目的 探讨老年髋部骨折患者对出院准备服务的需求，为更科学地拟订出院准备服务方案提供参考。 方法 采用描述性质性研究方法，通过目的抽样法选取北京某三级甲等医院接受手术治疗的住院患者及随访患者进行半结构深度访谈，根据Colaizzi 7步分析法对访谈资料进行整理分析。 结果 共有17例受访者参与访谈，包括7例住院患者和10例随访患者，共提炼出4个主题：心理支持需求、生理支持需求、知识支持需求及社会支持需求。 结论 老年髋部骨折患者出院前及出院初期的需求存在差异，医护人员应根据患者实际需求综合拟订出院准备服务方案，以实现患者从医院到其它环境的顺畅过渡及安全康复。

Objective To explore the clinical needs of elderly patients with hip fractures regarding discharge preparation services,providing a reference for formulating more scientific discharge preparation service plans.Methods A descriptive qualitative research method was adopted.Purposive sampling was used to select inpatients and follow-up patients who underwent surgical treatment at a tertiary Grade A hospital in Beijing for semi-structured in-depth interviews.The interview data were organized and analyzed using Colaizzi's 7-step analysis method.Results A total of 17 respondents participated in the interviews,including 7 inpatients and 10 follow-up patients.Four themes were extracted:needs for psychological support,needs for physical support,needs for knowledge support,and needs for social support.Conclusions There are differences in the needs of elderly patients with hip fractures before discharge and in the early post-discharge period.Medical staff should comprehensively formulate discharge preparation service plans based on the actual needs of patients to achieve a smooth transition from the hospital to other environments and safe rehabilitation.

R473.6

国家自然科学基金（72204262）；国家重点研发计划（2022YFC2504300）