{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:41:36Z","timestamp":1792629696456,"version":"4.5.0"},"reference-count":86,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Preoperative anxiety and postoperative complications significantly impact recovery among orthopaedic surgery patients. Nursing interventions, including education, psychological support and physical care, have shown potential in improving surgical outcomes. This review evaluated the effectiveness of nursing interventions in reducing anxiety, pain and postoperative complications among patients undergoing orthopaedic surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A comprehensive search was conducted across PubMed, CINAHL, EMBASE, Cochrane Library and Scopus, resulting in the inclusion of 59 studies. Outcomes assessed were preoperative anxiety (eight studies), postoperative anxiety (nine studies), pain (16 studies), surgical site infections (36 studies), poor incision healing (three studies) and deep vein thrombosis (two studies). Standardized mean differences (SMD) and odds ratios (OR) were pooled using random\u2010effects models. Heterogeneity was assessed using\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      and tau\n                      <jats:sup>2<\/jats:sup>\n                      , and sensitivity analyses were performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nursing interventions showed no significant effect on preoperative anxiety (SMD \u22120.301;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.082), postoperative anxiety (SMD \u22120.408;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.137) or postoperative pain (SMD \u22120.203;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.325). However, significant reductions were observed for surgical site infections (OR 1.122;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), poor incision healing (OR 0.381;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012) and DVT (OR 0.132;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.020). Heterogeneity was high for anxiety and pain outcomes but minimal for infections and healing. Sensitivity analyses confirmed the robustness of results.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nursing interventions significantly reduce surgical site infections, poor incision healing and DVT, underscoring their role in perioperative care. However, their impact on anxiety and pain remains inconclusive, warranting further research. Standardized intervention protocols and targeted studies are needed to optimize nursing care in orthopaedic surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijn.70069","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:56:46Z","timestamp":1761526606000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Nursing Interventions on Preoperative Anxiety and Postoperative Outcomes Among Patients Undergoing Orthopaedic Surgery: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"31","author":[{"given":"Haijing","family":"Feng","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Lequn Branch The First Hospital of Jilin University  Changchun Jilin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Operating Room Huai'an Clinical Medical College of Jiangsu University (Huai'an Hospital of Huai'an City)  Huai'an Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lishu","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Lequn Branch The First Hospital of Jilin University  Changchun Jilin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haibo","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Endoscopy Qianguo County Hospital of Traditional Chinese Medicine  Songyuan Jilin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9649-4124","authenticated-orcid":false,"given":"Ping","family":"Wang","sequence":"additional","affiliation":[{"name":"Basic Nursing Teaching and Research Office of the School of Nursing At Qilu Medical University  Zibo Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijso.2020.05.010"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2010.11.016"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.136320.2"},{"issue":"1","key":"e_1_2_9_5_1","first-page":"515","article-title":"Reducing Preoperative Anxiety in Patients Scheduled for Knee Replacement Surgery: A Preventive Controlled and Randomized Clinical Trial of Nursing Health Management","volume":"30","author":"Alanzi M. 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