老年髋部骨折患者出院准备服务计划专家共识
中国脆性骨折联盟 , 北京围手术期医学学会老年骨科护理与康复专业委员会 , 湖南省护理学会骨科专业委员会
骨科临床与研究杂志 ›› 2026, Vol. 11 ›› Issue (5) : 322 -328.
老年髋部骨折患者出院准备服务计划专家共识
Expert consensus on discharge preparation service plan for elderly patients with hip fractures
出院准备服务是帮助患者从医院平稳地过渡到家庭或照护机构,保证护理延续性的关键环节。如果出院准备不足,会导致患者身体功能恢复缓慢,容易引起再次骨折甚至死亡等不良结局。通过标准化的出院准备服务计划,能够改善患者相关不良结局。本共识基于临床循证证据,结合骨科护理实践经验,收集相关领域专家意见,聚焦于老年髋部骨折患者的特点和出院准备服务的整个流程,旨在提升老年髋部骨折患者的远期功能恢复水平、降低其再入院率与不良事件风险,改善生活质量,并为临床医务人员提供规范化的实践指导。
Discharge preparation services are a crucial link to help patients smoothly transition from hospital to home or care institutions and ensure the continuity of care. Insufficient discharge preparation can lead to slow recovery of patients' physical functions, and may even cause adverse outcomes such as re-fracture or death. Through standardized discharge preparation service plans, the related adverse outcomes of patients can be improved. This consensus is based on clinical evidence-based data, combined with the practical experience of orthopedic nursing, and collects the opinions of experts in related fields. The entire text focuses on the characteristics of elderly patients with hip fractures and the entire process of discharge preparation services. It aims to improve the long-term functional recovery level of elderly patients with hip fractures, reduce their readmission rate and the risk of adverse events, improve their quality of life, and provide standardized practical guidance for clinical medical staff.
| [1] |
陈旭娟, 朱晓萍, 田梅梅, |
| [2] |
|
| [3] |
|
| [4] |
|
| [5] |
刘刚, 杨明辉, 张京, |
| [6] |
王琳珏, 郭锐. 老年髋部骨折手术治疗的研究进展[J]. 现代诊断与治疗, 2021, 32(9): 1368-1370. |
| [7] |
熊丹莉, 潘路晨, 杨赛, |
| [8] |
|
| [9] |
|
| [10] |
黄淳, 郑西林, 彭伶丽, |
| [11] |
王婉. 出院准备服务在老年髋部骨折患者术后康复中的应用研究[D]. 内蒙古医科大学, 2020. |
| [12] |
李珊, 李欣潞, 郝德慧, |
| [13] |
孙超, 奚桓, 李峥, |
| [14] |
王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11): 964-967. DOI: 10.16821/j.cnki.hsjx.2015.11.002. |
| [15] |
徐云明, 吴刚, 刁仁月, |
| [16] |
|
| [17] |
段文静. 老年髋部骨折术后多病共存患者出院准备度现状及影响因素分析[D]. 安徽中医药大学, 2025. |
| [18] |
|
| [19] |
Quality AFHR. Care transitions from hospital to home: IDEAL discharge planning[EB/OL]. (2013-06-15)[2025-10-15]. https://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/strategy4/index.html. |
| [20] |
|
| [21] |
|
| [22] |
|
| [23] |
|
| [24] |
汪晖, 王颖, 刘于, |
| [25] |
|
| [26] |
江雅倩, 汪晖, 刘于, |
| [27] |
北京护理学会骨科专业委员会, 中华医学会骨科学分会护理学组, 中华医学会创伤学分会护理学组. 中国老年髋部骨折围手术期护理专家共识(2023)[J]. 中华创伤骨科杂志, 2023, 25(5): 369-379. DOI: 10.3760/cma.j.cn115530-20230104-00004. |
| [28] |
|
| [29] |
张咪, 周春兰, 吴艳妮, |
| [30] |
NICE. Hip fracture: management[EB/OL]. (2023-01-06)[2025-10-13]. https://www.nice.org.uk/guidance/cg124. |
| [31] |
|
| [32] |
|
| [33] |
|
| [34] |
Health Service Executive. HSE code of practice for integrated discharge planning[R/OL]. (2008-11)[2025-10-15]. https://www.hse.ie/eng/services/publications/hospitals/code-of-practice-for-integrated-discharge-planning.pdf |
| [35] |
|
| [36] |
Agency for Healthcare Research and Quality (US). Making healthcare safer IV: a continuous updating of patient safety harms and practices[R]. Rockville (MD): Agency for Healthcare Research and Quality (US), 2023. |
| [37] |
周起, 武文斌. 团体标准T/CAWAORG 004-2023《老年患者出院准备服务指南》解读[J]. 中国老年保健医学, 2024, 22(6): 57-61. DOI: 10.3969/j.issn.1672-2671.2024.06.012. |
| [38] |
|
| [39] |
|
| [40] |
|
| [41] |
张华果, 司文腾, 何宇迪, |
| [42] |
金秀. 延续性护理方案在老年骨质疏松性髋部骨折术后患者中的应用研究[J]. 当代护士(下旬刊), 2023, 30(2): 88-91. DOI: 10.19793/j.cnki.1006-6411.2023.06.024. |
| [43] |
刘娅, 董桂平, 吴梅, |
| [44] |
|
| [45] |
蔡迎佳, 徐珍瑾, 唐宏伟, |
| [46] |
魏贝贝, 王斐, 周丽莉, |
| [47] |
王礼宁, 李新艳, 朱弈桦, |
耶鲁李氏基金会教师资助计划(2024LFG01)
雅礼协会2023中国社区卫生服务计划(2023YC02)
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