Application of lung protection intervention in nursing care of elderly patients with pleural effusion after radical gastrectomy
10.3760/cma.j.cn115682-20201123-06350
- VernacularTitle:肺保护干预在老年胃癌根治术后并发胸腔积液患者护理中的应用
- Author:
Fawei QIN
1
;
Meifeng LIU
;
Hongyuan CHEN
Author Information
1. 山东第一医科大学附属省立医院内科，济南 250001
- Keywords:
Stomach neoplasm;
Pleural effusion;
Radical gastrectomy;
Risk factors;
Lung protection intervention
- From:
Chinese Journal of Modern Nursing
2021;27(21):2925-2930
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze risk factors of pleural effusion in elderly patients after radical gastrectomy and formulate lung protection interventions on this basis to explore the effect of reducing the occurrence of pleural effusion after radical gastrectomy in elderly patients.Methods:By reviewing medical records, clinical data of 208 elderly patients with gastric cancer undergoing radical gastrectomy in Shandong Provincial Hospital Affiliated to Shandong First Medical University before January 2019 were retrospectively analyzed. Univariate analysis and Logistic regression analysis were used to explore risk factors of pleural effusion in elderly patients after radical gastric cancer surgery, and based on this, lung protection interventions were formulated. A total of 200 elderly patients with gastric cancer who underwent radical gastrectomy from January 2019 to June 2020 were selected as the observation group and they were given lung protection intervention. A total of 208 elderly patients undergoing radical gastrectomy before January 2019 were used as the control group. The occurrence of postoperative pleural effusion was observed and compared between the two groups.Results:Logistic regression analysis showed that preoperative albumin level less than 30 g/L, combination with COPD, operation time more than 4 h, lung function Ⅱ-Ⅳ grade and open surgery were the risk factors for pleural effusion after radical gastrectomy in elderly patients with gastric cancer ( P<0.05) . The incidence of pleural effusion in the observation group was lower than that in the control group, and the difference was statistically significant ( χ2=7.353, P=0.005) . The degree of pleural effusion in the observation group was lighter than that in the control group, and the difference was statistically significant ( χ2=7.052, P=0.029) . Conclusions:Preoperative albumin level less than 30 g/L, combination with COPD, operation time more than 4 h, lung function Ⅱ-Ⅳ grade and open surgery are the risk factors for pleural effusion after radical gastrectomy in elderly patients with gastric cancer. According to the above risk factors, pulmonary protective interventions can effectively reduce the incidence and degree of postoperative pleural effusion in elderly patients after gastric cancer surgery.
