Challenges and considerations in implementing enhanced recovery after surgery nursing for patients with hip fractures
严思彤 1张自若 2李培培 2李翠翠 3胡靖 1黄伟 4刘英
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作者信息
1. 西安交通大学附属红会医院护理部，西安 710054
2. 延安大学医学院，延安 716000
3. 西安交通大学附属红会医院儿童骨病医院护理部，西安 710054
4. 陕西省人民医院急诊外科，西安 710068
折叠
摘要
本文对我国髋部骨折患者加速康复外科（ERAS）护理开展现状、现存问题、面临的挑战及思考进行综述，系统阐述了我国髋部骨折患者ERAS护理方案、护理路径及质量评价标准现状。针对我国髋部骨折患者实施ERAS护理存在起步差异化、临床实行难度较大、质量评价体系尚未完善等挑战，提出聚焦国家政策、规范基本服务内容、优化老年髋部骨折患者围手术期治疗和护理流程、加强ERAS护理队伍建设、实行全周期流程管理等建议。 This paper reviews the current status, problems, challenges, and considerations of enhanced recovery after surgery (ERAS) nursing for hip fracture patients in China, and systematically elaborates on the ERAS nursing programs, nursing pathways, and quality evaluation standards for hip fracture patients in China. In response to the challenges of differentiated starting, difficult clinical practice, and incomplete quality evaluation system in implementing ERAS nursing for hip fracture patients in China, suggestions are proposed to focus on national policies, standardize basic service content, optimize perioperative treatment and nursing processes for elderly hip fracture patients, strengthen the construction of ERAS nursing teams, and implement full cycle process management.
Abstract
This paper reviews the current status, problems, challenges, and considerations of enhanced recovery after surgery (ERAS) nursing for hip fracture patients in China, and systematically elaborates on the ERAS nursing programs, nursing pathways, and quality evaluation standards for hip fracture patients in China. In response to the challenges of differentiated starting, difficult clinical practice, and incomplete quality evaluation system in implementing ERAS nursing for hip fracture patients in China, suggestions are proposed to focus on national policies, standardize basic service content, optimize perioperative treatment and nursing processes for elderly hip fracture patients, strengthen the construction of ERAS nursing teams, and implement full cycle process management.
关键词
综述/髋部骨折/加速康复外科/护理/现状
Key words
Review/Hip fracture/Enhanced recovery after surgery/Nursing/Current situation
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