Objective To construct an ultra-early limb movement program for elderly hip fracture surgery patients based on evidence-based practice and the Delphi method.Methods From May to December 2023,the PIPOST Model(population,intervention,professional,outcome,setting,type of evidence)was used to develop evidence-based questions.Relevant databases were searched to obtain,summarize,and evaluate evidence related to ultra-early limb movement after hip fracture surgery in elderly patients.A draft of the movement program was created with the search timeline set until June 1,2023.A total of 29 experts were invited to participate in two rounds of Delphi expert consultation to finalize the ultra-early limb movement program for elderly hip fracture surgery patients.Results A total of 20 studies were included,consisting of six guidelines,four expert consensuses,three systematic reviews,and seven original research articles.The response rates for the two rounds of Delphi expert consultation were 100.00％(29/29)and 86.21％(25/29).The expert authority coefficients were 0.931 and 0.920,and the Kendall coordination coefficients were 0.205 and 0.112(all P＜0.01).The final ultra-early limb movement program for elderly hip fracture surgery patients included four modules and 39 operational items.Conclusions This study develops an evidence-based,expert-validated ultra-early limb movement program for elderly hip fracture surgery patients,demonstrating its necessity,scientific basis,and practicality.The program provides a reference and guidance for clinical staff in facilitating ultra-early movement for hip fracture patients post-surgery.
维普
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