Abstract:

Objective To develop a scientific and standardized follow-up checklist for elderly patients with hip fractures after surgery，providing a reliable tool for the follow-up work for elderly patients with hip fractures after surgery. Methods The preliminary follow-up list of elderly patients with hip fractures after surgery was formulated through literature review，and semi-structured interviews. Through Delphi method，two rounds of expert consultations with 13 experts was conducted to collect their opinions to form the final version of follow-up list. A total of 12 elderly patients who underwent hip surgery in a tertiary Grade A hospital in Shandong Province in May 2024 were selected as the research participants using convenience sampling method. Nurses with follow-up experience were trained uniformly，and postoperative follow-up checklists were applied，and the formulated follow-up checklists were evaluated. Results The expert authority coefficients was 0.88 and 0.91，respectively. The final follow-up list of elderly patients with hip fractures after surgery included four primary indicators （physiological assessment and daily life support，information support，psychological support，and social support），12 secondary indicators，and 32 tertiary indicators. After initial application，both patients and nurses believed that the follow-up list was detailed and held high professional and clinical application value. Conclusion The follow-up list for elderly patients with hip fractures after surgery owns a reasonable structure，comprehensive content. It can provide scientific and standardized tool support for the follow-up of elderly patients with hip fractures after discharge.

Key words: Geriatric care, Hip fracture, List, Continuing care, Delphi method