护理干预对围手术期患者低体温影响的研究

Effect of nursing intervention on patients with perioperative hypothermia

目的探讨护理干预对围手术期患者低体温的影响,以提高围手术期护理质量。方法全麻下行外科手术的患者100例按照随机数字方法分成研究组和对照组,各50例,对照组予以传统的护理方法,而研究组予以新型的保温护理措施,比较两组患者的体温变化情况及并发症的发生率。结果两组患者的肛温值在麻醉前无显著性差异(P>0.05);而研究组患者在麻醉后30 min、60 min、90 min、120 min、手术结束后等时间段的肛温值均较对照组明显升高(P<0.05);研究组的低体温、寒战及伤口感染发生率也明显低于对照组(P<0.05)。结论对围手术期低体温患者采用新型综合的护理措施,效果明显,可以很好地降低低体温、寒战及伤口感染发生率。

Objective To investigate the effect of nursing intervention on patients with perioperative hypothermia in an aim to improve the quality of nursing care. Methods One hundred patients underwent surgical operation under anesthesia were enrolled and randomly divided into study group and control group （ n = 50）. Conventional nursing care was applied in control group and new nursing intervention was used in study group. The changes of body temperature and incidences of complications were compared between the two groups. Results There was no difference between the two groups in the anal temperature before anesthesia（ P ~ 0.05 ） ,however, the anal temperatures of patients in study group at 30 min ,60 min,90 rain, 120 min after anesthesia and at the end of operation were significantly improved （ P 〈 0.05 ）. The incidences of hypothermia, chill and wound were lower in study group compared with those in study group （ P 〈 0.05 ）. Conclusion The new nursing intervention is effective for patients with perioperative hypothermia. It can reduce the incidence of hypothermia, chill and wound infection.