Special Topics:Enhanced Recovery After Surgery Nursing
Application of enhanced recovery after surgery nursing based on nutritional support in elderly patients with hip fracture
Zhanping Jin, Yingchun Zhu, Zheyang Wang, Haofen Xie, Bo Feng, Feiwu Liu
Published 2019-01-16
Cite as Chin J Mod Nurs, 2019, 25(2): 159-162. DOI: 10.3760/cma.j.issn.1674-2907.2019.02.007
Abstract
ObjectiveTo explore the effects of enhanced recovery after surgery based on nutritional support in perioperative nursing of elderly patients with hip fracture and joint replacement.
MethodsFrom January 2015 to June 2017, we selected 278 elderly hip fracture patients with nutritional risk (NRS 2002≥3) by convenience sampling. All of the patients were divided into observation group (n=132) and control group (n=146) with the method of envelope. Observation group accepted nutritional support and brought it into enhanced recovery nursing process. Control group applied routine perioperative nursing without standardized nutritional support. We compared the albumin and loss of hemoglobin at the second day after surgery, the score of activity of daily living (ADL) , time of getting out from bed for the first time, hospital stay as well as complications of patients between two groups.
ResultsThe albumin at the second day after surgery and score of ADL of patients in observation group were (29.16±1.33) g/dl and (63.90±5.47) respectively higher than those in control group; the loss of hemoglobin after surgery, time of getting out from bed for the first time, hospital stay in observation group were (1.34±0.30) g/dl, (1.56±0.20) d, (7.08±2.23) d respectively lower than those in control group; the differences were all statistical (t=-3.089, -14.881, -13.640, -15.279, -8.480; P<0.05) . The incidence of complications of observation group was 9.09% lower than that of control group (19.18%) with statistical difference (χ2=3.877, P<0.05) .
ConclusionsEnhanced recovery nursing based on nutritional support can shorten the hospital stay in elderly patients with hip fracture, promote postoperative rehabilitation after hip joint replacement and improve clinical outcomes of patients.
Key words:
Aged; Hip fractures; Nutritional support; Arthroplasty, replacement, hip; Enhanced recovery after surgery; Nutritional risk
Contributor Information
Zhanping Jin
Department of Orthopedics, Ningbo First Hospital of Zhejiang Province, Ningbo 315010, China
Yingchun Zhu
Department of Orthopedics, Ningbo First Hospital of Zhejiang Province, Ningbo 315010, China
Zheyang Wang
Department of Orthopedics, Ningbo First Hospital of Zhejiang Province, Ningbo 315010, China
Haofen Xie
Nursing Department, Ningbo First Hospital of Zhejiang Province, Ningbo 315010, China
Bo Feng
Department of Nutritional Diet, Ningbo First Hospital of Zhejiang Province, Ningbo 315010, China
Feiwu Liu
Department of Orthopedics, Ningbo First Hospital of Zhejiang Province, Ningbo 315010, China