摘要
髋部骨折是老年人最常见的骨折之一,是老年人致残、致死的重要原因。手术治疗是髋部骨折主要的治疗手段。老年人常合并基础疾病、基础代谢率下降、骨折后蛋白质分解加速、合成代谢减弱,加上手术应激等原因导致围术期营养不良发生率增加。营养不良不仅会增加老年髋部骨折患者术后并发症的发生,还会导致其病死率升高。因此,老年髋部骨折患者围术期营养管理十分重要。目前,老年髋部骨折围术期营养护理管理尚缺乏科学指导和应用规范,为此,中华护理学会骨科护理专业委员会和《中华创伤杂志》编辑委员会组织相关专家,基于循证医学证据和专家临床经验制订《老年髋部骨折患者围术期营养护理管理专家共识(2023版)》,从营养筛查、营养评估、营养诊断、营养干预、营养监测等方面提出14条推荐意见,为老年髋部骨折患者围术期营养护理管理提供指导方案。
Hip fractures are among the most common fractures in the elderly,presenting to be a leading cause of disability and mortality.Surgical treatment is currently the main treatment method for hip fractures.The incidence of perioperative malnutrition is increased after hip fractures in the elderly due to the comorbidities,decreased basal metabolic rate,accelerated protein breakdown,weakened anabolism and surgical stress.However,malnutrition not only increases the incidence of postoperative complications,but also leads to increased mortality,indicating an important role of perioperative nursing management of nutrition for the elderly patients with hip fractures.At present,there still lacks scientific guidance and application standards on perioperative nursing management of nutrition for the elderly patients with hip fractures.Therefore,the Orthopedic Nursing Committee of Chinese Nursing Association and the Editorial Board of Chinese Journal of Trauma organized relevant experts to formulate the Expert consensus on perioperative nursing management of nutrition for elderly patients with hip fractures(version 2023)according to evidence⁃based medical evidences and their clinical experiences.Fourteen recommendations were made from aspects of nutrition screening,nutrition assessment,nutrition diagnosis,nutrition intervention and nutrition monitoring to provide guidance for perioperative nursing management of nutrition in elderly patients with hip fractures.
作者
邓春花
陈小华
尹芝华
姜耀
谭晓菊
陈亚萍
丁俊琴
樊落
冯乐玲
甘玉云
高小雁
郭锦丽
胡靖
黄陈
黄桂玲
黄天雯
黄迎春
金晖
金艳
李方方
李辉
刘辉
刘萍
宁宁
史凌云
宋国敏
孙雅妮
王广玲
王洁
王琦
王霞
王晓云
王谊
吴松梅
杨剑
张玉梅
周阳
王晓燕
高远
中华护理学会骨科护理专业委员会
Deng Chunhua;Chen Xiaohua;Yin Zhihua;Jiang Yao;Tan Xiaoju;Chen Yaping;Ding Junqin;Fan Luo;Feng Leling;Gan Yuyun;Gao Xiaoyan;Guo Jinli;Hu Jing;Huang Chen;Huang Guiling;Huang Tianwen;Huang Yingchun;Jin Hui;Jin Yan;Li Fangfang;Li Hui;Liu Hui;Liu Ping;Ning Ning;Shi Lingyun;Song Guomin;Sun Yani;Wang Guangling;Wang Jie;Wang Qi;Wang Xia;Wang Xiaoyun;Wang Yi;Wu Songmei;Yang Jian;Zhang Yumei;Zhou Yang;Wang Xiaoyan;Gao Yuan;Orthopedic Nursing Professional Committee of Chinese Nursing Association(Zhongda Hospital,Southeast University,Nanjing 210009,China;Chongqing General Hospital,Chongqing 401147,China;Third Affiliated Hospital of Chongqing Medical University,Chongqing 401120,China;Beijing Jishuitan Hospital,Beijing 100035,China;Second Xiangya Hospital of Central South University,Changsha 410011,China;Peking Union Medical College Hospital,Beijing 100730,China;Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;First Hospital of Lanzhou University,Lanzhou 730013,China;Sixth Hospital of Ningbo,Ningbo 315040,China;First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Second Hospital of Shanxi Medical University,Taiyuan 030001,China;Honghui Hospital,Xi′an Jiaotong University,Xi′an 710054,China;Zhongnan Hospital of Wuhan University,Wuhan 430071,China;First Affiliated Hospital of Sun Yat‑Sen University,Guangzhou 510080,China;General Hospital of Eastern Theater Command,Nanjing 210002,China;Yan′an Hospital of Kunming,Kunming 650051,China;Henan Provincial People′s Hospital,Zhengzhou 450003,China;Second Affiliated Hospital of Harbin Medical University,Harbin 150001,China;Yangpu Hospital Affiliated to Tongji University,Shanghai 200090,China;West China Hospital,Sichuan University,Chengdu 610041,China;First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Tianjin Hospital,Tianjin 300211,China;Sixth People′s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200233,China;First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Sooch
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2023年第5期394-403,共10页
Chinese Journal of Trauma
关键词
老年人
髋骨折
营养支持
围手术期
共识
Aged
Hip fractures
Nutritional support
Perioperative period
Consensus
