【摘要】 目的 探讨基于Caprini风险评估量表的分级护理结合呼吸专项训练对胸腔镜手术患者呼吸功能的影响。方法选取2021年10月至2023年9月新余市人民医院进行胸腔镜手术的120例患者作为研究对象，按照随机数字表法分为对照组和观察组，每组60例。对照组给予呼吸专项训练，观察组在对照组的基础上给予基于Caprini风险评估量表的分级护理。比较两组患者护理前后肺功能变化、肺部并发症发生情况、临床指标、心理状态、呼吸训练依从性和独立生活功能。结果 护理前，两组患者肺功能、心理状态、呼吸训练依从性和独立生活功能比较，差异无统计学意义（P>0.05）；护理后3个月，两组患者肺功能、心理状态、呼吸训练依从性和独立生活功能高于本组护理前，且观察组肺功能、心理状态、呼吸训练依从性、独立生活功能均高于对照组，差异有统计学意义（P<0.05）。观察组肺部并发症总发生率低于对照组，术后开始步行50 m时间和住院时间短于对照组，差异有统计学意义（P<0.05）。结论 基于Caprini风险评估量表的分级护理结合呼吸专项训练，可改善胸腔镜手术患者肺功能、运动功能与呼吸功能，减少负面情绪，缩短住院时间，提高治疗效果。更多还原

【Abstract】 Objective To explore the effects of graded nursing based on Caprini risk assessment scale combined with specific respiratory training on respiratory function of patients undergoing thoracoscopic surgery. Methods A total of 120 patients undergoing thoracoscopic surgery in Xinyu People’s Hospital from October 2021 to September 2023 were selected as the research objects, and they were divided into control group and observation group according to random number table method, with 60 cases in each group. The control group was given specific respiratory training, and the observation group was given graded nursing based on Caprini risk assessment scale on the basis of the control group. The changes of lung function, occurrence of pulmonary complications, clinical indicators, mental state, compliance with respiratory training and independent living function were compared between the two groups before and after nursing. Results Before nursing, there were no significant differences in lung function, mental state, respiratory training compliance and independent living function between two groups(P>0.05). At 3 months after nursing, the lung function, mental state, respiratory training compliance and independent living function of the two groups were higher than those before nursing, and the lung function, mental state, respiratory training compliance and independent living function of the observation group were higher than those of the control group, with statistical significances(P<0.05). The total incidence of pulmonary complications in the observation group was lower than that in the control group, and the time of walking for 50 m after surgery and the time of hospitalization were shorter than those in the control group, the differences were statistically significant(P<0.05). Conclusion Graded nursing based on Caprini risk assessment scale combined with specific respiratory training can improve lung function, motor function and respiratory function of patients undergoing thoracoscopic surgery, reduce negative emotions, shorten hospital stay and improve treatment effect.更多还原