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髋部骨折后的社区康复干预:实用的循证实践建议。

Community rehabilitation interventions after hip fracture: Pragmatic evidence-based practice recommendations.

作者信息

Copanitsanou Panagiota

机构信息

General Hospital of Piraeus "Tzaneio", 19 Petropoulaki Street, 10445, Athens, Greece.

出版信息

Int J Orthop Trauma Nurs. 2019 Nov;35:100712. doi: 10.1016/j.ijotn.2019.100712. Epub 2019 Aug 2.

DOI:10.1016/j.ijotn.2019.100712
PMID:31492645
Abstract

Practice development enables practitioners to develop their knowledge and allows the application of evidence-based care for their patients. It happens within the practitioner's own clinical practice area and enhances personal and professional growth whilst focusing on patients' specific needs. This is important when working with patients in the rehabilitation phase following fragility hip fracture whose care should be provided by practitioners knowledgeable about the best way to approach their needs. This article, which followed the methods for a scoping review, aims to provide the practitioner with an overview of rehabilitation interventions for patients following hip fracture discussed in the literature. There is an introduction to the nature of rehabilitation and the issues raised for the patient with a hip fracture, a discussion of the existing literature, and recommendations for practice based on both that evidence and a pragmatic approach to care. Scoping reviews provide overviews of broad topic areas (Peterson et al., 2017). This gives the reader the opportunity to consider how other factors, besides research evidence, can contribute to best practice and to reflect on how their own practice needs to develop. At the end of the discussion, an overview of pragmatic recommendations for practice is provided based on the findings of the literature considered. Some points for individual reflection are also provided to help the practitioner to consider how the contents of the paper might impact on their own practice.

摘要

实践发展使从业者能够拓展知识,并将循证护理应用于患者。这一过程发生在从业者自身的临床实践领域内,在关注患者特定需求的同时,促进个人和职业成长。对于髋部脆性骨折康复期的患者而言,这一点尤为重要,因为他们的护理应由熟知满足其需求最佳方式的从业者提供。本文遵循范围综述的方法,旨在为从业者提供文献中所讨论的髋部骨折患者康复干预措施的概述。文中介绍了康复的本质以及髋部骨折患者所面临的问题,讨论了现有文献,并基于这些证据和务实的护理方法提出了实践建议。范围综述提供了广泛主题领域的概述(彼得森等人,2017年)。这使读者有机会思考除研究证据之外的其他因素如何有助于实现最佳实践,并反思自身实践需要如何发展。在讨论结尾,根据所考虑文献的研究结果,提供了实践的务实建议概述。还提供了一些个人反思要点,以帮助从业者思考本文内容可能如何影响其自身实践。

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引用本文的文献

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Bone. 2025 Apr;193:117428. doi: 10.1016/j.bone.2025.117428. Epub 2025 Feb 22.
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The Impact of Concomitant Neck of Femur Fractures and Upper Limb Fractures on Length of Stay and Key Performance Indicators: A Single-Centre Study.股骨颈骨折与上肢骨折并存对住院时间和关键绩效指标的影响:一项单中心研究
Cureus. 2024 May 22;16(5):e60862. doi: 10.7759/cureus.60862. eCollection 2024 May.
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Cognitive Orientation to daily Occupational Performance (CO-OP) for Older Adults After a Hip Fracture: A Pilot Study.
老年人髋部骨折后认知导向日常生活活动(CO-OP):一项初步研究。
Am J Occup Ther. 2023 Jan 1;77(1). doi: 10.5014/ajot.2023.050073.
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Effectiveness of a Home-Based Fragility Fracture Integrated Rehabilitation Management (FIRM) Program in Patients Surgically Treated for Hip Fractures.居家脆性骨折综合康复管理(FIRM)项目对接受髋关节骨折手术治疗患者的有效性
J Clin Med. 2020 Dec 23;10(1):18. doi: 10.3390/jcm10010018.
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Systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO's Package of Interventions for Rehabilitation.成人骨折临床实践指南的系统评价:为制定世卫组织康复干预包确定康复的最佳证据。
J Orthop Traumatol. 2020 Nov 14;21(1):20. doi: 10.1186/s10195-020-00560-w.