Summary of best evidence for perioperative nutritional management in elderly patients with hip fracture
10.3760/cma.j.cn115682-20230512-01875
- VernacularTitle:老年髋部骨折患者围手术期营养管理的最佳证据总结
- Author:
Fanghui DONG
1
;
Sanlian HU
;
Tangyu CHEN
;
Zhiling CHEN
;
Qi LIN
;
Huiling YUE
Author Information
1. 上海交通大学医学院附属第六人民医院护理部,上海 200233
- Keywords:
Aged;
Hip fracture;
Perioperative nursing;
Nutrition management;
Evidence Summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(6):727-734
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the relevant evidence of perioperative nutritional management for elderly patients with hip fractures, so as to provide scientific guidance for clinical nursing staff to implement nutritional management.Methods:Literature related to perioperative nutrition management of elderly patients with hip fracture were systematically searched from domestic and foreign guide websites, professional association websites, as well as UpToDate, PubMed, BMJ, Web of Science, Cochrane Library, Embase, CINAHL, Chinese Medical Journal Network, Wanfang Database, CNKI and other databases. The search period was from the establishment of the databases to February 15, 2023. Three researchers conducted quality evaluation and data extraction on the literature.Results:A total of 20 articles were included, including one clinical decision, six guidelines, seven expert consensus and six systematic reviews. After extracting and integrating the evidence included in the literature, a total of 29 best pieces of evidence were finally summarized from eight aspects, such as establishing a multidisciplinary nutrition support team, nutrition risk screening, nutrition assessment and content, nutrition support goals, nutrition support methods, preoperative and postoperative nutrition support, health education and follow-up.Conclusions:This study summarizes 29 best evidence for perioperative nutrition management in elderly patients with hip fractures. Nursing staff can develop scientific and standardized perioperative nutrition management plans for elderly patients with hip fracture based on clinical conditions, improving their nutritional status and clinical prognosis.