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Efficacy of an Iranian herbal medicine formula for postoperative constipation in trauma patients with hip and lower limb fractures: A triple-blind, placebo-controlled randomized clinical trial 一种伊朗草药配方治疗髋关节和下肢骨折创伤患者术后便秘的疗效：一项三盲、安慰剂对照的随机临床试验
IF 1.5 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2025-02-08 DOI: 10.1016/j.ijotn.2025.101163
Rezvan Ghafarzadegan , Mohammadreza Zarei , Nahid Norouzi , Neda Mirbagher Ajorpaz , Seyedeh Mahsa Lotfi , Sayyed Mehdi Rasooli Manesh , Hossein Akbari , AliReza Abedi

Aim of the study

This trial aimed to evaluate the efficacy of the “Herbal Laxative Capsule” (HLC) formulation in alleviating symptoms of postoperative constipation (POC) in patients undergoing surgeries for traumatic fractures of the hip or lower extremities. The HLC is a novel polyherbal formulation that integrates both scientifically validated botanicals, such as Cassia angustifolia and Aloe barbadensis, with traditionally employed herbs like Foeniculum vulgare, Coriandrum sativum, and Carum carvi, all of which are recognized for their laxative properties.

Materials and methods

A triple-blind, placebo-controlled, randomized clinical trial was conducted at an academic hospital in Kashan, Iran. A total of 61 orthopedic patients with POC were randomized to receive either HLC (n = 31) in the treatment group or a placebo (n = 30) in the placebo group. Both were administered as 520 mg capsules, taken twice daily for one week. The primary outcomes included assessments of constipation severity and stool consistency, while the secondary outcomes evaluated patient satisfaction using validated clinical scales.

Results

The treatment group demonstrated a statistically significant reduction in constipation severity and improvement in stool consistency compared with the placebo group (P < 0.001). No significant adverse effects were reported. Additionally, patient satisfaction was notably higher in the treatment group (P < 0.001).

Conclusion

The HLC formulation demonstrated significant efficacy in effectively managing POC, which is often opioid-induced constipation (OIC), in orthopedic patients. These findings suggest that HLC could serve as a promising alternative to conventional laxatives, warranting further investigation in larger-scale clinical trials.
本试验旨在评估“草药泻药胶囊”（HLC）制剂在缓解髋部或下肢创伤性骨折手术患者术后便秘（POC）症状方面的疗效。HLC是一种新型的多草药配方，结合了科学验证的植物药物，如桂皮和芦荟，以及传统上使用的草药，如小茴香，芫荽和Carum carvi，所有这些都被认为具有泻药特性。材料与方法在伊朗Kashan的一家学术医院进行了一项三盲、安慰剂对照、随机临床试验。共有61例骨科POC患者被随机分为两组：治疗组接受HLC治疗（n = 31），安慰剂组接受安慰剂治疗（n = 30）。两种药物均为520毫克胶囊，每天服用两次，持续一周。主要结局包括便秘严重程度和大便一致性的评估，而次要结局使用经过验证的临床量表评估患者满意度。结果与安慰剂组相比，治疗组便秘严重程度降低，大便稠度改善，具有统计学意义(P <；0.001)。没有明显的不良反应报告。此外，治疗组患者满意度显著高于治疗组(P <；0.001)。结论HLC制剂对治疗骨科患者阿片类药物引起的便秘（POC）有显著疗效。这些发现表明，HLC可以作为传统泻药的有希望的替代品，值得在更大规模的临床试验中进一步研究。
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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 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 : 2025-02-07 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 : 2025-02-07 DOI: 10.1016/j.ijotn.2025.101160
Sonya Clarke, Shareena Bibi Mohd Arif, Carmen Queiros
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引用次数: 0
Editorial February 2025 issue – Authors Prof Rebecca Jester and Paul McLiesh 社论2025年2月号-作者丽贝卡·杰斯特教授和保罗·麦克利什。
IF 1.5 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2024.101156
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引用次数: 0
Risk prediction of functional disability among middle-aged and older adults with arthritis: A nationwide cross-sectional study using interpretable machine learning 中老年关节炎患者功能障碍的风险预测：一项使用可解释机器学习的全国性横断面研究
IF 1.5 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2025.101161
Qinglu Li , Wenting Shi , Nan Wang , Guorong Wang

Background

Arthritis is a common chronic disease among middle-aged and older adults and is strongly related to functional decline.

Methods

The research sample and data were derived from the China Health and Retirement Longitudinal Study (CHARLS) 2015. We employed the least absolute shrinkage and selection operator (LASSO) and multifactor logistic regression analysis to identify features for model construction. We proposed six machine learning (ML) predictive models. The optimal model was selected using various learning metrics and was further interpreted using the SHapley Additive exPlanations (SHAP) method.

Results

A total of 5111 subjects were included in the analysis, of which 1955 developed functional disability. Among the six models, XGBoost showed the best performance, achieving a test set area under the curve (AUC) of 0.74. SHAP analysis ranked the features by their contribution as follows: waist circumference, handgrip strength, self-reported health status, age, body pains, depression, history of falls, sleeping duration, and availability of care resources. SHAP dependence plots indicated that individuals over 60 with increased waist circumference (>85 cm), short sleeping duration (<5 h), and lower handgrip strength (<25 kg) had a higher probability of functional disability.

Conclusion

This study presents an interpretable machine learning-based model for the early detection of functional disability in patients with arthritis and informs the development of care strategies aimed at delaying functional disability in this population.
背景：喉炎是中老年人常见的慢性疾病，与功能衰退密切相关。方法研究样本和数据来源于中国健康与退休纵向研究（CHARLS） 2015。我们采用最小绝对收缩和选择算子（LASSO）和多因素逻辑回归分析来识别模型构建的特征。我们提出了六个机器学习（ML）预测模型。使用各种学习指标选择最优模型，并使用SHapley加性解释（SHAP）方法进一步解释。结果共纳入5111例，其中功能障碍1955例。在6个模型中，XGBoost表现最好，实现了0.74的测试集曲线下面积（AUC）。SHAP分析对这些特征的贡献排序如下：腰围、握力、自我报告的健康状况、年龄、身体疼痛、抑郁、跌倒史、睡眠时间和护理资源的可用性。SHAP依赖性图显示，60岁以上腰围增大（85cm）、睡眠时间短（5h）、握力较低（25kg）的个体发生功能障碍的概率较高。本研究提出了一个可解释的基于机器学习的模型，用于关节炎患者功能障碍的早期检测，并为旨在延缓这一人群功能障碍的护理策略的制定提供信息。
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引用次数: 0
Efficacy and cost-effectiveness of semi-occlusive bandages in finger amputation treatment 半封闭绷带在断指治疗中的疗效及成本效益
IF 1.5 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2025.101158
Andrea Cosentino , Gianni Odorizzi , Wilhelm Berger
Finger amputations, commonly resulting from trauma, require effective management to restore function, prevent infection, and expedite healing. Surgical interventions, such as replantation and flap reconstruction, are often the standard treatment but can be costly and unnecessary for certain injuries, especially distal amputations. Semi-occlusive bandages (SOBs) offer a cost-efficient, effective alternative for managing distal fingertip amputations. This review introduces the classifications of finger amputations using Tamai and Allen systems, discusses their applicability to SOBs, and highlights benefits such as faster healing, reduced pain, and lower infection risks. Recent studies have validated SOBs’ efficacy, affordability, and high patient satisfaction in various clinical contexts. While evidence supports SOBs as a first-line treatment in appropriate cases, further research is needed to evaluate their cost-effectiveness across diverse healthcare settings.
手指截肢通常由外伤造成，需要有效的治疗来恢复功能、预防感染并加快愈合。外科手术通常是标准的治疗方法，如再植和皮瓣重建，但对于某些损伤，尤其是远端截肢，手术费用昂贵且没有必要。半闭塞性绷带（SOB）为治疗指尖远端截肢提供了一种经济、有效的替代方法。这篇综述介绍了使用 Tamai 和 Allen 系统对手指截肢进行的分类，讨论了它们对 SOB 的适用性，并强调了其优点，如愈合更快、减少疼痛和降低感染风险。最近的研究证实，在各种临床情况下，SOB 具有疗效好、经济实惠和患者满意度高等优点。虽然有证据支持在适当的情况下将 SOB 作为一线治疗方法，但还需要进一步的研究来评估其在不同医疗环境下的成本效益。
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引用次数: 0
Corrigendum to “Patient participation in orthopaedic care-a survey on hip surgery patients' preferences for and experiences of engagement in their health and healthcare” [Int. J. Orthop. Trauma Nurs. 54 (2024) 101118] “患者对骨科护理的参与——髋关节手术患者对其健康和保健的偏好和参与经验的调查”的勘误表[Int。j . .。创伤护理，54(2024)101118。
IF 1.5 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2024.101154
Patricia Sköld , Maria Hälleberg-Nyman , Eva Joelsson-Alm , Ann Catrine Eldh
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引用次数: 0
Validity and reliability of the Danish version of the Hospital Anxiety and Depression Scale (HADS) in patients with major lower extremity amputations: A psychometric study 丹麦版医院焦虑抑郁量表（HADS）在下肢主要截肢患者中的效度和信度：一项心理测量学研究
IF 1.5 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2025.101157
Charlotte Abrahamsen , Ulla Riis Madsen , Ann Pia Søe Jensen , Karin Bundgaard , Charlotte Myhre Jensen , Pia Kjær Kristensen

Background

Patients undergoing major lower extremity amputation (LEA) due to vascular disease face an increased risk of post-surgery anxiety and depression. The Hospital Anxiety and Depression Scale (HADS), widely used to identify anxiety and depressive symptoms, has been translated into Danish, but its content validity has not previously been tested in LEA patients. This study aims to test the validity and reliability of HADS in this population.

Method

This methodological study involved cognitive interviews with 10 major LEA patients to assess content validity and HADS responses from 100 patients to evaluate the floor and ceiling effects, construct validity, and internal consistency reliability. Data were collected from seven orthopedic departments across Denmark.

Results

In this hospital-based study, 20% had anxiety symptoms and 18% had depressive symptoms before discharge. Patients found the questionnaire relevant but had concerns about the one-week timeframe and the comprehensibility of certain items (“butterflies in the stomach” in item 9 and the term “things” in items 2 and 12). Floor effects were present across all items, with no ceiling effects. Confirmatory factor analysis supported both the original two-factor and a three-factor structure. Internal consistency reliability was good for both subscales.

Conclusion

This study supports the validity and reliability of the Danish version of HADS for assessing anxiety and depression in patients with major lower extremity amputation (LEA). The questionnaire serves as a valuable tool for addressing psychosocial challenges, enabling patients to reflect on their mental health and recognize potential symptoms needing medical attention in the future.
背景：由于血管疾病而接受下肢大截肢（LEA）的患者面临着术后焦虑和抑郁的风险增加。医院焦虑和抑郁量表（HADS），广泛用于识别焦虑和抑郁症状，已翻译成丹麦语，但其内容效度尚未在LEA患者中进行过测试。本研究旨在检验HADS在该人群中的效度和信度。方法：采用认知访谈法对10例主要LEA患者进行内容效度评估，对100例患者的HADS反应进行下限效度、结构效度和内部一致性信度评估。数据从丹麦的七个骨科部门收集。结果：在这项以医院为基础的研究中，20%的患者在出院前有焦虑症状，18%的患者有抑郁症状。患者认为问卷是相关的，但对一周的时间框架和某些项目的可理解性（项目9中的“胃里的蝴蝶”和项目2和12中的术语“事物”）有顾虑。地板效果出现在所有项目中，没有天花板效果。验证性因子分析支持原来的两因素和三因素结构。两个分量表的内部一致性信度均较好。结论：本研究支持丹麦版HADS评估重度下肢截肢（LEA）患者焦虑和抑郁的有效性和可靠性。问卷是解决心理社会挑战的宝贵工具，使患者能够反思自己的心理健康状况，并认识到未来需要医疗照顾的潜在症状。
{"title":"Validity and reliability of the Danish version of the Hospital Anxiety and Depression Scale (HADS) in patients with major lower extremity amputations: A psychometric study","authors":"Charlotte Abrahamsen ,&nbsp;Ulla Riis Madsen ,&nbsp;Ann Pia Søe Jensen ,&nbsp;Karin Bundgaard ,&nbsp;Charlotte Myhre Jensen ,&nbsp;Pia Kjær Kristensen","doi":"10.1016/j.ijotn.2025.101157","DOIUrl":"10.1016/j.ijotn.2025.101157","url":null,"abstract":"<div><h3>Background</h3><div>Patients undergoing major lower extremity amputation (LEA) due to vascular disease face an increased risk of post-surgery anxiety and depression. <em>The Hospital Anxiety and Depression Scale (HADS),</em> widely used to identify anxiety and depressive symptoms, has been translated into Danish, but its content validity has not previously been tested in LEA patients. This study aims to test the validity and reliability of HADS in this population.</div></div><div><h3>Method</h3><div>This methodological study involved cognitive interviews with 10 major LEA patients to assess content validity and HADS responses from 100 patients to evaluate the floor and ceiling effects, construct validity, and internal consistency reliability. Data were collected from seven orthopedic departments across Denmark.</div></div><div><h3>Results</h3><div>In this hospital-based study, 20% had anxiety symptoms and 18% had depressive symptoms before discharge. Patients found the questionnaire relevant but had concerns about the one-week timeframe and the comprehensibility of certain items (“butterflies in the stomach” in item 9 and the term “things” in items 2 and 12). Floor effects were present across all items, with no ceiling effects. Confirmatory factor analysis supported both the original two-factor and a three-factor structure. Internal consistency reliability was good for both subscales.</div></div><div><h3>Conclusion</h3><div>This study supports the validity and reliability of the Danish version of HADS for assessing anxiety and depression in patients with major lower extremity amputation (LEA). The questionnaire serves as a valuable tool for addressing psychosocial challenges, enabling patients to reflect on their mental health and recognize potential symptoms needing medical attention in the future.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101157"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013824","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
Barriers and facilitators for improving oral anticoagulant medication adherence in lower extremity deep venous thrombosis patients after spinal surgery: A qualitative study using the COM-B model 脊柱术后下肢深静脉血栓患者口服抗凝药物依从性改善的障碍和促进因素：一项使用COM-B模型的定性研究
IF 1.5 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2024.101155
Xiaoyu Wu , Huaqin Wang , Ya Tan, Xiaoju Tan, Xinge Zhao, Xiaoling Liu, Wenli Wang

Background

Deep venous thrombosis (DVT) of the lower extremity causes a major disease burden globally. Currently, oral anticoagulant therapy is used as the first-line treatment of DVT, however, medication non-adherence remains a serious problem for postoperative spinal surgery patients whose DVT incidence is at a high level.

Aims

To explore barriers and facilitators affecting patient oral anticoagulant medication adherence, based on guidance using the COM-B model.

Methods

This study was a qualitative study using a descriptive research design with in-depth and semi-structured interviews. Data were analyzed adopting traditional content analysis methods.

Results

Based on the COM-B theoretical model, we identified 9 barriers and facilitators from capability, opportunity, and motivation domains.

Conclusions

Patients were confronted with barriers from capability, opportunity, and motivation domains, which were not isolated but interrelated. Future interventions should incorporate facilitators and barriers to address medication adherence issue with a holistic approach at multiple levels.
背景：下肢深静脉血栓形成（DVT）是全球范围内的主要疾病负担。目前，口服抗凝治疗是DVT的一线治疗方法，但对于DVT发生率较高的脊柱术后患者，药物依从性仍然是一个严重的问题。目的：基于COM-B模型的指导，探讨影响患者口服抗凝药物依从性的障碍和促进因素。方法：本研究采用定性研究，采用深度访谈和半结构化访谈的描述性研究设计。数据分析采用传统的内容分析方法。结果：基于COM-B理论模型，我们从能力、机会和动机三个方面确定了9个障碍和促进因素。结论：患者面临着能力、机会和动机领域的障碍，这些障碍不是孤立的，而是相互关联的。未来的干预措施应结合促进因素和障碍，以多层次的整体方法解决药物依从性问题。
{"title":"Barriers and facilitators for improving oral anticoagulant medication adherence in lower extremity deep venous thrombosis patients after spinal surgery: A qualitative study using the COM-B model","authors":"Xiaoyu Wu ,&nbsp;Huaqin Wang ,&nbsp;Ya Tan,&nbsp;Xiaoju Tan,&nbsp;Xinge Zhao,&nbsp;Xiaoling Liu,&nbsp;Wenli Wang","doi":"10.1016/j.ijotn.2024.101155","DOIUrl":"10.1016/j.ijotn.2024.101155","url":null,"abstract":"<div><h3>Background</h3><div>Deep venous thrombosis (DVT) of the lower extremity causes a major disease burden globally. Currently, oral anticoagulant therapy is used as the first-line treatment of DVT, however, medication non-adherence remains a serious problem for postoperative spinal surgery patients whose DVT incidence is at a high level.</div></div><div><h3>Aims</h3><div>To explore barriers and facilitators affecting patient oral anticoagulant medication adherence, based on guidance using the COM-B model.</div></div><div><h3>Methods</h3><div>This study was a qualitative study using a descriptive research design with in-depth and semi-structured interviews. Data were analyzed adopting traditional content analysis methods.</div></div><div><h3>Results</h3><div>Based on the COM-B theoretical model, we identified 9 barriers and facilitators from capability, opportunity, and motivation domains.</div></div><div><h3>Conclusions</h3><div>Patients were confronted with barriers from capability, opportunity, and motivation domains, which were not isolated but interrelated. Future interventions should incorporate facilitators and barriers to address medication adherence issue with a holistic approach at multiple levels.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101155"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956467","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
Examining postoperative care: Predictors of perceived pain relief and satisfaction with pain management after orthopedic surgeries 检查术后护理：骨科手术后感知疼痛缓解和疼痛管理满意度的预测因素
IF 1.5 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2025-02-01 DOI: 10.1016/j.ijotn.2025.101159
Heba Khalil , Abedalmajeed Shajrawi , Ahmed Mohammad Al-Smadi , Wegdan Bani-Issa , Fatma Refaat Ahmed , Loai AbuSharour , Nabeel AL. Yateem , Khalil Yousef

Purpose

This study examines predictors of postoperative pain relief and patient satisfaction among orthopedic patients in Jordan, emphasizing demographic and clinical factors, patient involvement in pain management, Patient-Controlled Analgesia (PCA) utilization, and non-pharmacological pain relief techniques.

Methods

This observational, predictive study included 300 orthopedic surgery patients. Pain intensity was measured 24 h post-surgery, and patients completed the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R). Demographic and clinical data were collected from medical records. Statistical analyses, including t-tests, ANOVA, and regression models, identified significant predictors of perceived pain relief and satisfaction with pain management.

Results

Patients reported high pain levels early post-surgery, with an average peak pain intensity of 8.52/10. Combined treatments provided an average pain relief score of 81.9%, and satisfaction with pain management averaged 7.86. Higher satisfaction was associated with PCA use, non-pharmacological methods, and information on pain management options. Key predictors of pain relief included surgery type, pain management information availability, the impact of opioid side effects, and pain's impact on activities, sleep, and emotional well-being. Satisfaction was also predicted by information on pain treatment, opioid side effects, and the total impact of pain.

Conclusion

Enhanced patient education, active involvement in care, individualized non-pharmacological pain relief methods, and PCA use improve perceived pain relief and satisfaction with pain management. This study emphasizes the importance of personalized, multimodal pain management strategies to improve postoperative care and enhance recovery.
目的：本研究探讨约旦骨科患者术后疼痛缓解和患者满意度的预测因素，强调人口统计学和临床因素、患者参与疼痛管理、患者自控镇痛（PCA）的使用和非药物疼痛缓解技术。方法本观察性、预测性研究纳入300例骨科手术患者。术后24小时测量疼痛强度，患者完成修订后的美国疼痛学会患者结局问卷（APS-POQ-R）。从医疗记录中收集人口统计和临床数据。统计分析，包括t检验、方差分析和回归模型，确定了感知疼痛缓解和疼痛管理满意度的显著预测因子。结果患者术后早期疼痛水平较高，平均峰值疼痛强度为8.52/10。联合治疗的平均疼痛缓解评分为81.9%，疼痛管理满意度平均为7.86。较高的满意度与PCA的使用、非药物方法和疼痛管理选择的信息有关。疼痛缓解的关键预测因素包括手术类型、疼痛管理信息的可用性、阿片类药物副作用的影响、疼痛对活动、睡眠和情绪健康的影响。满意度还可以通过疼痛治疗、阿片类药物副作用和疼痛总影响的信息来预测。结论加强患者教育、积极参与护理、个性化的非药物缓解疼痛方法和PCA的使用可提高疼痛缓解感和疼痛管理满意度。本研究强调个性化、多模式疼痛管理策略对改善术后护理和促进康复的重要性。
{"title":"Examining postoperative care: Predictors of perceived pain relief and satisfaction with pain management after orthopedic surgeries","authors":"Heba Khalil ,&nbsp;Abedalmajeed Shajrawi ,&nbsp;Ahmed Mohammad Al-Smadi ,&nbsp;Wegdan Bani-Issa ,&nbsp;Fatma Refaat Ahmed ,&nbsp;Loai AbuSharour ,&nbsp;Nabeel AL. Yateem ,&nbsp;Khalil Yousef","doi":"10.1016/j.ijotn.2025.101159","DOIUrl":"10.1016/j.ijotn.2025.101159","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examines predictors of postoperative pain relief and patient satisfaction among orthopedic patients in Jordan, emphasizing demographic and clinical factors, patient involvement in pain management, Patient-Controlled Analgesia (PCA) utilization, and non-pharmacological pain relief techniques.</div></div><div><h3>Methods</h3><div>This observational, predictive study included 300 orthopedic surgery patients. Pain intensity was measured 24 h post-surgery, and patients completed the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R). Demographic and clinical data were collected from medical records. Statistical analyses, including t-tests, ANOVA, and regression models, identified significant predictors of perceived pain relief and satisfaction with pain management.</div></div><div><h3>Results</h3><div>Patients reported high pain levels early post-surgery, with an average peak pain intensity of 8.52/10. Combined treatments provided an average pain relief score of 81.9%, and satisfaction with pain management averaged 7.86. Higher satisfaction was associated with PCA use, non-pharmacological methods, and information on pain management options. Key predictors of pain relief included surgery type, pain management information availability, the impact of opioid side effects, and pain's impact on activities, sleep, and emotional well-being. Satisfaction was also predicted by information on pain treatment, opioid side effects, and the total impact of pain.</div></div><div><h3>Conclusion</h3><div>Enhanced patient education, active involvement in care, individualized non-pharmacological pain relief methods, and PCA use improve perceived pain relief and satisfaction with pain management. This study emphasizes the importance of personalized, multimodal pain management strategies to improve postoperative care and enhance recovery.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101159"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143182871","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
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