摘要髋部骨折是老年人最严重的骨质疏松性骨折，具有高致残率和致死率。手术技术的提高和多学科协作管理模式对改善患者预后具有重要作用，也对围术期护理提出了更高要求。患者整体功能衰退、器官合并症增多、麻醉及手术对机体储备的二次打击使护理难度增加，且我国尚缺乏对于老年髋部骨折患者围术期护理的规范来指导临床实践。因此，中华护理学会骨科护理专业委员会组织相关专家，基于循证医学方法，制订《老年髋部骨折围术期护理临床实践专家共识（2023版）》，围绕老年髋部骨折围术期健康教育、病情监测与观察、并发症风险评估与预防、康复训练等方面提出11条推荐意见，以指导临床实践，提升围术期护理质量，改善老年髋部骨折患者预后。

abstractsHip fracture is considered as the most severe osteoporotic fracture characterized by high disability and mortality in the elderly. Improved surgical techniques and multidisciplinary team play an active role in alleviating prognosis, which places higher demands on perioperative nursing. Dysfunction, complications, and secondary impact of anaesthesia and surgery add more difficulties to clinical nursing. Besides, there still lack clinical practices in perioperative nursing for elderly patients with hip fracture in China. In this context, led by the Orthopedic Nursing Committee of Chinese Nursing Association, the Expert consensus on clinical practice in perioperative nursing for elderly patients with hip fracture ( version 2023) is developed based on the evidence-based medicine. This consensus provides 11 recommendations on elderly patients with hip fracture from aspects of perioperative health education, condition monitoring and inspection, complication risk assessment and prevention, and rehabilitation, in order to provide guiding advices for clinical practice, improve the quality of nursing and ameliorate the prognosis of elderly patients with hip fracture.