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基于Caprini量表的分级干预在老年肺癌手术患者中的应用效果

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目的 探讨基于Caprini量表的分级干预在老年肺癌手术患者中的应用效果.方法 根据干预方式的不同将206例老年肺癌手术患者分为对照组(n=103)和观察组(n=103),对照组患者采取常规干预,观察组患者在对照组的基础上采取基于Caprini量表的分级干预.比较两组患者静脉血栓栓塞发生率、血栓最大宽度、术后恢复指标、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]及满意度[纽卡斯尔护理满意度量表(NSNS)].结果 术后,观察组患者静脉血栓栓塞发生率和血栓最大宽度均低于对照组(P﹤0.05).观察组患者胸管留置时间、术后卧床时间、术后住院时间均明显短于对照组(P﹤0.01).干预后,两组患者躯体功能、情绪功能、社会功能、认知功能评分均高于本组干预前,观察组患者躯体功能、情绪功能、社会功能、认知功能评分均高于对照组,差异均有统计学意义(P﹤0.05).观察组患者的总满意度明显高于对照组(P﹤0.01).结论 基于Caprini量表的分级干预可降低老年肺癌手术患者的静脉血栓栓塞发生率,促进患者术后恢复,提高患者生活质量和满意度.
Application effect of graded intervention based on Caprini scale in elderly patients undergoing lung cancer surgery
Objective To investigate the application effect of graded intervention based on Caprini scale in elderly pa-tients undergoing lung cancer surgery.Method A total of 206 elderly patients with lung cancer who underwent surgical treatment were divided into control group(n=103)and observation group(n=103)according to different intervention methods.Patients in the control group received routine intervention,and patients in the observation group received graded intervention based on Caprini scale on the basis of the control group.The incidence of venous thromboembolism,maxi-mum width of thrombus,postoperative recovery indicators,quality of life[European Organization for Research and Treat-ment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]and satisfaction[Newcastle satisfaction with nursing scale(NSNS)]were compared between the two groups.Result After surgery,the incidence of venous thrombo-embolism and maximum width of thrombus in the observation group were lower than those in the control group(P<0.05).The chest tube indwelling time,postoperative bedridden time and postoperative hospitalization time in the observation group were significantly shorter than those in the control group(P<0.01).After intervention,the scores of physical func-tion,emotional function,social function and cognitive function in the two groups were higher than those before interven-tion,and the above scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total satisfaction rate of the observation group was significantly higher than that of the control group(P<0.01).Conclusion Graded intervention based on Caprini scale can reduce the incidence of venous thromboembolism in elderly patients undergoing lung cancer surgery,promote postoperative recovery of patients,and im-prove patients'quality of life and satisfaction.

lung cancerCaprini scalegraded interventionvenous thromboembolismquality of life

戚陆燕、李青青、韩晨晨、李肖华

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郑州大学第一附属医院老年综合科,郑州 450052

肺癌 Caprini量表 分级干预 静脉血栓栓塞 生活质量

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(4)
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