Objective To observe the effects of finger-holding force ball on prevention of unplanned extubation in ICU patients.Methods A convenient sampling method was used to select 70 patients from January to June 2017 who received tracheal intubation,femoral vein catheterization or bladder catheter.From April to June 2017,35 patients were selected as the experimental group,and hand restraint was strengthened by means of finger-holding force ball.Thirty-five patients recruited from January to March 2017 were selected as the control group,and wrist restraint was performed by routine method.The risk rate of extubation and the skin injury of the wrist in two groups were compared.Results The risk rate of extubation in the experimental group for femoral vein catheterization,bladder catheter and tracheal intubation was 6.37 cases/1000 catheter days,0 and 5.68 cases/1000 catheter days,lower than 200.00 cases/1000 catheter days,177.60 cases/1000 catheter days,and 230.34 cases/1000 catheter days in the control group,with statistically significant differences(P＜0.001);redness and skin injury at wrist restraint site in the experimental group was 5.71％ and 0,lower than 22.86％ and 17.14％ in the control group,and the differences were statistically significant (P＜0.05).Conclusion The finger-holding force ball is easy to use,the effects are good,and it is much more comfortable to use the finger-holding force ball than traditional restraint tools.

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.