在患有骨骨折的老年患者中建立和应用基于证据的术后低氧血的预防和管理方案
Yu Zhang1, Xi Chen1, Yingqi Zhang1
1Department of Orthopedic Surgery, People's Hospital of Ningxia Hui Autonomous Region (People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University), Yinchuan, China.
Frontiers in medicine
|January 29, 2026
概括
一个基于证据的方案显著改善了氧和和减少低氧症发病率在老年人骨折患者手术后. 医疗保健专业人员 医疗保健专业人员
科学领域:
- 老年医学 老年医学
- 手术护理 医疗护理
- 基于证据的实践.
背景情况:
- 手术后的低氧症是患有关节骨折的老年患者的一个重大问题.
- 有效的预防和管理策略对于改善患者治疗结果至关重要.
研究的目的:
- 开发一个以证据为基础的实践方案,用于预防和管理老年关节骨折患者的术后低氧症.
- 评估开发协议的临床有效性.
主要方法:
- 使用护理方法学系统地检索,评估和综合证据.
- 以知识翻译框架为指导的基于证据的协议的开发.
- 准实验性研究比较了实施前和实施后的组 (每组n=52) 测量周边氧和 (SpO2) 和医疗保健专业人员 (HCP) 的知识.
主要成果:
- 后实施组在术后第1天和第2天显示出显著更高的SpO2水平.
- 在实施后的组中,低氧症的发生率显著降低 (POD1:1.92%与13.46%相比;POD2:0.00%与19.23%).
- 医疗保健人员的知识得分在协议实施后显著增加 (73.08至91.54).
结论:
- 基于证据的协议有效地改善了SpO2水平,并减少了老年关节骨折患者的低氧症发生率.
- 该协议增强了临床决策和增加了医疗保健专业人员的知识.
- 结果支持该方案的可行性和临床应用的有效性.
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