Li Yan, Xiao Fei
Department of Geriatric Intensive Care Unit Nursing, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu 610072, China.
Sichuan Translational Medicine Research Hospital, Chinese Academy of Sciences, Chengdu 610072, China.
J Oncol. 2022 Apr 26;2022:2967981. doi: 10.1155/2022/2967981. eCollection 2022.
Tumors of the gastrointestinal system, known as gastroenteropapillary neoplasms, are very uncommon yet have a high propensity to progress to cancer. Thromboembolism of the veins (VTE) is a potentially deadly complication of surgery. In the vast majority of cases, deep vein thrombosis (DVT) in the lower extremities is the primary symptom of VTE (DVT). Deep vein thrombosis is more common in critical care units, where the prevalence ranges from 18 to 50 percent. DVT is a common complication after gastrointestinal tumor surgery, and proper nursing care is essential to lowering the risk of VTE. This research was thus done to examine if intensive nursing interventions may reduce the risk of lower limb DVT in elderly patients who had undergone surgery for gastrointestinal malignancies. The data is separated into two categories: control and treatment. As a self-care theory-based intervention strategy, we propose a hybridized KAP (knowledge, attitude, and practice) approach. Using the twin-bound decision tree algorithm (TBDTA), clinical outcomes including survival and patient satisfaction are examined. There was a considerable improvement in the treatment of DVT compared to the control group and a decrease in typical postoperative conditions. The bundles of care treatment have made a significant increase in the quality of nursing care.
胃肠道系统的肿瘤,即胃肠乳头状瘤,非常罕见,但极易发展为癌症。静脉血栓栓塞(VTE)是手术的一种潜在致命并发症。在绝大多数情况下,下肢深静脉血栓形成(DVT)是VTE的主要症状。深静脉血栓形成在重症监护病房更为常见,其患病率在18%至50%之间。DVT是胃肠道肿瘤手术后的常见并发症,适当的护理对于降低VTE风险至关重要。因此,本研究旨在探讨强化护理干预是否可以降低接受胃肠道恶性肿瘤手术的老年患者下肢DVT的风险。数据分为两类:对照组和治疗组。作为一种基于自我护理理论的干预策略,我们提出了一种混合的KAP(知识、态度和实践)方法。使用双约束决策树算法(TBDTA),对包括生存率和患者满意度在内的临床结果进行了检查。与对照组相比,DVT的治疗有了显著改善,典型的术后情况有所减少。护理治疗束显著提高了护理质量。