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Overview of Antibiotic Prophylaxis in Orthopaedic and Cardiac Procedures. 骨科和心脏手术中抗生素预防概述。
IF 0.7 4区 医学 Q3 Nursing Pub Date : 2023-09-01 DOI: 10.1097/NOR.0000000000000972
Kristina Karapetyan, Sally Mei, Aeman Choudhury, Jessica Cottreau

Antibiotic prophylaxis (AP) in surgical procedures is commonly used to prevent infections that may occur after operations. There are multiple factors that can contribute to increased risk of postsurgical complications that include prolonged hospitalization, reoperation, and readmissions. One of the strategies of decreasing the risk of bacterial contamination and developing infections is preprocedural antibiotic administration. When selecting an appropriate antibiotic, it is important to take into account surgery type and patient's characteristics which would also impact timing of administration and prophylaxis duration. Although surgical AP is significant for avoiding bacterial complications, it is also associated with some drawbacks such as increased antibiotic resistance and development of adverse reactions. Therefore, it is important to assess risks and benefits and select the most appropriate antibiotic regimen before initiating AP.

外科手术中的抗生素预防(AP)通常用于预防手术后可能发生的感染。有多种因素会导致术后并发症的风险增加,包括住院时间延长、再次手术和再次入院。降低细菌污染和感染风险的策略之一是术前给予抗生素。在选择合适的抗生素时,重要的是要考虑手术类型和患者的特征,这也会影响给药时间和预防持续时间。尽管外科AP对避免细菌并发症很重要,但它也有一些缺点,如抗生素耐药性增加和不良反应的发展。因此,在开始AP之前,评估风险和益处并选择最合适的抗生素方案是很重要的。
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引用次数: 0
Comparative Analysis of Predetermined Axillary Crutch Length Settings to Individualized Fittings. 对个性化配件与预设的Axillary Crutch长度设置的比较分析。
IF 0.7 4区 医学 Q3 Nursing Pub Date : 2023-09-01 DOI: 10.1097/NOR.0000000000000969
Nicholas Taweel, Charles Langman, Paul Sullivan, Faith Schick, Homyar Karanjia, Dawn T Gulick

Axillary crutches are the most common assistive devices given to individuals with musculoskeletal injuries in an acute care setting. Nurses are frequently the care provider fitting injured individuals with crutches. This study compared the crutch length determined by the crutch manufacturer's height setting with the crutch length attained after applying a standard clinical protocol for crutch fitting. A total of 116 adults with lower extremity injuries were enrolled. Self-reported height was documented as well as initial crutch length as indicated by the numbers on the push-button feature of the crutches. Subject height with and without shoes was measured. Proper crutch length was then determined using the method described by Bauer et al. (1991). No change between the initial and adjusted crutch settings was made in 43% of the subjects. Change was made in 57% of the subjects: lengthening in 40% and shortening in 17% of subjects. This study revealed the predetermined crutch settings are unreliable and should simply be used as a starting point during a personalized fitting.

腋下拐杖是在急性护理环境中为肌肉骨骼损伤患者提供的最常见的辅助设备。护士经常是为受伤人员配备拐杖的护理人员。本研究比较了由拐杖制造商的高度设置确定的拐杖长度与应用标准临床方案进行拐杖安装后获得的拐杖长度。共有116名患有下肢损伤的成年人被纳入研究。记录了自我报告的身高以及拐杖按钮特征上的数字所示的初始拐杖长度。测量受试者在穿鞋和不穿鞋的情况下的身高。然后使用Bauer等人(1991)描述的方法确定合适的拐杖长度。43%的受试者在初始和调整后的拐杖设置之间没有变化。57%的受试者发生了变化:40%的受试对象变长,17%的受试人员变短。这项研究表明,预先确定的拐杖设置是不可靠的,应该简单地作为个性化试穿的起点。
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引用次数: 0
Movement Is Life and NAON: A Demonstration of Multidisciplinary Collaboration and Impact. 运动就是生命和NAON:多学科合作和影响力的展示。
IF 0.8 4区 医学 Q4 NURSING Pub Date : 2023-09-01 DOI: 10.1097/NOR.0000000000000967
Martha Kebeh, Chloe C Dlott, Daniel H Wiznia
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引用次数: 0
NCPD Tests: Efficacy of One Dose of Laxative on Postoperative Constipation following Total Knee Arthroplasty. NCPD测试:一剂Laxative对全膝关节置换术后便秘的疗效。
IF 0.8 4区 医学 Q4 NURSING Pub Date : 2023-09-01 DOI: 10.1097/NOR.0000000000000978
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引用次数: 0
NAON Announcements. NAON公告。
IF 0.8 4区 医学 Q4 NURSING Pub Date : 2023-09-01 DOI: 10.1097/NOR.0000000000000981
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引用次数: 0
NAON Award Winners. NAON奖获奖者。
IF 0.7 4区 医学 Q3 Nursing Pub Date : 2023-09-01 DOI: 10.1097/NOR.0000000000000965
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引用次数: 0
Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization: Improving Patient Access to Musculoskeletal Care. 骨科护士导航仪和全关节置换术术前优化:改善患者获得肌肉骨骼护理的机会。
IF 0.7 4区 医学 Q3 Nursing Pub Date : 2023-09-01 DOI: 10.1097/NOR.0000000000000968
Martha Kebeh, Chloe C Dlott, Wei Shao Tung, Donna Kurek, Charla B Johnson, Daniel H Wiznia

Preoperative optimization programs for total joint arthroplasty identify and address risk factors to reduce postoperative complications, thereby improving patients' ability to be safe surgical candidates. This article introduces preoperative optimization programs and describes the role of orthopaedic nurse navigators. This foundation will be used to produce an article series with recommendations for optimization of several modifiable biopsychosocial factors. We consulted orthopaedic nurse navigators across the United States and conducted a literature review regarding preoperative optimization to establish the importance of nurse navigation in preoperative optimization. The responsibilities of nurse navigators, cited resources, and structure of preoperative optimization programs varied among institutions. Optimization programs relying on nurse navigators frequently demonstrated improved outcomes. Our discussions and literature review demonstrated the integral role of nurse navigators in preoperative optimization. We will discuss specific risk factors and how nurse navigators can manage them throughout this article series.

全关节置换术的术前优化程序可识别和解决风险因素,以减少术后并发症,从而提高患者作为安全手术候选者的能力。本文介绍了术前优化程序,并描述了骨科护士导航仪的作用。该基础将用于制作一系列文章,其中包括对几种可修改的生物心理社会因素的优化建议。我们咨询了美国各地的骨科护士导航员,并对术前优化进行了文献综述,以确定护士导航在术前优化中的重要性。护士导航仪的职责、引用的资源和术前优化计划的结构因机构而异。依靠护士导航仪的优化程序经常显示出改善的结果。我们的讨论和文献综述证明了护士导航仪在术前优化中的整体作用。我们将在本系列文章中讨论具体的风险因素,以及护士导航仪如何管理这些因素。
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引用次数: 0
Medial Collateral Ligament Tear. 内侧副韧带撕裂。
IF 0.8 4区 医学 Q4 NURSING Pub Date : 2023-09-01 DOI: 10.1097/NOR.0000000000000973
Patrick Graham
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引用次数: 0
NCPD Tests: Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization: Improving Patient Access to Musculoskeletal Care. NCPD测试:骨科护士导航仪和全关节置换术术前优化:改善患者获得肌肉骨骼护理的机会。
IF 0.8 4区 医学 Q4 NURSING Pub Date : 2023-09-01 DOI: 10.1097/NOR.0000000000000976
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引用次数: 0
Resilience in Orthopaedic Nursing. 骨科护理中的复原力。
IF 0.8 4区 医学 Q4 NURSING Pub Date : 2023-09-01 DOI: 10.1097/NOR.0000000000000975
Maureen P Cooper
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引用次数: 0
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Orthopaedic Nursing
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