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。
Citation：
WANG Yaqin,NING Ning,HE Lingxiao,YE Xia,LIAO Dengbin.. Evidence-based Nursing of Pressure Ulcers Prevention for Aged Patients with Femoral Neck Fracture. West China Medical Journal, 2013, 28(1): 36-39. doi: 10.7507/1002-0179.20130010
Copy
Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
| 1. |
邓少娟. 70岁以上老年人预防压疮的效果分析[J].现代临床护理，2004, 3(1): 37-39.
|
| 2. |
Moore EH, Cowman S. Risk assessment tools for the prevention of pressure ulcers[DB/OL]. (2010-12) [2012-05]. http://www.thecochranelibrary.com.
|
| 3. |
Mclnnes E, JammaliBlasi A, BellSyer EM, et al. Support surfaces for pressure ulcer prevention[DB/OL]. (2011-04) [2012-05]. http://www.thecochranelibrary.com.
|
| 4. |
Avenell A, Handoll H. Nutritional supplementation for hip fracture aftercare in older people[DB/OL]. (2010-01) [2012-5]. http://www.thecochranelibrary.com.
|
| 5. |
National Pressure Ulcer Advisory Panel，European Pressure Ulcer Advisory Panel. Pressure ulcer prevention recommendations[M]//Prevention and treatment of pressure ulcers: clinical practice guideline. Washington (DC): National Pressure Ulcer Advisory Panel, 2009: 21-50.
|
| 6. |
龚岚. 腰背肌锻炼预防老年股骨颈骨折患者压疮的效果观察[J].护理学报, 2010, 17(7): 36-37.
|
| 7. |
Houwing RH, Rozendaal M, Wouters-Wesseling W, et al. A randomized double-blind assessment of the effect of nutritional supplementation on the prevention of pressure ulcers in hip-fracture patients [J]. Clin Nutr, 2003, 22(4): 401-405.
|
| 8. |
Joanna Briggs Institute. Pressure ulcers-prevention of pressure related damage[J]. Best Practice, 2008, 12(2): 1-4.
|
| 9. |
张聪聪, 吴欣娟.老年患者压疮评估工具研究进展[J].中国护理管理, 2009, 9(4): 43-45.
|
| 10. |
Jennifer A, Axel H, Carsten L, et al. Decubitus ulcers: pathophysiology and primary prevention [J]. Dtsch Arztellnt, 2010, 107(21): 371-382.
|
| 11. |
Langer G, Knerr A, Kuss O, et al. Nutritional interventions for preventing and treating pressure ulcers[DB/OL]. (2008, Issue 3) [2012-5]. http://www.thecochranelibrary.com.
|
- 1. 邓少娟. 70岁以上老年人预防压疮的效果分析[J].现代临床护理，2004, 3(1): 37-39.
- 2. Moore EH, Cowman S. Risk assessment tools for the prevention of pressure ulcers[DB/OL]. (2010-12) [2012-05]. http://www.thecochranelibrary.com.
- 3. Mclnnes E, JammaliBlasi A, BellSyer EM, et al. Support surfaces for pressure ulcer prevention[DB/OL]. (2011-04) [2012-05]. http://www.thecochranelibrary.com.
- 4. Avenell A, Handoll H. Nutritional supplementation for hip fracture aftercare in older people[DB/OL]. (2010-01) [2012-5]. http://www.thecochranelibrary.com.
- 5. National Pressure Ulcer Advisory Panel，European Pressure Ulcer Advisory Panel. Pressure ulcer prevention recommendations[M]//Prevention and treatment of pressure ulcers: clinical practice guideline. Washington (DC): National Pressure Ulcer Advisory Panel, 2009: 21-50.
- 6. 龚岚. 腰背肌锻炼预防老年股骨颈骨折患者压疮的效果观察[J].护理学报, 2010, 17(7): 36-37.
- 7. Houwing RH, Rozendaal M, Wouters-Wesseling W, et al. A randomized double-blind assessment of the effect of nutritional supplementation on the prevention of pressure ulcers in hip-fracture patients [J]. Clin Nutr, 2003, 22(4): 401-405.
- 8. Joanna Briggs Institute. Pressure ulcers-prevention of pressure related damage[J]. Best Practice, 2008, 12(2): 1-4.
- 9. 张聪聪, 吴欣娟.老年患者压疮评估工具研究进展[J].中国护理管理, 2009, 9(4): 43-45.
- 10. Jennifer A, Axel H, Carsten L, et al. Decubitus ulcers: pathophysiology and primary prevention [J]. Dtsch Arztellnt, 2010, 107(21): 371-382.
- 11. Langer G, Knerr A, Kuss O, et al. Nutritional interventions for preventing and treating pressure ulcers[DB/OL]. (2008, Issue 3) [2012-5]. http://www.thecochranelibrary.com.
