循证护理在全麻病人低体温护理中的应用效果观察

Evidence based nursing in mild hypothermia during general anesthesia nursing application effect observation

目的观察循证护理在全麻病人低体温护理中的临床应用效果。方法将80例全麻手术病人随机分为实验组40例和对照组40例，对照组按传统常规护理；实验组实施循证护理，采取综合的保温措施。结果实验组在术中术毕时体温在正常范围，并在寒战发生率、凝血功能障碍、心律失常和术后感染方面并发症比对照组病人明显减少（P〈0．05）。对照组病人出现7例寒战，2例心律失常，而实验组出现1例寒战外无其他并发症发生。结论对全麻手术中低体温病人实施循证护理，能保证手术治疗效果，提高护理质量，促进患者康复。

Objective To observe the clinical application effect of evidence-based nursing in mild hypothermia during general anesthesia care. Methods 80 cases of general anesthesia operation were randomly divided into the experimental group and control group, 40 cases for each group, control group had the conventional nursing; the experimental group implementated evidence-based nursing. Results The intraoperative postoperative body temperature in the ex- perimental group was in the normal range, and the incidence of shivering, coagulation dysfunction, arrhythmias and postoperative infection and certification were lower than those in the control group patients, with significant difference （P〈0. 05）. Conclusions The implementation of evidence-based nursing to patients with general anesthesia operation hypothermia, can guarantee the operation curative effect, improve the quality of care, and promote the recovery of the patients.