基于Caprini风险评估量表的分级护理在老年肺癌患者中的应用效果

Application effect of graded nursing based on Caprini Risk Assessment Scale in elderly patients with lung cance

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凝血功能和炎症因子水平的影响。方法 以华中科技大学同济医学院附属同济医院于2021年1月至2022年1月收治的90例老年肺癌患者为研究对象,按照随机数字表法分为观察组和对照组,每组45例。对照组给予肺癌专科护理干预,观察组在对照组干预方式的基础上给予基于Caprini风险评估量表的分级护理。对比2组患者的术后恢复情况、凝血功能、炎症因子水平和并发症发生率。结果 观察组的术后首次下床时间比对照组更早,胸管留置时间及住院时间均比对照组更短(P均<0.05)。出院时,2组的凝血酶原时间、活化部分凝血酶原时间和凝血酶时间均长于入院时,纤维蛋白原、白介素-6、肿瘤坏死因子和白介素-1水平均低于入院时(P均<0.05);观察组的上述指标水平均优于对照组(P均<0.05)。观察组的并发症发生率(2.22%)低于对照组(17.78%,P<0.05)。结论 将基于Caprini风险评估量表的分级护理应用于老年肺癌患者,能有效改善其凝血功能,降低炎症因子水平及并发症发生率,加快术后恢复进程。

Objective To explore the effect of graded nursing based on the Caprini Risk Assessment Scale on the coagulation function and inflammatory factor levels of elderly patients with lung cancer.Methods A total of 90 elderly patients with lung cancer who were admitted to Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from January 2021 to January 2022 were selected as the research subjects.They were allocated into observation and control groups by random number table method,each with 45 cases.The control group was given specialized nursing intervention of lung cancer,and the observation group was given graded nursing based on the Caprini Risk Assessment Scale in addition to the intervention method of the control group.The postoperative recovery,coagulation function,inflammatory factor levels,and complication rate were compared between the two groups.Results The first time of getting out of bed after operation in the observation group was earlier than that in the control group,and the duration of chest tube drainage and the hospitalization time were shorter than those in the control group(all P<0.05).At discharge,the prothrombin time,activated partial thromboplastin time,and thrombin time of the two groups were longer than those at admission,and the fibrinogen,interleukin-6,tumor necrosis factor,and interleukin-1 levels were lower than those at admission(all P<0.05).The above parameters in the observation group were better than those in the control group(all P<0.05).The complication rate in the observation group was lower than that in the control group(2.22%vs.17.78%,P<0.05).Conclusion Graded nursing based on the Caprini Risk Assessment Scale for elderly patients with lung cancer can effectively improve the coagulation function,reduce the levels of inflammatory factors and the complication rate,and speed up the postoperative recovery process.