Summary of best evidence for postoperative exercise rehabilitation of hip fractures in elderly frail patients
10.3760/cma.j.cn211501-20240904-02419
- VernacularTitle:老年衰弱患者髋部骨折术后运动康复最佳证据总结
- Author:
Xuyan HE
1
;
Shoumei JIA
;
Liting ZHAO
;
Liping SUN
;
Yifei JIN
;
Rongjing XU
;
Yan WANG
Author Information
1. 复旦大学护理学院，上海 200032
- Publication Type:Journal Article
- Keywords:
Hip fracture;
Aged;
Frailty;
Evidence-based nursing;
Exercise rehabilitation
- From:
Chinese Journal of Practical Nursing
2025;41(19):1494-1503
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and integrate the evidence related to postoperative exercise rehabilitation for hip fracture in elderly frail patients, and provide reference for clinical rehabilitation nursing.Methods:Evidence on postoperative exercise rehabilitation of hip fractures in elderly frail patients was systemically retrieved in the guideline websites, professional association websites and databases, such as BMJ Best Practice, UpToDate, PubMed, Web of Science, CINAHL, Cochrane Library, Embase, Chinese Biomedical Database, China National Knowledge Infrastructure, Wanfang and VIP, including Best practices, guidelines, clinical decisions, evidence summaries, systematic reviews, and expert consensus. The retrieval time was from the establishment of the database to March 31, 2024.Results:A total of 33 articles were involved, including 12 guidelines, 2 clinical decisions, 7 systematic reviews, 7 expert consensuses, 5 evidence summaries. Forty pieces of evidence were summarized in 7 aspects: the role of exercise, exercise assessment, exercise planning, exercise content, exercise intensity, exercise adherence, exercise nursing, exercise guidance.Conclusions:Healthcare professionals should combine patients' tolerance, rehabilitation goals, and specific clinical situations to target and guide patients in exercise rehabilitation to promote the recovery of postoperative limb function, mitigate frailty, and improve the quality of life.
