{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:49:33Z","timestamp":1777657773595,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Geriatr Orthop Surg Rehabil"],"published-print":{"date-parts":[[2026,1,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to evaluate the efficacy of visual health education (VHE) intervention in the perioperative management of older adults undergoing percutaneous kyphoplasty (PKP) for osteoporotic vertebral fractures (OVFs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort of 96 patients (aged \u226565\u00a0years) scheduled for primary PKP between June 2024 and January 2025 were enrolled. Participants were allocated to a control group (n = 46) receiving conventional verbal education or an intervention group (n = 50) receiving VHE via instructional videos. The VHE program encompassed disease-specific knowledge, surgical procedures, and postoperative rehabilitation. Outcome measures included sleep quality (PSQI), anxiety (SAS), blood pressure stability, patient satisfaction, and anti-osteoporosis medication adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The VHE group demonstrated significant improvements across all perioperative metrics compared to controls. Preoperative sleep quality was superior (PSQI: 7.85 \u00b1 2.16 vs 15.63 \u00b1 3.62,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), anxiety levels were lower (SAS: 30.62 \u00b1 3.48 vs 55.68 \u00b1 3.95,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and patient satisfaction at discharge was higher (100% vs 95.7%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The intervention group also exhibited better medication adherence at 6-month follow-up (76% vs 28.3%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and more stable preoperative blood pressure (systolic BP: 152.8 \u00b1 5.9 vs 178.4 \u00b1 7.1 mmHg,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Disease-specific visual health education significantly enhances perioperative experiences, improves psychological well-being, stabilizes physiological parameters, and promotes long-term treatment adherence in older OVF patients undergoing PKP. This approach represents a valuable adjunct to standard perioperative care, with the potential to reduce complications and improve overall clinical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21514593251411417","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T06:30:42Z","timestamp":1768199442000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Visual Health Education on Perioperative Outcomes and Medication Adherence in Older Adults Undergoing PKP for Osteoporotic Vertebral Fractures"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3678-515X","authenticated-orcid":false,"given":"Tiezhou","family":"Wang","sequence":"first","affiliation":[{"name":"Hangzhou First People\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Lai","sequence":"additional","affiliation":[{"name":"Hangzhou First People\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Jia","sequence":"additional","affiliation":[{"name":"Hangzhou First People\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haiming","family":"Lang","sequence":"additional","affiliation":[{"name":"Hangzhou First People\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,11]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-020-00836-y"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2024.117330"},{"issue":"3","key":"e_1_3_6_4_2","first-page":"260","article-title":"Reliability and validity analysis of Pittsburgh sleep quality index","volume":"43","author":"Taoying L","year":"2014","unstructured":"Taoying L, Yan L, Ping X. 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Research and analysis on preoperative sleep quality and influencing factors of patients undergoing elective surger. World Journal of Sleep Medicine. 2018;5(12):1457-1460.","journal-title":"World Journal of Sleep Medicine"},{"issue":"06","key":"e_1_3_6_9_2","first-page":"905","article-title":"Research on the medical experience of inpatients covered by medical insurance","volume":"22","author":"Hongmei Z","year":"2022","unstructured":"Hongmei Z, Lijie J, Yanlan O. Research on the medical experience of inpatients covered by medical insurance. Mod Hosp. 2022;22(06):905-907.","journal-title":"Mod Hosp"},{"issue":"07","key":"e_1_3_6_10_2","first-page":"1045","article-title":"Research progress on the application of \u201cInternet +\u201d in continuous nursing of postoperative patients","volume":"19","author":"Hui G","year":"2019","unstructured":"Hui G, Liyan S, Congshan P. Research progress on the application of \u201cInternet +\u201d in continuous nursing of postoperative patients. Chinese Nursing Management. 2019;19(07):1045-1049.","journal-title":"Chinese Nursing Management"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/rb\/rbaa051"},{"key":"e_1_3_6_12_2","doi-asserted-by":"crossref","unstructured":"JAMA. NIH Consensus Development Panel on Osteoporosis Prevention Diagnosis and Therapy. 2001;285(6):785-795.","DOI":"10.1001\/jama.285.6.785"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2018.06.347"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.01.167"},{"issue":"12","key":"e_1_3_6_15_2","first-page":"137","article-title":"The influence of evidence-based operating room nursing management on the physiological and psychological stress states of patients undergoing fracture internal fixation surgery","volume":"28","author":"Fangru L","year":"2024","unstructured":"Fangru L, Qin W, Rijuan P. 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