المؤلفون: Chang, Su‐Yu, Lin, Li‐Hwa, Lin, Pi‐Chu

المصدر: Journal of Clinical Nursing (John Wiley & Sons, Inc.); Sep2019, Vol. 28 Issue 17/18, p3222-3232, 11p, 1 Diagram, 4 Charts

مصطلحات موضوعية: KNEE physiology, AGE distribution, CONVALESCENCE, RANGE of motion of joints, LONGITUDINAL method, MEDICAL records, PATIENTS, QUALITY of life, QUESTIONNAIRES, SEX distribution, SURGERY, TOTAL knee replacement, WALKING, COMORBIDITY, STATISTICAL power analysis, TREATMENT effectiveness, DATA analysis software, DESCRIPTIVE statistics, PERIOPERATIVE care, ARTHRITIS Impact Measurement Scales

مستخلص: Aims and objectives: To track changes in patients' knee function, walking ability and quality of life (QOL) before and after knee arthroplasty surgery and explore factors that influenced these parameters. Background: The number of days as an inpatient for those who undergo joint replacement operations has been greatly reduced in recent years. However, it remains unclear whether shortening the inpatient time has affected patients' recovery or their QOL. Design: Prospective cohort study. Method: In total, 101 participants who underwent total knee arthroplasty (TKA) were enrolled, with data collected preoperatively and at the 2nd and 6th weeks postoperatively. We followed the STROBE checklist to ensure the rigour of our study. Results: Forty‐nine participants underwent unilateral TKA (UTKA; 48.5%), and 52 underwent simultaneous bilateral TKA (SBTKA; 51.5%). At the 2nd week postoperatively, knee joint function was significantly worse than that preoperatively. However, these patients did not exhibit significant differences in the EQ‐5D utility index (EQ‐5D UI) compared to their preoperative scores. At the 6th week postoperatively, the knee joint function and EQ‐5D UI were significantly better than preoperative values. Participants who underwent UTKA scored higher on the Oxford knee score (OKS) than did SBTKA participants. However, no significant differences were noted between the two groups for the knee flexion angle, the timed up and go (TUG) test, or the EQ‐5D UI score. Conclusions and suggestions: At the postoperative 6th week, participants exhibited improved knee joint function and QOL, but there was no difference in the walking ability compared to preoperative values. At the 6th week after surgery, patients who underwent SBTKA exhibited poorer joint function than did those who underwent UTKA. Relevance to clinical practice.: These results can assist nursing staffs and serve as a reference for providing patient education and nursing intervention to TKA patients. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Clinical Nursing (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Chen, Hui ‐ Chun, Chuang, Tai ‐ Yuan, Lin, Pi ‐ Chu, Lin, Yen ‐ Kuang, Chuang, Yeu ‐ Hui

المصدر: Journal of Nursing Scholarship; Jul2017, Vol. 49 Issue 4, p429-437, 9p

مصطلحات موضوعية: TREATMENT of bursitis, ANALYSIS of covariance, CHI-squared test, EXERCISE therapy, FISHER exact test, RANGE of motion of joints, PAMPHLETS, PATIENT compliance, PATIENT education, ROTATIONAL motion, STATISTICAL sampling, SCALE analysis (Psychology), STRETCH (Physiology), T-test (Statistics), CELL phones, TEXT messages, RANDOMIZED controlled trials, VISUAL analog scale, TREATMENT effectiveness, CONTINUING education units, HEALTH care reminder systems, DATA analysis software

مصطلحات جغرافية: TAIWAN

مستخلص: Purpose The aim of this study was to examine the effects of reminders, encouragement, and educational messages delivered by mobile phone on shoulder exercise compliance and improvements in shoulder function among patients with a frozen shoulder. Design and Methods A randomized controlled trial design was used. A convenience sample of patients with a frozen shoulder in an orthopedic outpatient clinic was recruited. All participants were instructed on how to do shoulder exercises and were provided with a printed pamphlet about shoulder exercises. Then, the intervention group received reminders, encouragement, and educational messages by mobile phone daily for the next 2 weeks, while the comparison group did not. Findings The intervention group had higher compliance with shoulder exercises than did the comparison group ( t = 2.263, p = .03) and had significant improvements in shoulder forward flexion ( F = 12.067, p = .001), external rotation ( F = 13.61, p = .001), and internal rotation ( F = 5.903, p = .018) compared to those in the comparison group after the 2-week intervention. Conclusions The text messages significantly increased patient compliance with shoulder exercises and thus improved patients' shoulder range of motion. Clinical Relevance Hospital or clinics can send appropriate messages to patients via text message platforms in order to remind and encourage them to do shoulder exercises. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Nursing Scholarship is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Hsu, Chih-Chung, Chen, Wei-Ming, Chen, Su-Ru, Tseng, Yen-Ting, Lin, Pi-Chu

المصدر: Biological Research for Nursing; Jan2016, Vol. 18 Issue 1, p68-75, 8p

مصطلحات موضوعية: ANXIETY prevention, CLINICAL trials, HEART beat, INTERVIEWING, RANGE of motion of joints, MUSIC therapy, RESEARCH funding, T-test (Statistics), TOTAL knee replacement, VISUAL analog scale, DATA analysis software, DESCRIPTIVE statistics, REHABILITATION

مصطلحات جغرافية: TAIWAN

مستخلص: Aim: This study investigated the effects of music listening on the anxiety, heart rate variability (HRV), and joint range of motion (ROM) of patients undergoing continuous passive motion (CPM) after total knee replacement surgery. Method: An experimental design was used. Participants in the experimental group (n = 49) listened to music from 10 min before receiving CPM until the end of the session (25 min in total) on the first and second day following surgery, whereas participants in the control group (n = 42) did not listen to music but rested quietly in bed starting 10 min before and throughout CPM. Results: Compared with the control group, the experimental group exhibited significantly lower anxiety levels (p < .05) and increased CPM angles (p < .05) during treatment and increased active flexion ROM (p < .05) upon discharge. The low-frequency (LF)/high-frequency (HF) power ratio, normalized LF HRV, and normalized HF HRV of the two groups differed significantly, indicating that the patients in the experimental group had greater parasympathetic activity compared with those in the control group. Conclusion: Music listening can effectively reduce patient anxiety and enhance the ROM of their joints during postoperative rehabilitation. Health-care practitioners should consider including music listening as a routine practice for postoperative rehabilitation following orthopedic surgery. [ABSTRACT FROM AUTHOR]

: Copyright of Biological Research for Nursing is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Wang, Ching-Hui¹, Lin, Pi-Chu¹, Lee, Yu-Tai¹, Chuang, Ching-Wen¹, Tsay, Shiow-Luan¹, Chu, Chan-Yi¹

المصدر: Journal of Clinical Nursing (John Wiley & Sons, Inc.). Jan2012, Vol. 21 Issue 1-2, p121-128. 8p.

مصطلحات موضوعية: *GONIOMETRY (Anatomy), *REHABILITATION, *ROTATOR cuff surgery, *ANALYSIS of variance, *RANGE of motion of joints, *ORTHOPEDIC apparatus, *RESEARCH methodology, *MEDICAL needs assessment, *MUSCLE strength, *NURSING research, *ORTHOPEDIC nursing, *HEALTH outcome assessment, *RESEARCH funding, *STATISTICAL sampling, *ROTATOR cuff injuries, *ACTIVITIES of daily living, *PAIN measurement, *VISUAL analog scale, *TREATMENT effectiveness, *REPEATED measures design, *EVALUATION, *EQUIPMENT & supplies

مصطلحات جغرافية: TAIWAN

مستخلص: Aims and objectives. This study investigates the effects on patient outcomes of using a T-bar in rehabilitation programs in shoulder arthroscopic surgical procedure patients. Background. Orthopaedic nurses play an important role in facilitating restoration of patients' range of motion shoulder function. Conventionally, nurses instruct patients to use the unaffected arm to hold the surgical arm when performing range of motion. However, patients often have difficulty performing the entire range of motion efficiently in this manner. Therefore, nurses have invented a T-bar device to help patients perform range of motion in a rehabilitation program. Design. A repeated-measure, quasi-experimental study. Method. Sixty-eight participants were recruited from four orthopaedic wards of a medical center in Taipei, Taiwan. Of the patients meeting the inclusion criteria for the study, 33 were assigned to the experimental group and 35 to the comparison group. Both groups had the same shoulder rehabilitation program including identical activities, duration and frequency, except that the experimental group used the nurse invented T-bar device to facilitate range of motion while the comparison group used a conventional method. Data were collected when patients were admitted, five days and four weeks after the surgery. Outcome indicators were shoulder range of motion, muscle power and the American Shoulder and Elbow Society Shoulder Index. Statistical methods used for analysis included mean, standard deviation and repeated measures anova. Results. All the participants completed the study. Results showed a significant improvement in shoulder abduction after surgery in experimental group versus the comparison group. No significant differences were found in other outcomes. Conclusions. The nurse invented T-bar device used in the rehabilitation program was effective in helping restore the abduction function of rotator cuff repair patients in our preliminary study. Relevance to clinical practice. Using a T-bar in the rehabilitation program to improve range of motion may be considered for patients with shoulder surgery. [ABSTRACT FROM AUTHOR]