定义最佳的正确年龄的关节骨折护理:一个德尔菲共识的方法
H E van Bremen1,2,3, L J Seppala3,4, E A Gans5,6
1Amsterdam Bone Center, Movement Sciences Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
European geriatric medicine
|February 5, 2025
概括
这项研究制定了基于共识的建议,用于整形老年人骨折护理,确定了医院的核心和最佳元素. 这些发现旨在减少老年人关节骨折管理的变异性.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 医疗保健管理的管理
背景情况:
- 部骨折对老年人来说是一个重要的健康问题.
- 整形老年护理模式旨在改善这些患者的治疗结果.
- 在当前的关节骨折护理提供中存在变化.
研究的目的:
- 建立基于共识的建议,为正经骨骨折护理的核心和最佳元素制定共识.
- 为实施正经老年护理提供实际指导.
- 为了减少部骨折患者的临床管理变异性.
主要方法:
- 在荷兰进行了Delphi在线调查.
- 评估了72份涵盖关节骨折患者所有护理阶段的陈述.
- 共识被定义为63名 (第1轮) 和55名 (第2轮) 参与者,包括老年医生,创伤外科医生和患者代表之间的>75%的同意.
主要成果:
- 对于最低限度的正经老年护理,在48个陈述上达成共识.
- 在60个关于最佳正确老年关怀的陈述上达成共识.
- 参与者主要有老年病 (36%) 和创伤手术/骨科 (20%) 的背景.
结论:
- 这项研究支持现有的建议,并为正经老年护理提供了实际实施指南.
- 建议涉及医院在发展的各个阶段的核心和最佳要素.
- 组织和后勤因素被确定为最佳护理提供障碍.
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