摘要
髋部骨折是老年人最严重的骨质疏松性骨折,具有高致残率和致死率。手术技术的提高和多学科协作管理模式对改善患者预后具有重要作用,也对围术期护理提出了更高要求。患者整体功能衰退、器官合并症增多、麻醉及手术对机体储备的二次打击使护理难度增加,且我国尚缺乏对于老年髋部骨折患者围术期护理的规范来指导临床实践。因此,中华护理学会骨科护理专业委员会组织相关专家,基于循证医学方法,制订《老年髋部骨折围术期护理临床实践专家共识(2023版)》,围绕老年髋部骨折围术期健康教育、病情监测与观察、并发症风险评估与预防、康复训练等方面提出11条推荐意见,以指导临床实践,提升围术期护理质量,改善老年髋部骨折患者预后。
Hip fracture is considered as the most severe osteoporotic fracture characterized by high disability and mortality in the elderly.Improved surgical techniques and multidisciplinary team play an active role in alleviating prognosis,which places higher demands on perioperative nursing.Dysfunction,complications,and secondary impact of anaesthesia and surgery add more difficulties to clinical nursing.Besides,there still lack clinical practices in perioperative nursing for elderly patients with hip fracture in China.In this context,led by the Orthopedic Nursing Committee of Chinese Nursing Association,the Expert consensus on clinical practice in perioperative nursing for elderly patients with hip fracture(version 2023)is developed based on the evidence-based medicine.This consensus provides 11 recommendations on elderly patients with hip fracture from aspects of perioperative health education,condition monitoring and inspection,complication risk assessment and prevention,and rehabilitation,in order to provide guiding advices for clinical practice,improve the quality of nursing and ameliorate the prognosis of elderly patients with hip fracture.
作者
宋咪
孔丹
高远
陈亚萍
陈小华
崔怡
丁俊琴
冯乐玲
冯丽丽
郭锦丽
韩云
胡靖
胡三莲
黄天雯
贾宇
金艳
孔祥燕
李海燕
李辉
李伦兰
李水霞
林华
刘娟
鲁雪梅
宁宁
彭伶丽
史凌云
万昌丽
王洁
王琦
王谊
许蕊凤
应瑛
张萍
张世君
周文娟
中华护理学会骨科护理专业委员会
Song Mi;Kong Dan;Gao Yuan;Chen Yaping;Chen Xiaohua;Cui Yi;Ding Junqin;Feng Leling;Feng Lili;Guo Jinli;Han Yun;Hu Jing;Hu Sanlian;Huang Tianwen;Jia Yu;Jin Yan;Kong Xiangyan;Li Haiyan;Li Hui;Li Lunlan;Li Shuixia;Lin Hua;Liu Juan;Lu Xuemei;Ning Ning;Peng Lingli;Shi Lingyun;Wan Changli;Wang Jie;Wang Qi;Wang Yi;Xu Ruifeng;Ying Ying;Zhang Ping;Zhang Shijun;Zhou Wenjuan;Orthopedic Nursing Committee of Chinese Nursing Association(Chinese PLA General Hospital,Beijing 100853,China;Peking Union Medical College Hospital,Beijing 100730,China;Chongqing General Hospital,Chongqing 401147,China;Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Ningbo No.6 Hospital,Ningbo 315042,China;Aerospace Center Hospital,Beijing 100049,China;Second Hospital of Shanxi Medical University,Taiyuan 030001,China;Shenzhen Second People's Hospital,Shenzhen 518035,China;Honghui Hospital of Xi'an Jiaotong University,Xi'an 710054,China;Sixth People's Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200233,China;First Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510062,China;Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;Yan'an Hospital Affiliated to Kunming Medical University,Kunming 650051,China;Peking University People's Hospital,Beijing 100044,China;Affiliated Hospital of Qingdao University,Qingdao 266000,China;Second Affiliated Hospital of Harbin Medical University,Harbin 150001,China;First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;General Hospital of Southern Theater Command,Guangzhou 510010,China;Beijing Jishuitan Hospital,Beijing 100035,China;West China Hospital of Sichuan University,Chengdu 610041,China;Xiangya Hospital,Central South University,Changsha 410008,China;First Affiliated Hospital of Xinjiang Medical University,Urumchi 830011,China;Second Affiliated Hospital of Naval Medical University,Shanghai 200003,China;Dushu Lake Hospital Affiliated to Soochow University,Suzhou 215127,China;First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027,China;Peking University Third Hospital,Beijing 100081 China;Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Qilu Hospital of Shandong University,Jinan 250012,China;Union Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430022,China;不详)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2023年第3期214-222,共9页
Chinese Journal of Trauma
基金
国家自然科学基金(72204262)
国家重点研发计划(2022YFC2504300)。
