关键词: 高龄, 腹腔镜阑尾切除术, 针对性护理, 下肢深静脉血栓, 满意度

Abstract:

Objective To study the effect of targeted nursing on elderly patients after laparoscopic appendectomy (LA). Method 72 elderly patients with LA acute appendicitis admitted from January 2020 to January 2022 were randomly divided into study group (36 cases) and control group (36 cases); The control group received routine nursing and the study group received targeted nursing; The levels of coagulation function indexes [fibrinogen (FIB), D-Dimer (D-D)] and the scores of quality of life were compared between the two groups before and after the intervention. Result Before the intervention, there was no significant difference in the level of coagulation function and the score of quality of life between the two groups (P ＞ 0.05); Compared with before the intervention, the level of coagulation function index was lower and the score of quality of life was higher in the two groups after the intervention (P ＜ 0.05); After the intervention, the level of coagulation function index and thrombosis rate in the study group were lower than those in the control group, and the score of quality of life and satisfaction were higher (P ＜ 0.05). Conclusion The application of targeted nursing in elderly patients with acute appendicitis can effectively improve the coagulation function and prevent lower extremity deep venous thrombosis, as well as improve their quality of life and satisfaction.

Key words: Old age, Laparoscopic appendectomy, Targeted nursing, Lower extremity deep venous thrombosis, Satisfaction