術後の栄養上のリスクに対する臨床管理経路の開発

Weiyu Pan¹, Yu Xie¹, Junjuan Zhang¹

¹Department of Orthopedics, Henan Provincial Intelligent Nursing and Transformation Engineering Research Center, Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People's Hospital; Zhengzhou University People's Hospital, Zhengzhou, 450003, People's Republic of China.

Clinical interventions in aging

|August 22, 2025

まとめ

この研究では,栄養上のリスクのある高齢の股関節骨折患者の臨床管理方法が開発されました. この経路は,手術後の栄養管理を改善し,入院期間を短縮し,よりよい患者の結果のために医療費を削減することを目的としています.

科学分野:

高齢者医療
栄養学
臨床的経路開発

背景:

骨折した高齢患者は,手術前期に重要な栄養上の課題に直面し,臨床結果に影響を及ぼします.
効果的な栄養管理は,この脆弱な集団の回復を改善し,合併症を減らすために不可欠です.

研究の目的:

栄養上のリスクがあると判明した高齢の股関節骨折患者の正確な臨床管理経路を開発する.
目標には,患者の管理を強化し,入院期間を短縮し,医療費を最小限に抑えることです.

主な方法:

文献レビュー,デルフィー法,優先度グラフ法が用いられました.
この経路は,手術後のスケジュール,看護プロセスフレームワーク,そして5段階の栄養診断と治療アプローチに基づいて開発されました.
20人の専門家がデルフィー協議の2ラウンドに参加し,経路の指標を精進しました.

主要な成果:

デルフィのコンサルティングでは,高レベルの専門家権限の係数で100%の効果的な回答率を達成しました.
統計分析 (ケンドール W) は,専門家間のコンセンサス (P < 0. 001) を確認した.
完成した経路は6つのプライマリー指標,18の二次指標と103の三次指標で構成されています.

結論:

開発された臨床管理経路は,高齢の股関節骨折患者の手術前栄養リスクに対して科学的に堅牢で,包括的で,専門的です.
栄養ケアを最適化し精密な臨床管理を進めるための貴重な参考文献です

キーワード:

熟成した重要な経路デルフィ技術ヒップ骨折栄養評価について

さらに関連する動画

09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

3.1K

関連する概念動画

01:25

Peritoneal Dialysis III: Nursing Management

140

Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...

140

01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

284

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...

284

01:27

Urinary Tract Calculi IV: Nutrition Therapy and Prevention

Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...

01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...

01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

304

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...

304

関連する実験動画