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基于Caprini风险评估量表的分级护理对老年肺癌患者静脉血栓的预防
引用本文:许玲玲,项俊之,邓侃,林怡,卢中秋. 基于Caprini风险评估量表的分级护理对老年肺癌患者静脉血栓的预防[J]. 护理学杂志, 2021, 36(6): 31-34. DOI: 10.3870/j.issn.1001-4152.2021.06.031
作者姓名:许玲玲  项俊之  邓侃  林怡  卢中秋
作者单位:温州医科大学附属第一医院胸外科 浙江温州,325000;温州医科大学附属第一医院急诊科 浙江温州,325000;温州医科大学第一临床医学院
摘    要:目的 探讨基于Caprini风险评估量表的分级护理对老年肺癌患者围手术期静脉血栓栓塞症的预防效果.方法 将228例行胸腔镜下肺癌根治术的老年患者根据入院时间分为对照组113例,干预组115例.对照组采用常规护理,干预组在常规护理的基础上采用Caprini风险评估量表评估患者发生静脉血栓栓塞症的风险等级,根据风险等级实施...

关 键 词:肺癌  围手术期  静脉血栓栓塞症  Caprini风险评估  分级护理
收稿时间:2020-10-22
修稿时间:2020-12-27

Prevention of graded nursing based on Caprini risk assessment scale on venous thromboembolism in elderly patients with lung cancer
Xu Lingling,Xiang Junzhi,Deng Kan,Lin Yi,Lu Zhongqiu. Prevention of graded nursing based on Caprini risk assessment scale on venous thromboembolism in elderly patients with lung cancer[J]. Journal of Nursing Science, 2021, 36(6): 31-34. DOI: 10.3870/j.issn.1001-4152.2021.06.031
Authors:Xu Lingling  Xiang Junzhi  Deng Kan  Lin Yi  Lu Zhongqiu
Affiliation:Department of Thoracic Surgery, The First Hospital Affiliated to Wenzhou Medical University, Wenzhou 325000, China
Abstract:Objective To explore the preventive effect of graded nursing based on Caprini risk assessment scale on perioperative venous thromboembolism (VTE) in elderly lung cancer patients. Methods A total of 228 elderly patients who underwent thoracoscopic radical resection of lung cancer were divided into a control group of 113 and an intervention group of 115 according to their admission time, receiving either routine nursing or graded nursing based on the Caprini score for risk assessment of VTE. The incidence of VTE, maximum width of thrombus in vertical vessel wall, chest tube indwelling time, length of hospital stay and hospitalization expenses were compared between the two groups. Results The incidence of VTE was 4.35% in the intervention group and 11.50% in the control group, showing significant difference between them (P<0.05). The maximum width of thrombus in vertical vessel wall, chest tube indwelling time, hospitalization time and hospitalization expenses in the intervention were significantly lower than those in the control group (P<0.05 for all). Conclusion Implementing graded nursing based on the Caprini risk assessment scale can effectively reduce the risk of perioperative VTE in elderly patients with lung cancer and enhance postoperative recovery.
Keywords:lung cancer  perioperative period  venous thromboembolism  Caprini risk assessment  graded nursing
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