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PDF (Tiếng Việt)
Published: 2025-08-22
Abstract Views: 10
Views PDF (Tiếng Việt): 8
Issue
Vol. 18 No. 1 (2025)
Section
Research

STATUS OF COMPLIANCE WITH MONITORING AND CARE INSTRUCTIONS THE CHILD IN A BODY CAST OF THE PATIENT’S FAMILY AT ORTHOPEDICS DEPARTMENT, VIETNAM NATIONAL CHILDREN’S HOSPITAL

Thu Huong Nguyen1, Tuan Anh Le1, Thi Khuong Pham1, Thi Ha Nguyen1
1 Vietnam National Children’s Hospital

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Abstract

Objectives: Describe the current situation of compliance with instructions for monitoring and caring for child in a body cast of the patient’s family and identify some related factors.


Subjects and methods: Cross-sectional study. There are 130 patient’s families with children in body casts at the Department of Orthopedics - National Children’s Hospital from January 2024 to June 2024.


Results and discussion: The most common age group is >35 years old - 45 years old (40.0%). The male/female ratio is 1/2. Secondary school - high school education accounts for the highest proportion 54.6%. Often found in self-employed people (30.0%). Mothers taking care of children (61.5%). Occasionally painful monitoring first 24 hours (34.6%). Occasionally, monitoring of swelling and purple extremities increases: first 24 hours (36.1%), the following days (46.2%). No monitoring of increased sensation of the limbs: first 24 hours (23.1%), the following days (31.6%). Occasionally monitoring of cracks, fractures, and broken casts accounts for 36.2%. No monitoring cast odor decreased: first 24 hours (56.9%), the following days (33.1%). No monitoring skin lesions decreased: first 24 hours (56.2%), the following days (34.6%). Regularly elevate the casted limb (hang the arm high) first 24 hours (35.4%). Regularly practice moving the casted limb first 24 hours (31.5%). Occasionally muscle contraction in the cast first 24 hours (35.4%). The majority changed position 1-2 times/day (52.4%). Occasionally edge care increased: first 24 hours (7.7%), the following days (32.3%).


 


 

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Keywords

Compliance, monitoring, care of children in a body cast, National Children’s Hospital

References

1. Newman DM. The Inventory of Functional Status-Caregiver of a Child in a Body Cast. Journal of Pediatric Nursing 1997;12(3): 142-147. http://dx.doi.org/10.1016/S0882-
5963(97)80071-1
2. DiFazio R, Vessey J, Zurakowski D et al. Incidence of Skin Complications and Associated Charges in Children Treated With Hip Spica Casts for Femur Fractures. J Pediatr Orthop 2011;31(1):17-22. https://doi.org/10.1097/bpo.0b013e3182032075
3. Clarke S, McKay M. An audit of spica cast guidelines for parents and professionals caring for children with developmental dysplasia of the hip. Journal of Orthopaedic Nursing 2006;10(3):128-137. https://doi.org/10.1016/j.joon.2006.04.002
4. Sparks L, Ortman MR, Aubuchon P. Care of the child in a body cast. Journal of Orthopaedic Nursing 2004;8(1):231 -235. https://doi.org/10.1016/j.joon.2004.09.003
5. Miler Children’s Hospital Long Beach. Parent handout for spica cast home care.
6. Cynthia R, Carroll L, Baccari S et al. Spica Cast Care: A Collaborative Staff-Led Education Initiative for Improved Patient Care. Orthop Nurs 2011;30(6):353-358. https://doi.org/10.1097/nor.0b013e318237105a
7. Halanski M., Noonan K.J. Cast and splint immobilization: complications. J Am Acad Orthop Surg 2008;16(1):30-40.
8. Delasobera BE, Place R, Howell J et al. Serious Infectious Complications Related to Extremity Cast/Splint Placement in Children. J Emerg Med 2011;41(1):47-50. https://doi.org/10.1016/j.jemermed.2010.05.031