摘要
目的:探讨老年肺癌患者AGILE衰弱评估与跌倒、静脉血栓栓塞症(VTE)风险的关系,为今后直接采取相应的护理措施降低其发生风险提供理论依据,减少护理不良事件的发生。方法:对某三甲医院215例老年肺癌患者进行横断面调查,问卷采用AGILE衰弱风险评估量表、Morse跌倒评估量表(MFS)、Caprini血栓风险评估量表分别对患者衰弱、跌倒及VTE风险进行评分;以AGILE评分为自变量,分别以跌倒、VTE风险分级为因变量,采用Logistic回归以及受试者工作特征曲线(简称ROC曲线),分析AGILE评分预测跌倒、VTE风险等级的效果。结果:老年肺癌患者AGILE评分每增加1分,跌倒评估为低危的风险是无风险的6.23倍(OR=6.23,P<0.01),VTE风险评估为高危的风险是中危的24.82倍(OR=24.82、P<0.01);ROC曲线下面积分别为0.844(95%CI:0.781,0.907)、0.918(95%CI:0.876,0.960);当AGILE评分的阈值为1.5时,模型的灵敏度分别为0.832、0.870,特异度分别为0.933、0.943,正确指数分别为0.765、0.813。结论:应用AGILE量表快速识别老年肺癌患者衰弱程度,AGILE评分>1.5时,对预测跌倒、VTE风险具有较好的效果,可认为跌倒风险为低危、VTE风险为高危,从而采取相应的预防措施,有利于节省再次进行跌倒、VTE风险评估的时间,防止护理不良事件的发生,提高护理安全质量。
Objective:To explore the relationship among AGILE breakdown assessment,fall and the risk of VTE in elderly patients with lung cancer,so as to provide theoretical basis for taking direct corresponding nursing measures in future to reduce the risk of nursing adverse events.Methods:A cross-sectional survey was conducted among 215 cases of elderly patients with lung cancer,the AGILE scale,Morse scale and Caprini scale were used respectively in questionnaire for scores in patients with weak and fall rate and VTE risk.AGILE scores were as the independent variables,the fall and grade of VTE risk were respectively as the dependent variables,using Logistic regression and the receiver-operating characteristic curve(ROC curve)for analysis on the AGILE scores in predicting the effect of fall and VTE risk levels.Results:An increase of 1 point in AGILE scores among the elderly patients with lung cancer,the risk assessment for low-risk falls was 6.23 times for no risk(OR=6.23,P<0.01),the risk of VTE risk assessment for high risk was 24.82 times higher than middle risk(OR=24.82,P<0.01).The area under the ROC curve was 0.844(95%CI:0.781,0.907)and 0.918(95%CI:0.876,0.960).When AGILE score threshold was 1.5,the sensitivity of model was 0.832 and 0.870 respectively,the specific degree was 0.933 and 0.943,and the right index was 0.765 and 0.813 respectively.Conclusion:Application of AGILE scale can quickly identify the weak degree in elderly patients with lung cancer,when AGILE score was greater than 1.5,it has good effect in predicting fall and the risk of VTE,the risk of fall can be considered as low risk,the risk of VTE as high-risk,so as to take corresponding preventive measures,help to save time for risk assessment on fall and VTE again,prevent the occurrence of nursing adverse events,so as to improve the quality of nursing safety.
作者
娄美芸
马瑛
栾晓嵘
王志浩
Lou Meiyun;Ma Ying;Luan Xiaorong(Shandong University School of Nursing and Rehabilitation,Jinan Shandong 250012,China)
出处
《齐鲁护理杂志》
2022年第23期12-15,共4页
Journal of Qilu Nursing
基金
国家自然基金项目(编号:81471036)。
