Evidence-based Nursing of Pressure Ulcers Prevention for Aged Patients with Femoral Neck Fracture_West China Medical Journal

Authors：

WANG Yaqin ¹ ,  NING Ning ² , HE Lingxiao ¹ , YE Xia ¹ , LIAO Dengbin. ¹

1. Department of Orthopedics; 2. Department of Nursing; West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

NING Ning, Email: yqk815@163.com

Keywords：

壓瘡; 預防措施; 循證護理

DOI：

10.7507/1002-0179.20130010

Video：

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目的　為老年股骨頸骨折的患者制定合理的循證護理方案。方法　在充分了解老年股骨頸患者病情的基礎上，根據PICO原則，提出臨床問題并轉化為易于檢索的形式，于2012年5月檢索了Cochrane系統評價數據庫（CDSR）、Cochrane對照試驗注冊中心（CCTR）、效果評論摘要數據庫（DARE）、Medline、國家指南網（NGC）、PubMed 網站、中國生物醫學文獻數據庫（CBM）以及復旦大學JBI循證護理中心，獲取并評價相關的系統評價、隨機對照試驗以及臨床指南。結果　共檢索到3篇系統評價、2篇臨床隨機對照試驗和1篇臨床實踐指南。根據檢索的結果，與患者及家屬溝通后，選用Braden量表對患者進行壓瘡評估；指導患者每2小時翻身；進行腰背肌的鍛煉，2～4 h/次，第1天5遍/次，之后逐漸遞增為10～20遍/次；指導攝入高能量、高蛋白食物。1周后，患者機體狀況良好，順利接受手術治療。結論　采取循證護理的方法可以為患者提供科學、個性化的護理。

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

1.	鄧少娟. 70歲以上老年人預防壓瘡的效果分析[J].現代臨床護理，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.	龔嵐. 腰背肌鍛煉預防老年股骨頸骨折患者壓瘡的效果觀察[J].護理學報, 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.	張聰聰, 吳欣娟.老年患者壓瘡評估工具研究進展[J].中國護理管理, 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. 　鄧少娟. 70歲以上老年人預防壓瘡的效果分析[J].現代臨床護理，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. 　龔嵐. 腰背肌鍛煉預防老年股骨頸骨折患者壓瘡的效果觀察[J].護理學報, 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. 　張聰聰, 吳欣娟.老年患者壓瘡評估工具研究進展[J].中國護理管理, 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.

West China Medical Journal

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

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