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Fast track surgery for children with congenital pseudarthrosis of the tibia: A prospective interventional study
The purpose of this study was to explore the effect of fast-track surgery combined with a clinical nursing pathway on the recovery and complications of congenital pseudarthrosis of tibia. 82 children with congenital pseudarthrosis of tibia admitted from January 2019 to December 2020 were selected as...
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Published in: | International journal of orthopaedic and trauma nursing 2024-05, Vol.53, p.101051, Article 101051 |
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container_title | International journal of orthopaedic and trauma nursing |
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creator | Yi, Yinzhi Dong, Lin Zhang, Ni Mo, Shasha Xie, Yonghong Hu, Xiongke |
description | The purpose of this study was to explore the effect of fast-track surgery combined with a clinical nursing pathway on the recovery and complications of congenital pseudarthrosis of tibia.
82 children with congenital pseudarthrosis of tibia admitted from January 2019 to December 2020 were selected as the study subjects. The control group received routine clinical nursing pathway while the intervention group received a fast-track surgery combined with a clinical nursing pathway. The fasting and water deprivation time were arranged according to the pre operation time, and the accelerated rehabilitation nursing models such as progressive diet management, multi-functional analgesia, and early sequential functional exercise were given after the operation. After collecting data on perioperative diet, postoperative recovery, postoperative complications, and family satisfaction from both groups of patients in a large hospital in China, a comparative analysis was conducted.
The retention time of negative pressure drainage tube, urinary catheter and hospital stay in the intervention group were shorter than those in the control group (P |
doi_str_mv | 10.1016/j.ijotn.2023.101051 |
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82 children with congenital pseudarthrosis of tibia admitted from January 2019 to December 2020 were selected as the study subjects. The control group received routine clinical nursing pathway while the intervention group received a fast-track surgery combined with a clinical nursing pathway. The fasting and water deprivation time were arranged according to the pre operation time, and the accelerated rehabilitation nursing models such as progressive diet management, multi-functional analgesia, and early sequential functional exercise were given after the operation. After collecting data on perioperative diet, postoperative recovery, postoperative complications, and family satisfaction from both groups of patients in a large hospital in China, a comparative analysis was conducted.
The retention time of negative pressure drainage tube, urinary catheter and hospital stay in the intervention group were shorter than those in the control group (P < 0.05); The incidence of complications in the intervention group (5%) was significantly lower than that in the control group (21.42%) (P = 0.029). The family satisfaction of the intervention group (95.00%) was higher than that of the control group (80.95%).
Strengthening the concept of fast-track surgery nursing in the combined operation of congenital pseudarthrosis of tibia can shorten the hospitalization time of children, reduce the occurrence of postoperative complications and improve their family satisfaction.</description><identifier>ISSN: 1878-1241</identifier><identifier>DOI: 10.1016/j.ijotn.2023.101051</identifier><language>eng</language><publisher>Elsevier Ltd</publisher><subject>Complication ; Congenital pseudarthrosis of tibia ; Fast-track surgery ; Nursing ; Postoperative recovery</subject><ispartof>International journal of orthopaedic and trauma nursing, 2024-05, Vol.53, p.101051, Article 101051</ispartof><rights>2023 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c309t-4edd22aa65e191a2e256afe4963608abbfabf4dd14452920bfcf1ba3fe3493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Yi, Yinzhi</creatorcontrib><creatorcontrib>Dong, Lin</creatorcontrib><creatorcontrib>Zhang, Ni</creatorcontrib><creatorcontrib>Mo, Shasha</creatorcontrib><creatorcontrib>Xie, Yonghong</creatorcontrib><creatorcontrib>Hu, Xiongke</creatorcontrib><title>Fast track surgery for children with congenital pseudarthrosis of the tibia: A prospective interventional study</title><title>International journal of orthopaedic and trauma nursing</title><description>The purpose of this study was to explore the effect of fast-track surgery combined with a clinical nursing pathway on the recovery and complications of congenital pseudarthrosis of tibia.
82 children with congenital pseudarthrosis of tibia admitted from January 2019 to December 2020 were selected as the study subjects. The control group received routine clinical nursing pathway while the intervention group received a fast-track surgery combined with a clinical nursing pathway. The fasting and water deprivation time were arranged according to the pre operation time, and the accelerated rehabilitation nursing models such as progressive diet management, multi-functional analgesia, and early sequential functional exercise were given after the operation. After collecting data on perioperative diet, postoperative recovery, postoperative complications, and family satisfaction from both groups of patients in a large hospital in China, a comparative analysis was conducted.
The retention time of negative pressure drainage tube, urinary catheter and hospital stay in the intervention group were shorter than those in the control group (P < 0.05); The incidence of complications in the intervention group (5%) was significantly lower than that in the control group (21.42%) (P = 0.029). The family satisfaction of the intervention group (95.00%) was higher than that of the control group (80.95%).
Strengthening the concept of fast-track surgery nursing in the combined operation of congenital pseudarthrosis of tibia can shorten the hospitalization time of children, reduce the occurrence of postoperative complications and improve their family satisfaction.</description><subject>Complication</subject><subject>Congenital pseudarthrosis of tibia</subject><subject>Fast-track surgery</subject><subject>Nursing</subject><subject>Postoperative recovery</subject><issn>1878-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kM1KAzEURrNQsNQ-gZu8wNT8zXRGcFGKVaEgiPuQSW46GWsyJGll3t6pde3dXPjgXL57ELqjZEkJre77petD9ktGGD8npKRXaEbrVV1QJugNWqTUk2k4FXW5mqGwVSnjHJX-xOkY9xBHbEPEunMHE8Hjb5c7rIPfg3dZHfCQ4GhUzF0MySUcLM4d4Oxapx7wGg9TPIDO7gTY-QzxBD674Ccy5aMZb9G1VYcEi789R-_bp4_NS7F7e37drHeF5qTJhQBjGFOqKoE2VDFgZaUsiKbiFalV21rVWmEMFaJkDSOt1Za2ilvgouFzxC9H9dQmRbByiO5LxVFSIs-eZC9_PcmzJ3nxNFGPFwqmXicHUSbtwGswLk4fSRPcv_wPvk13yA</recordid><startdate>202405</startdate><enddate>202405</enddate><creator>Yi, Yinzhi</creator><creator>Dong, Lin</creator><creator>Zhang, Ni</creator><creator>Mo, Shasha</creator><creator>Xie, Yonghong</creator><creator>Hu, Xiongke</creator><general>Elsevier Ltd</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>202405</creationdate><title>Fast track surgery for children with congenital pseudarthrosis of the tibia: A prospective interventional study</title><author>Yi, Yinzhi ; Dong, Lin ; Zhang, Ni ; Mo, Shasha ; Xie, Yonghong ; Hu, Xiongke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c309t-4edd22aa65e191a2e256afe4963608abbfabf4dd14452920bfcf1ba3fe3493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Complication</topic><topic>Congenital pseudarthrosis of tibia</topic><topic>Fast-track surgery</topic><topic>Nursing</topic><topic>Postoperative recovery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yi, Yinzhi</creatorcontrib><creatorcontrib>Dong, Lin</creatorcontrib><creatorcontrib>Zhang, Ni</creatorcontrib><creatorcontrib>Mo, Shasha</creatorcontrib><creatorcontrib>Xie, Yonghong</creatorcontrib><creatorcontrib>Hu, Xiongke</creatorcontrib><collection>CrossRef</collection><jtitle>International journal of orthopaedic and trauma nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yi, Yinzhi</au><au>Dong, Lin</au><au>Zhang, Ni</au><au>Mo, Shasha</au><au>Xie, Yonghong</au><au>Hu, Xiongke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fast track surgery for children with congenital pseudarthrosis of the tibia: A prospective interventional study</atitle><jtitle>International journal of orthopaedic and trauma nursing</jtitle><date>2024-05</date><risdate>2024</risdate><volume>53</volume><spage>101051</spage><pages>101051-</pages><artnum>101051</artnum><issn>1878-1241</issn><abstract>The purpose of this study was to explore the effect of fast-track surgery combined with a clinical nursing pathway on the recovery and complications of congenital pseudarthrosis of tibia.
82 children with congenital pseudarthrosis of tibia admitted from January 2019 to December 2020 were selected as the study subjects. The control group received routine clinical nursing pathway while the intervention group received a fast-track surgery combined with a clinical nursing pathway. The fasting and water deprivation time were arranged according to the pre operation time, and the accelerated rehabilitation nursing models such as progressive diet management, multi-functional analgesia, and early sequential functional exercise were given after the operation. After collecting data on perioperative diet, postoperative recovery, postoperative complications, and family satisfaction from both groups of patients in a large hospital in China, a comparative analysis was conducted.
The retention time of negative pressure drainage tube, urinary catheter and hospital stay in the intervention group were shorter than those in the control group (P < 0.05); The incidence of complications in the intervention group (5%) was significantly lower than that in the control group (21.42%) (P = 0.029). The family satisfaction of the intervention group (95.00%) was higher than that of the control group (80.95%).
Strengthening the concept of fast-track surgery nursing in the combined operation of congenital pseudarthrosis of tibia can shorten the hospitalization time of children, reduce the occurrence of postoperative complications and improve their family satisfaction.</abstract><pub>Elsevier Ltd</pub><doi>10.1016/j.ijotn.2023.101051</doi></addata></record> |
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subjects | Complication Congenital pseudarthrosis of tibia Fast-track surgery Nursing Postoperative recovery |
title | Fast track surgery for children with congenital pseudarthrosis of the tibia: A prospective interventional study |
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