老年髋部骨折患者出院准备服务计划的最佳证据总结  

Best evidence summary for discharge planning of elderly patients with hip fracture

作　　者：黄淳 郑西林 彭伶丽[1] 陶子荣[1] HUANG Chun;ZHENG Xilin;PENG Lingli;TAO Zirong(Teaching and Research Section of Clinical Nursing,Xiangya Hospital Central South University,Changsha,Hunan 410008,P.R.China;Xiang Ya Nursing School,Central South University,Changsha,Hunan 410013,P.R.China)

机构地区：[1]中南大学湘雅医院临床护理学教研室,长沙410008 [2]中南大学湘雅护理学院,长沙410013

出　　处：《华西医学》2023年第10期1503-1510,共8页West China Medical Journal

摘　　要：目的 总结老年髋部骨折患者出院准备服务计划的最佳证据。方法 计算机检索UpToDate、BMJ最佳临床实践、循证证据综合知识库、国际指南网、英国国家健康和保健医学研究所、加拿大安大略护士注册协会、美国卫生保健质量和研究机构、苏格兰学院指南网、Web of Science、PubMed、CINAHL、Embase、Cochrane Library、维普中文科技期刊全文数据库、中国知网、中国生物医学文献服务系统、万方数据知识服务平台中关于老年髋部骨折患者出院准备服务计划相关文献。检索时限为自建库至2023年7月31日。由2名经过循证医学方法学培训的研究小组成员对纳入文献进行质量评价。结果 共纳入15篇文献,包括临床决策1篇、指南3篇、专家共识3篇、证据总结4篇、系统评价4篇,最终提取出涉及出院准备服务的实施者和参与者、住院期间的出院准备、出院前评估、出院指导、出院后随访5个方面,共22条老年髋部骨折患者出院准备服务计划的最佳证据。其中,A级推荐15条,B级推荐7条。结论 老年髋部骨折患者出院准备服务计划涉及方面较多。未来临床工作者在实施时,需根据老年髋部骨折患者的实际情况制定个性化的方案,满足患者的出院需求,以减少患者再次骨折等不良结局,促进患者更好地恢复身心功能和回归社会。Objective To summarize the best evidence for discharge planning of elderly patients with hip fracture.Methods UpToDate,BMJ Best Practice,BMJ Evidence-Based Medicine,Guidelines International Network,National Institute for Health and Clinical Excellence,Registered Nurses’Association of Ontario,Agency for Healthcare Research and Quality,Scottish Intercollegiate Guidelines Network,Web of Science,PubMed,CINAHL,Embase,Cochrane Library,VIP data,China National Knowledge Infrastructure,SinoMed,Wanfang were searched by computer for literature about discharge planning of elderly patients with hip fracture.The retrieval time was from the establishment of the databases to July 31,2023.The quality of the included literature was evaluated by 2 researchers with evidence-based training.Results A total of 15 articles were included,including 1 clinical decision,3 guidelines,3 expert consensuses,4 evidence summaries,and 4 systematic reviews,covering 5 aspects of implementers and participants of discharge services,pre-discharge preparation during hospitalization,pre-discharge assessment,discharge guidance,and post-discharge follow-up.A total of 22 best evidences of discharge planning of elderly patients with hip fracture were extracted,including 15 A-level recommendations and 7 B-level recommendations.Conclusions There are many aspects involved in the discharge planning of elderly patients with hip fracture.In future clinical practice,healthcare professionals should develop individualized plans based on the actual conditions of each patient,aiming to meet their specific discharge needs.This approach can help reduce adverse outcomes such as recurrent fractures and readmission rates,while promoting better physical and mental recovery and facilitating the patient’s return to society.

关 键 词：髋部骨折 出院准备服务 证据总结 循证护理 

分 类 号：R473.6[医药卫生—护理学]