Risk factors for postoperative pulmonary infection in elderly cancer patients and countermeasures

被引:0
作者
Niu, Ben [1 ]
An, Ran [1 ]
Feng, Tao [1 ]
Qin, Xiaofeng [2 ]
Zhang, Jian [1 ]
Yang, Yadong [2 ]
机构
[1] Shengli Oilfield Cent Hosp, Resp Med, Dongying, Shandong, Peoples R China
[2] Shengli Oilfield Cent Hosp, Emergency, Dongying, Shandong, Peoples R China
关键词
Cancer; elderly patients; postoperative pulmonary infection; risk factors; intervention; STATISTICS; LUNG; MORTALITY; SURGERY; SMOKING; TRENDS;
D O I
暂无
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Objective: This study aimed to explore the risk factors for postoperative pulmonary infection in elderly cancer patients and countermeasures. Methods: We enrolled 107 elderly cancer patients admitted to Shengli Oilfield Central Hospital from February 2017 to February 2019 and randomly assigned them to either receive the targeted intervention for preventing pulmonary infection (54 cases, the research group) or to receive the routine intervention (53 cases, the control group). We compared the nursing satisfaction and VAS scores before and after the intervention between the two groups, and explored the risk factors for pulmonary infection, as well as the relevant countermeasures. Results: The nursing satisfaction and postoperative VAS scores in the research group were superior to those in the control group (P<0.050). Multivariate analysis suggested that smoking, degree of differentiation, type of surgery, and intraoperative blood loss were independent risk factors for postoperative complications in elderly cancer patients (P<0.050). The intervention by the automatic vibrating sputum excretion machine could effectively improve the sputum excretion of infected patients (P<0.050). Conclusion: Risk factors for postoperative pulmonary infection in elderly cancer patients include smoking, degree of differentiation, type of surgery, and intraoperative blood loss. Corresponding interventions can essentially enhance the nursing satisfaction and improve and the sputum excretion of infected patients.
引用
收藏
页码:3883 / 3891
页数:9
相关论文
共 24 条
[1]   Microbiological profiles of sputum and gastric juice aspirates in Cystic Fibrosis patients [J].
Al-Momani, H. ;
Perry, A. ;
Stewart, C. J. ;
Jones, R. ;
Krishnan, A. ;
Robertson, A. G. ;
Bourke, S. ;
Doe, S. ;
Cummings, S. P. ;
Anderson, A. ;
Forrest, T. ;
Griffin, S. M. ;
Brodlie, M. ;
Pearson, J. ;
Ward, C. .
SCIENTIFIC REPORTS, 2016, 6
[2]   Innate immune responses in the ageing lung [J].
Boe, D. M. ;
Boule, L. A. ;
Kovacs, E. J. .
CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 2017, 187 (01) :16-25
[3]   Cancer Statistics in China, 2015 [J].
Chen, Wanqing ;
Zheng, Rongshou ;
Baade, Peter D. ;
Zhang, Siwei ;
Zeng, Hongmei ;
Bray, Freddie ;
Jemal, Ahmedin ;
Yu, Xue Qin ;
He, Jie .
CA-A CANCER JOURNAL FOR CLINICIANS, 2016, 66 (02) :115-132
[4]   New opportunities for managing acute and chronic lung infections [J].
Cookson, William O. C. M. ;
Cox, Michael J. ;
Moffatt, Miriam F. .
NATURE REVIEWS MICROBIOLOGY, 2018, 16 (02) :111-120
[5]  
Fernández-Plata R, 2016, REV INVEST CLIN, V68, P119
[6]   Impact of preoperative regular physical activity on postoperative course after open abdominal aortic aneurysm surgery [J].
Hayashi, Kazuhiro ;
Hirashiki, Akihiro ;
Kodama, Akio ;
Kobayashi, Kiyonori ;
Yasukawa, Yuto ;
Shimizu, Miho ;
Kondo, Takahisa ;
Komori, Kimihiro ;
Murohara, Toyoaki .
HEART AND VESSELS, 2016, 31 (04) :578-583
[7]   Cancer Screening in the Elderly A Review of Breast, Colorectal, Lung, and Prostate Cancer Screening [J].
Kotwal, Ashwin A. ;
Schonberg, Mara A. .
CANCER JOURNAL, 2017, 23 (04) :246-253
[8]   Amount of smoking, pulmonary function, and bone mineral density in middle-aged Korean men: KNHANES 2008-2011 [J].
Lee, Ji Hyun ;
Hong, A. Ram ;
Kim, Jung Hee ;
Kim, Kyoung Min ;
Koo, Bo Kyung ;
Shin, Chan Soo ;
Kim, Sang Wan .
JOURNAL OF BONE AND MINERAL METABOLISM, 2018, 36 (01) :95-102
[9]   Colorectal cancer in adolescents and young adults: Defining a growing threat [J].
Levine, Oren ;
Zbuk, Kevin .
PEDIATRIC BLOOD & CANCER, 2019, 66 (11)
[10]   Effects of nursing intervention on lung infection prevention in patients with tracheotomy [J].
Li, Hua ;
Mao, Xiao-Hong .
MEDICINE, 2019, 98 (37)