老年髋部骨折术后患者家庭康复护理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2022.22.014

摘要/Abstract

摘要：

目的总结老年髋部骨折术后患者家庭康复护理的相关证据，为临床工作者制订家庭康复护理方案提供参考。方法计算机检索国内外相关指南网站、专业协会网站及UpToDate、BMJ Best Practice、乔安娜布里格斯研究所循证卫生保健中心数据库、Cochrane Library、CINAHL、Embase、PubMed、Web of Science、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于老年髋部骨折术后患者家庭康复护理的相关临床决策、指南、系统评价、专家共识及证据总结，检索时限为建库至2021年10月。由2名研究者对文献进行质量评价和资料提取。结果共纳入15篇文献，其中临床决策3篇，指南3篇，专家共识5篇，系统评价2篇，证据总结2篇。从适宜人群、出院计划、康复评估、康复预期、康复策略、强化锻炼、健康教育、随访8个方面汇总了27条最佳证据。结论该研究总结的老年髋部骨折术后患者家庭康复护理的最佳证据较为科学、全面。建议医护人员在应用证据时，结合具体的临床情景与患者意愿制订个性化的康复护理方案。

关键词: 髋骨折, 家庭康复, 老年人, 循证护理学, 康复护理

Abstract:

Objective To retrieve relevant evidence of the postoperative home rehabilitation nursing for elderly patients with hip fracture，and provide evidence for clinical nurses to formulate home rehabilitation nursing pro-grams. Methods The relevant evidence of postoperative home rehabilitation nursing for elderly patients with hip fracture was systematically searched from domestic and foreign databases and websites，including clinical decision-making，guidelines，systematic reviews，expert consensuses and evidence summaries，and the search time limit is from the establishment of the databases to Oct.31，2021. There were 2 researchers who evaluated the quality of various literature and extracted recommendations and research conclusions from the included literature. Results A total of 15 articles were involved，including 3 articles on clinical decision-making，3 guidelines，2 systematic reviews，5 expert consensuses，2 evidence summaries. 27 pieces of the best evidence were formed on suitable population，discharge plan，rehabilitation assessment，rehabilitation expectation，exercise strategy，intensive training，health education and health follow-up. Conclusion The best evidence summary for postoperative home rehabilitation nursing in elderly patients with hip fracture was summarized. When applying the evidence，health care professionals should fully consider the specific clinical setting and formulate individualized rehabilitation nursing plans based on the needs and preferences of patients.

Key words: Hip Fractures, Home Rehabilitation, Aged, Evidence-Based Nursing, Rehabilitation Nursing

张咪, 周春兰, 吴艳妮, 包良笑, 王润, 赵慧慧, 杨玲莉, 林晓露. 老年髋部骨折术后患者家庭康复护理的最佳证据总结[J]. 中华护理杂志, 2022, 57(22): 2777-2783.

ZHANG Mi, ZHOU Chunlan, WU Yanni, BAO Liangxiao, WANG Run, ZHAO Huihui, YANG Lingli, LIN Xiaolu. Evidence summary for postoperative home rehabilitation nursing in elderly patients with hip fracture[J]. Chinese Journal of Nursing, 2022, 57(22): 2777-2783.

图/表 4

表1 纳入文献的一般特征（n=15）

Table 1 Characteristics of include studies（n=15）

表2 纳入指南的质量评价结果（n=3）

Table 2 Quality evaluation results of guidelines（n=3）

表3 纳入专家共识的质量评价结果（n=5）

Table 3 Quality evaluation results of expert consensuses （n=5）

表4 老年髋部骨折术后患者家庭康复护理的最佳证据

Table 4 （Continued） Evidence summary for postoperative home rehabilitation nursing in elderly patients with hip fracture

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