Watters Carol L, Moran William P
Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA.
Orthop Nurs. 2006 May-Jun;25(3):157-65; quiz 166-7. doi: 10.1097/00006416-200605000-00003.
More than 350,000 hip fractures occur in the United States every year, and the number will double by 2050 as baby boomers advance in age. Hip fractures remain one of the most common injuries of the geriatric cohort, where 9 of 10 patients with a hip fracture are 65 years of age or older and have multiple medical problems. A coordinated approach to care that emphasizes early ambulation, prevention of complications, and patient/family involvement is essential. This article describes the efforts of a interdisciplinary team to develop and implement a hip fracture protocol that directs the care of patients from admission in the emergency room to a planned discharge. The ideal process of care is driven by quality measures and evidence-based practice consisting of early medical screening, early surgical intervention and ambulation, physical therapy, deep vein thrombosis prophylaxis, and appropriate discharge planning.
在美国，每年发生超过35万例髋部骨折，随着婴儿潮一代年龄的增长，到2050年这个数字将翻倍。髋部骨折仍然是老年人群中最常见的损伤之一，每10例髋部骨折患者中有9例年龄在65岁及以上，且患有多种疾病。强调早期活动、预防并发症以及患者/家属参与的协调护理方法至关重要。本文描述了一个跨学科团队为制定和实施髋部骨折治疗方案所做的努力，该方案指导患者从急诊室入院到计划出院的护理。理想的护理过程由质量指标和循证实践驱动，包括早期医学筛查、早期手术干预和活动、物理治疗、深静脉血栓预防以及适当的出院计划。
