老年患者术后肺部并发症早期识别及护理干预研究进展

doi:10.3761/j.issn.0254-1769.2019.07.029

摘要/Abstract

摘要：

对早期识别老年患者围手术期肺部并发症高危因素、选择合适的风险评估工具,以及采用加速康复外科、“我咳嗽”、使用激励式肺量仪和气道廓清技术的干预策略进行综述,以期为临床医护人员选择合适的识别工具、进行有效的干预、优化围术期管理提供依据。

关键词: 病人, 老年人, 手术后并发症, 肺, 护理评估, 干预性研究, 综述

Key words: Patients, Aged, Postoperative Complications, Lung, Nursing Assessment, Intervention Studies, Review

曾玉婷, 李芳, 时刘敏, 鄢斌, 李丽. 老年患者术后肺部并发症早期识别及护理干预研究进展[J]. 中华护理杂志, 2019, 54(7): 1102-1107.

参考文献 40

[1]	Li J, Han X, Zhang X , et al. Spatiotemporal evolution of global population ageing from 1960 to 2017[J]. BMC Public Health, 2019,19(1):127. DOI
[2]	Chen Z, Yu J, Song Y , et al. Aging Beijing:challenges and strategies of health care for the elderly[J]. Ageing Res Rev, 2010,9(1 Suppl):S2-S5. DOI URL
[3]	Lin H, Watts JN, Peel NM , et al. Frailty and post-operative outcomes in older surgical patients:a systematic review[J]. BMC Geriatr, 2016,16(1):157. DOI URL
[4]	Jammer I, Wickboldt N, Sander M , et al. Standards for definitions and use of outcome measures for clinical effectiveness research in perioperative medicine:European Perioperative Clinical Outcome (EPCO) definitions:a statement from the ESA-ESICM joint taskforce on perioperative outcome measures[J]. Eur J Anaesthesiol, 2015,32(2):88-105. DOI URL
[5]	Yang CK, Teng A, Lee DY , et al. Pulmonary complications after major abdominal surgery:national surgical quality improvement program analysis[J]. J Surg Res, 2015,198(2):441-449. DOI URL
[6]	Thanavaro JL, Foner BJ . Postoperative pulmonary complications:reducing risks for noncardiac surgery[J]. Nurse Pract, 2013,38(7):38-48.
[7]	Mohanty S, Rosenthal RA, Russell MM , et al. Optimal perioperative management of the geriatric patient:a best practices guideline from the american college of surgeons NSQIP and the american geriatrics society[J]. J Am Coll Surgeons, 2016,222(5):930-947. DOI URL
[8]	Smetana GW, Lawrence VA, Cornell JE . Preoperative pulmonary risk stratification for noncardiothoracic surgery:systematic review for the American College of Physicians[J]. Ann Intern Med, 2006,144(8):581-595. DOI URL
[9]	Miskovic A, Lumb AB . Postoperative pulmonary complications[J]. Br J Anaesth, 2017,118(3):317-334. DOI URL
[10]	朱鸣雷, 黄宇光, 刘晓红 , 等. 老年患者围手术期管理北京协和医院专家共识[J]. 协和医学杂志, 2018,9(1):36-41.
[11]	Canet J, Gallart L, Gomar C , et al. Prediction of postoperative pulmonary complications in a population-based surgical cohort[J]. Anesthesiology, 2010,113(6):1338-1350. DOI URL
[12]	Mazo V, Sabate S, Canet J , et al. Prospective external validation of a predictive score for postoperative pulmonary complications[J]. Anesthesiology, 2014,121(2):219-231. DOI URL
[13]	Arozullah AM, Daley J, Henderson WG , et al. Multifactorial risk index for predicting postoperative respiratory failure in men after major noncardiac surgery[J]. Ann Surg, 2000,232(2):242-253. DOI URL
[14]	Gupta H, Gupta PK, Fang X , et al. A risk calculator predicting postopera tive respiratory failure[EB/OL]. [2018-10-15].http://www.qxmd.com/calculate-online/respirology/postoperative-respiratory-failure-risk-calculator.
[15]	Arozullah AM, Khuri SF, Henderson WG , et al. Development and validation of a multifactorial risk index for predicting postoperative pneumonia after major noncardiac surgery[J]. Ann Intern Med, 2001,135(10):847-857. DOI URL
[16]	Markar SR, Walsh SR, Griffin K , et al. Assessment of a multifactorial risk index for predicting postoperative pneumonia after open abdominal aortic aneurysm repair[J]. Vascular, 2009,17(1):36-39. DOI URL
[17]	Hokari S, Ohshima Y, Nakayama H , et al. Superiority of respiratory failure risk index in prediction of postoperative pulmonary complications after digestive surgery in Japanese patients[J]. Respiratory Investigation, 2015,53(3):104-110. DOI URL
[18]	中国吞咽障碍康复评估与治疗专家共识组. 中国吞咽障碍评估与治疗专家共识(2017年版)第一部分评估篇[J]. 中华物理医学与康复杂志, 2017,39(12):881-892.
[19]	大西幸子, 孙启良 . 脑卒中患者摄食-吞咽障碍的评价与训练[J]. 中国康复医学杂志, 1997,9(3):47-48.
[20]	Oguchi K, Saitoh E, Baba M , et al. the Repetitive Saliva Swa-llowing Test(RSST) as a screening test of functional dysphagia(1) normal values of RSST[J]. Jpn J Rehabil, 2000,37(6):375-382. DOI URL
[21]	Muehling BM, Halter GL, Schelzig H , et al. Reduction of postoperative pulmonary complications after lung surgery using a fast track clinical pathway[J]. Eur J Cardio-Thorac, 2008,34(1):174-180. DOI URL
[22]	Grant MC, Yang D, Wu CL , et al. Impact of enhanced recovery after surgery and fast track surgery pathways on healthcare-associated infections[J]. Ann Surg, 2017,265(1):68-79. DOI URL
[23]	Wang L, Zhu R, Gao C , et al. Application of enhanced recovery after gastric cancer surgery:an updated meta-analysis[J]. World J Gastroentero, 2018,24(14):1562-1578. DOI URL
[24]	中华医学会外科学分会, 中华医学会麻醉学分会. 加速康复外科中国专家共识暨路径管理指南(2018)[J]. 中华麻醉学杂志, 2018,38(1):8-13.
[25]	Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E , et al. Gui-delines for enhanced recovery after lung surgery:recommendations of the enhanced recovery after surgery (ERAS) Society and the European Society of Thoracic Surgeons(ESTS)[J]. Eur J Cardio-Thorac, 2019,55(1):91-115. DOI URL
[26]	Paduraru M, Ponchietti L, Casas IM , et al. Enhanced recovery after surgery(ERAS) the evidence in geriatric emergency surgery:a systematic review[J]. Chirurgia, 2017,112(5):546. DOI URL
[27]	Pirrera B, Lucchi A, Gabbianelli C , et al. E.R.A.S. Pathway in colorectal surgery in elderly:our experience[J]. Int J Surg, 2017,43:101-106. DOI URL
[28]	Liu G, Jian F, Wang X , et al. Fast-track surgery protocol in elderly patients undergoing laparoscopic radical gastrectomy for gastric cancer:a randomized controlled trial[J]. Onco Targets Ther, 2016,9:3345-3351.
[29]	Shepherd SJ, Klein AA, Martinez G . Enhanced recovery for thoracic surgery in the elderly[J]. Current Opinion in Anaesthesiology, 2017,31(1):30-38.
[30]	Wren SM, Martin M, Yoon JK , et al. Postoperative pneumonia-prevention program for the inpatient surgical ward[J]. J Am Coll Surgeons, 2010,210(4):491-495. DOI URL
[31]	Cassidy MR, Rosenkranz P , McCabe K,et al. I COUGH:reducing postoperative pulmonary complications with a multidisciplinary patient care program[J]. Jama Surg, 2013,148(8):740-745. DOI URL
[32]	Moore JA, Conway DH, Thomas N , et al. Impact of a peri-operative quality improvement programme on postoperative pulmonary complications[J]. Anaesthesia, 2017,72(3):317-327. DOI URL
[33]	Kazaure HS, Martin M, Yoon JK , et al. Long-term results of a postoperative pneumonia prevention program for the inpatient surgical ward[J]. Jama Surg, 2014,149(9):914. DOI URL
[34]	Eltorai AEM, Szabo AL, Antoci V , et al. Clinical effectiveness of incentive spirometry for the prevention of postoperative pulmonary complications[J]. Resp Care, 2018,63(3):347-352. DOI URL
[35]	Strickland SL, Rubin BK, Drescher GS , et al. AARC clinical practice guideline:effectiveness of nonpharmacologic airway clearance therapies in hospitalized patients[J]. Resp Care, 2013,58(12):2187-2193. DOI URL
[36]	Do NJP, Modolo NS, Andrade S , et al. Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery[J]. Cochrane Database Syst Rev, 2014(2):D6058.
[37]	Carvalho CR, Paisani DM, Lunardi AC . Incentive spirometry in major surgeries:a systematic review[J]. Rev Bras Fisioter, 2011,15(5):343-350. DOI URL
[38]	Andrews J, Sathe NA, Krishnaswami S , et al. Nonpharmacologic airway clearance techniques in hospitalized patients:a systematic review[J]. Respir Care, 2013,58(12):2160-2186. DOI URL
[39]	McCool FD, Rosen MJ . Nonpharmacologic airway clearance the-rapies:ACCP evidence-based clinical practice guidelines[J]. Chest, 2006,129(1 Suppl):250S. DOI URL
[40]	杨梅, 钟就娣, 张俊娥 , 等. 老年肺癌手术患者主动循环呼吸技术训练自信心培养的效果评价[J]. 中华护理杂志, 2018,53(5):523-527.

老年患者术后肺部并发症早期识别及护理干预研究进展

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 40

相关文章 15

编辑推荐

Metrics

[1]	韩冬芳, 田甜, 高畅, 张婧珺, 李小妹. 肺结核患者健康促进行为与健康心理控制源关系的混合研究[J]. 中华护理杂志, 2024, 59(9): 1029-1036.
[2]	司茜茜, 王莹, 赵福云, 马晓骁, 刘均娥. A型主动脉夹层患者Ⅰ期心肺康复护理方案的构建及应用[J]. 中华护理杂志, 2024, 59(9): 1037-1042.
[3]	顾培培, 曾妃, 兰美娟, 梁江淑渊, 郭璐瑶, 蔡凌云, 朱岩, 郭鸽. 肺移植患者衰弱影响因素的Meta分析[J]. 中华护理杂志, 2024, 59(9): 1122-1129.
[4]	刘梦媛, 田凌云, 蒋敬, 冯心语, 李卫娟, 罗慧, 李映兰. 护士在跨专业合作中伦理冲突的范围综述[J]. 中华护理杂志, 2024, 59(9): 1138-1144.
[5]	崔怡爽, 何细飞, 王昭昭, 程捷, 杨伟梅, 陆丽娟. 共享决策在急性冠脉综合征患者中应用的范围综述[J]. 中华护理杂志, 2024, 59(9): 1145-1152.
[6]	张小艳, 李学靖, 杨丹, 孟美琪, 郝玉芳. 老年人久坐行为干预策略的范围综述[J]. 中华护理杂志, 2024, 59(8): 1012-1020.
[7]	余良梦, 俞小玲, 李佳镁, 阮晓芬. 证据图谱在护理学领域的应用进展[J]. 中华护理杂志, 2024, 59(8): 1021-1025.
[8]	房钰, 郝媛媛, 张晨, 董莹, 吴赢鑫, 姜桂春. 癌症患者决策疲劳的研究进展及护理启示[J]. 中华护理杂志, 2024, 59(8): 941-946.
[9]	杨娜娜, 曾慧, 符丹丹, 王燕, 程传丽, 刘容, 罗露文. 慢性阻塞性肺疾病急性加重期患者肺康复分级方案的构建与应用[J]. 中华护理杂志, 2024, 59(7): 773-780.
[10]	周樊华, 甘霖, 梅艳丽, 杜芬, 严冶, 熊莉娟. 中西医结合病房患者入院护理评估单的研制及信效度检验[J]. 中华护理杂志, 2024, 59(7): 802-807.
[11]	郑娉婷, 纪超娜, 王逸如, 陈惜遂. 肺癌患者术后肺部感染预防护理方案的构建及验证[J]. 中华护理杂志, 2024, 59(7): 820-827.
[12]	叶磊, 夏广惠, 陈方梅, 田宇燕, 祁玮. 虚拟现实技术在癌症相关认知障碍患者中应用的范围综述[J]. 中华护理杂志, 2024, 59(7): 882-889.
[13]	熊桃, 谭雪梅, 罗静, 李阳, 郑予希, 李奉玲, 魏雪梅, 崔丽君, 罗澜峻. 脑卒中患者康复动机评估工具的研究进展[J]. 中华护理杂志, 2024, 59(7): 890-896.
[14]	陈钰妹, 赵惠芬, 赵晓珊, 赵梅晶, 彭玉美, 沈丽琴. 妊娠期糖尿病孕妇风险感知量表的编制及信效度检验[J]. 中华护理杂志, 2024, 59(6): 677-684.
[15]	谢徐萍, 余立梅, 陈明祥, 李福平, 李志平. 1例肺动静脉瘘患者术后继发急性缺血性脑卒中的护理[J]. 中华护理杂志, 2024, 59(6): 719-722.