{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T12:40:50Z","timestamp":1786538450809,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":223,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Nursing Research and Practice"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined whether documented receipt of nurse\u2010led transitional care (NTC) was associated with postdischarge rehabilitation outcomes in patients with lumbar disc herniation (LDH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study of 134 patients with LDH who received conservative treatment between February 2022 and March 2025. Patients were classified as NTC or routine care (RC) according to the documented postdischarge nursing pathway. Outcomes included VAS, ODI, SF\u201036, ESCA, and GS at baseline and at 1, 2, and 3\u2009months. Longitudinal changes were evaluated using generalized estimating equations, and 3\u2010month outcomes were examined with multivariable linear regression adjusted for age, sex, length of hospital stay, follow\u2010up duration, and the corresponding baseline score. A propensity score\u2010matched sensitivity analysis was also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline characteristics were comparable between groups. In unadjusted analyses, the NTC cohort showed lower VAS and ODI scores and higher SF\u201036, ESCA, and GS scores than the RC cohort at all follow\u2010up points (all\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01). In adjusted longitudinal analyses, group\u2010by\u2010time interactions were significant for VAS (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.012) and for ODI, SF\u201036, ESCA, and GS (all\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). At 3\u2009months, adjusted estimates remained favorable to NTC for all five outcomes (all\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Findings remained directionally consistent after propensity score matching.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this retrospective cohort, documented receipt of NTC was associated with better early postdischarge rehabilitation outcomes in patients with LDH. The overall pattern remained robust in adjusted, sensitivity, and propensity score\u2010matched analyses, although prospective studies are still needed to address residual confounding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/nrp\/5191926","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T12:14:12Z","timestamp":1786536852000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Nurse\u2010Led Transitional Care on Rehabilitation Outcomes in Patients With Lumbar Disc Herniation: A Retrospective Cohort Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5790-1701","authenticated-orcid":false,"given":"Jing","family":"Guo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3557-6146","authenticated-orcid":false,"given":"Jian","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1676-6590","authenticated-orcid":false,"given":"Jianli","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8359-4314","authenticated-orcid":false,"given":"Pingping","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5337-5541","authenticated-orcid":false,"given":"Hong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2023.03.024"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-024-08528-8"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xnsj.2025.100757"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wnsx.2024.100277"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2550398.199"},{"key":"e_1_2_11_6_2","first-page":"2","article-title":"Chronic Disease Management: What Will it Take to Improve Care for Chronic Illness?","volume":"1","author":"Wagner E. 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