Construction of a nutritional regimen based on oral nutritional supplements for elderly patients with hip fractures
10.3760/cma.j.cn115682-20200302-01274
- VernacularTitle:以口服营养补充剂为主的老年髋部骨折患者营养方案的构建
- Author:
Li AO
1
;
Jianping TONG
;
Yong YIN
;
Jingjuan ZHANG
;
Weiping HUANG
;
Xujuan CHEN
;
Yushi ZHOU
;
Xiaoping ZHU
Author Information
1. 同济大学医学院,上海 200082;上海健康医学院附属嘉定区中心医院骨科,上海 201800
- Keywords:
Aged;
Hip fractures;
Oral nutrition supplements;
Nutritional intervention;
Evidence-based
- From:
Chinese Journal of Modern Nursing
2020;26(27):3726-3731
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the nutritional intervention regimen for elderly patients with hip fractures during the perioperative period and rehabilitation period.Methods:Based on Stetler evidence-based practice model, 151 elderly patients with hip fractures surgery who were admitted to Jiading District Central Hospital Affiliated to Shanghai University of Medicine and Health Sciences from January to May 2019 were investigated, and nutritional problems were found in the perioperative period and 3 months after surgery. Through systematic literature search, the best evidence was extracted to construct a nutritional intervention regimen for elderly hip fractures patients with oral nutrition supplements (ONS) . The expert meeting method was adopted to demonstrate the scheme and determine the final intervention scheme and process.Results:A total of 7 guidelines were included, and 25 recommendations were formed based on evidence, including 24 strong recommendations and 1 weak recommendation. Nutritional intervention scheme and process for elderly patients with hip fractures, mainly ONS, were determined. The expert authority coefficient was 0.89.Conclusions:In this study, the nutritional intervention regimen for elderly patients with hip fractures, mainly ONS, was constructed with a high degree of expert authority and reliable results, providing a theoretical basis for clinical nutrition intervention for elderly patients with hip fractures in the perioperative period.