老年髖部骨折病人二次骨折預(yù)防管理的最佳證據(jù)總結(jié)

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Management of secondary fracture prevention in elderly hip fracture patients：a summary of the best evidence

WANG Anzi，MU Wenfang，WANG Yan，XU Zhiwei，WANG XianGansu University of Chinese Medicine，Gansu 730000 ChinaCorresponding Author WANG Xian

Abstract Objective：To summarize the best evidence on the management of preventing secondary fractures in elderly patients with hip fractures by retrieving，evaluating，and integrating relevant domestic and foreign evidence.Methods：Relevant evidence on secondary fracture prevention and management of elderly hip fracture patients were retrieved from the website of National Health and Clinical Excellence Research in the United Kingdom，the International Guidelines Network，the website of the Registered Nurses Association of Ontario，the Scottish College Guidelines Network，the Joanna Briggs Research Center for Evidence-Based Health Care Database，Yimaitong website，China Biomedical Literature Database，PubMed，WanFang Database，and China National Knowledge Infrastructure （CNKI）. The search time limit was from the establishment to December 24，2022. Two researchers independently completed the literature evaluation and extracted and summarized evidence from the literature that met the criteria.Results：A total of 16 articles were included，including 5 guidelines，5 expert consensuses，5 systematic reviews，and 1 best practice. 6 topics were summarized，and 22 pieces of best evidence were identified，including 6 aspects：multidisciplinary cooperation teams，evaluation，nutrition and diet，functional exercise，medication guidance，and health education.Conclusions：The best evidence of secondary fractures prevention management in elderly hip fracture patients could provide a reference for the clinical practice of medical staff. Medical staff should choose the application in combination with departmental conditions and patients′ wishes and provide help and care for patients with scientific and personalized management to improve patients′ quality of life.

Keywords elderly;hip fracture;secondary fracture;prevention;management;evidence summary;evidence-based nursing

摘要 目的：檢索、評(píng)價(jià)并整合國(guó)內(nèi)外關(guān)于老年髖部骨折病人二次骨折預(yù)防管理的相關(guān)證據(jù)，并進(jìn)行最佳證據(jù)總結(jié)。（剩余9998字）