老年股骨颈骨折患者预防压疮的循证护理研究  

Evidence-based Nursing of Pressure Ulcers Prevention for Aged Patients with Femoral Neck Fracture

作　　者：王雅琴[1] 宁宁[2] 何凌霄[1] 叶霞[1] 廖灯彬[1] 

机构地区：[1]四川大学华西医院骨科,成都610041 [2]四川大学华西医院护理部,成都610041

出　　处：《华西医学》2013年第1期36-39,共4页West China Medical Journal

摘　　要：目的为老年股骨颈骨折的患者制定合理的循证护理方案。方法在充分了解老年股骨颈患者病情的基础上,根据PICO原则,提出临床问题并转化为易于检索的形式,于2012年5月检索了Cochrane系统评价数据库(CDSR)、Cochrane对照试验注册中心(CCTR)、效果评论摘要数据库(DARE)、Medline、国家指南网(NGC)、PubMed网站、中国生物医学文献数据库(CBM)以及复旦大学JBI循证护理中心,获取并评价相关的系统评价、随机对照试验以及临床指南。结果共检索到3篇系统评价、2篇临床随机对照试验和1篇临床实践指南。根据检索的结果,与患者及家属沟通后,选用Braden量表对患者进行压疮评估;指导患者每2小时翻身;进行腰背肌的锻炼,2～4 h/次,第1天5遍/次,之后逐渐递增为10～20遍/次;指导摄入高能量、高蛋白食物。1周后,患者机体状况良好,顺利接受手术治疗。结论采取循证护理的方法可以为患者提供科学、个性化的护理。Objective To formulate an evidence-based nursing plan for aged patients with femoral neck fracture.Methods Based on an adequate assessment of patient＇s condition and using the principle of PICO,we searched CDSR,CCTR,DARE,MEDLINE,NGC,PubMed,CBM and the Joanna Briggs Institute of Fudan University to obtain and evaluate relevant systematic reviews,randomized controlled trials and clinical guidelines in May 2012.Results Three systematic reviews,two randomized controlled trials and one clinical guideline were included.According to the current evidence,as well as the communication with the patients and their families,plans were made and given to the patients.The pressure ulcers of the patient were assessed with Braden Scale.We guided the patients to keel over every two hours,And do low back muscle exercise for 2-4 hours per time with five times one time on the first day and then gradually increasing to 10-20 times one time.Furthermore,we guided them to increase the intake of high-energy,high-protein food.After one week,the patients＇ body condition was well,and successfully underwent surgery.Conclusions Evidence-based approaches can help us provide scientific and personalized care for the patients.

关 键 词：压疮 预防措施 循证护理 

分 类 号：R473.6[医药卫生—护理学]