Construction of nursing management plan for prevention of acute bone loss in elderly patients with total hip arthroplasty
10.3760/cma.j.cn211501-20231212-01280
- VernacularTitle:老年髋关节置换患者急性骨丢失预防护理管理方案的构建
- Author:
Qiyun ZHEN
1
;
Lili CUI
;
Zhou SU
;
Huiwu QU
;
Zhen LI
Author Information
1. 江苏大学附属人民医院骨科，镇江 212002
- Keywords:
Delphi technique;
Acute bone loss;
Hip arthroplasty;
Perioperative period;
Evidence-based;
Program construction
- From:
Chinese Journal of Practical Nursing
2024;40(14):1041-1049
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a nursing management plan for prevention of acute bone loss in elderly patients with total hip arthroplasty, and to provide reference for clinical prevention of acute bone loss.Methods:From February to May 2023, a research group about acute bone loss was established, through literature review, semi-structured interviews, and group discussions, the first draft of acute bone disease prevention nursing management plan for elderly patients with total hip arthroplasty was formed. Fifteen experts were selected from 10 tertiary hospitals for 2 rounds of Delphi expert consultation, the plan was revised and improved based on expert opinions, and finally a nursing management plan for prevention of acute bone loss in elderly patients with total hip arthroplasty was constructed.Results:There were 15 experts involved, 7 males and 8 females with 36 - 60 years old. The effective recovery rate of the two-round consultation questionnaire were 15/15, the expert authority coefficients were 0.83 and 0.85, and the overall Kendall′s harmony coefficients were 0.143 and 0.165, respectively (both P<0.05). Finally, a nursing management plan for prevention of acute bone loss in elderly patients with total hip arthroplasty was constructed, including 3 first-level indicators, 11 second-level indicators, and 35 third-level indicators. Conclusions:The nursing management plan for prevention of acute bone loss in elderly patients with total hip arthroplasty is scientific, reliable and clinically practical, which provides a reference for clinical prevention of acute bone loss.
