBD.</p></div><div><h3>Methods</h3><p>This study has a qualitative design where data were collected via focus-group discussions (FGDs) including in total 12 participants and analysed using content analysis.</p></div><div><h3>Results</h3><p>Six categories were identified describing the aim: sparing the patients' physical harm, sparing the patients’ psychological distress, involving the patients in the procedure, improving the working environment for personnel, preventing unethical situations and a more adequate utilization of resources.</p></div><div><h3>Conclusions</h3><p>All participants considered LD of the surgical site as a favorable method to FBD, witnessing of an increased wellbeing in patients and the method facilitating a better involvement of patients in the procedure, findings that are supported by other studies promoting person-centered care.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"49 ","pages":"Article 101002"},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9899546","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 use of skin traction in the adult patients with proximal femur fracture. What are the effects, advantages and disadvantages? A scoping review 皮肤牵引在成人股骨近端骨折中的应用。有什么影响,优点和缺点?范围审查
IF 1.4 Q3 NURSING Pub Date : 2023-05-01 DOI: 10.1016/j.ijotn.2023.101004
Melania Miedico , Fabrizio Quattrini , Salvatore Emanuele Attardo , Margherita Marchioni , Maria Chiara Bassi , Enrico Lucenti , Leopoldo Sarli , Massimo Guasconi

Background

Hip surgery is normally the chosen therapy for proximal femur fractures. Surgery within 24–48 h after hip fracture is recommended, but surgery may not always be performed promptly. Consequently, skin-traction is applied to reduce complications. The purpose of this review is to assess both advantages and disadvantages of skin traction.

Methods

A scoping review was conducted. The research question was: which are the effects of skin traction, its advantages and disadvantages in adult patients with proximal femur fractures hospitalised in orthopaedic wards? The search was done in the databases PubMed, CINAHL, Cochrane, Embase, DOAJ, ClinicalTrials.gov and OpenDissertation.

Results

9 records were included, skin traction effects were summarised in 7 categories: pain, pressure sores, comfort and relaxation, thromboembolism, damage from adhesive, complications and quality of care. The possible advantage is pain reduction between 24 and 60 h, the possible disadvantage is skin damage.

Discussion and conclusion

The routine use of skin traction does not appear recommended, but more consistent evidence is necessary to make clinic decisions. Future RCTs could focus on the effects of skin traction 24–60 h after hospitalisation and before surgery.

背景髋关节手术通常是股骨近端骨折的首选治疗方法。建议在髋部骨折后24-48小时内进行手术,但手术可能并不总是及时进行。因此,应用皮肤牵引来减少并发症。本综述的目的是评估皮肤牵引的优点和缺点。方法进行范围界定审查。研究问题是:在骨科病房住院的股骨近端骨折成年患者中,皮肤牵引的效果、优点和缺点是什么?在PubMed、CINAHL、Cochrane、Embase、DOAJ、ClinicalTrials.gov和OpenDissertation数据库中进行搜索。结果包括9项记录,皮肤牵引效果总结为7类:疼痛、压疮、舒适和放松、血栓栓塞、粘合剂损伤、并发症和护理质量。可能的优点是在24到60小时之间减轻疼痛,可能的缺点是皮肤损伤。讨论和结论似乎不建议常规使用皮肤牵引,但需要更一致的证据来做出临床决定。未来的随机对照试验可以集中于住院后24-60小时和手术前皮肤牵引的影响。
{"title":"The use of skin traction in the adult patients with proximal femur fracture. What are the effects, advantages and disadvantages? A scoping review","authors":"Melania Miedico ,&nbsp;Fabrizio Quattrini ,&nbsp;Salvatore Emanuele Attardo ,&nbsp;Margherita Marchioni ,&nbsp;Maria Chiara Bassi ,&nbsp;Enrico Lucenti ,&nbsp;Leopoldo Sarli ,&nbsp;Massimo Guasconi","doi":"10.1016/j.ijotn.2023.101004","DOIUrl":"10.1016/j.ijotn.2023.101004","url":null,"abstract":"<div><h3>Background</h3><p>Hip surgery is normally the chosen therapy for proximal femur fractures. Surgery within 24–48 h after hip fracture is recommended, but surgery may not always be performed promptly. Consequently, skin-traction is applied to reduce complications. The purpose of this review is to assess both advantages and disadvantages of skin traction.</p></div><div><h3>Methods</h3><p>A scoping review was conducted. The research question was: which are the effects of skin traction, its advantages and disadvantages in adult patients with proximal femur fractures hospitalised in orthopaedic wards? The search was done in the databases PubMed, CINAHL, Cochrane, Embase, DOAJ, ClinicalTrials.gov and OpenDissertation.</p></div><div><h3>Results</h3><p>9 records were included, skin traction effects were summarised in 7 categories: pain, pressure sores, comfort and relaxation, thromboembolism, damage from adhesive, complications and quality of care. The possible advantage is pain reduction between 24 and 60 h, the possible disadvantage is skin damage.</p></div><div><h3>Discussion and conclusion</h3><p>The routine use of skin traction does not appear recommended, but more consistent evidence is necessary to make clinic decisions. Future RCTs could focus on the effects of skin traction 24–60 h after hospitalisation and before surgery.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"49 ","pages":"Article 101004"},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9530335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Orthopaedic and Trauma Nursing
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1