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：

压疮; 预防措施; 循证护理

DOI：

10.7507/1002-0179.20130010

Video：

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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

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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.
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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.
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10.	Jennifer A, Axel H, Carsten L, et al. Decubitus ulcers: pathophysiology and primary prevention [J]. Dtsch Arztellnt, 2010, 107(21): 371-382.
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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.

West China Medical Journal

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

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