腹腔镜直肠癌术中低体温及恢复期寒颤的舒适护理干预

Comfortable Nursing Intervention for Low Body Temperature and Recovery Chill in Laparoscopic Rectal Cancer

目的探析腹腔镜直肠癌手术患者应用舒适护理干预对术中低体温及恢复期寒颤的影响。方法对2015年5月—2018年5月在我院行腹腔镜直肠癌术的78例患者予以研究,依照随机抽签法分为两组,即对照组(n=39)、观察组(n=39)。对照组患者应用常规护理,观察组患者应用舒适护理干预,对比两组患者不同时间点体温变化、拔管时间、术后清醒时间、出室时间及并发症发生情况。结果观察组手术开始后30 min、60 min、90 min及手术结束时体温均高于对照组,差异具有统计学意义(P <0.05)。观察组拔管时间、术后清醒时间、出室时间均短于对照组,差异具有统计学意义(P <0.05)。观察组并发症发生率(5.13%)低于对照组(20.51%),差异具有统计学意义(P<0.05)。结论腹腔镜直肠癌手术患者应用舒适护理干预的效果更加显著,能够预防术中低体温的出现,减少恢复期寒颤,加快术后恢复。

Objective To investigate the effect of comfortable nursing intervention on operative hypothermia and recovery chill in patients undergoing laparoscopic rectal cancer surgery.Methods 78 patients who underwent laparoscopic rectal cancer in our hospital from May 2015 to May 2018 were enrolled in the study.They were divided into two groups according to the random sampling method,namely the control group(n=39)and the observation group(n=39).Patients in the control group were treated with routine nursing.Patients in the observation group were treated with comfortable nursing intervention.The changes of body temperature,extubation time,postoperative awake time,outpatient time and complications were compared between the two groups.Results The body temperature of the observation group was higher than that of the control group at 30 min,60 min,90 min and the end of the operation,and the difference was significant(P<0.05).The extubation time,postoperative awake time and outpatient time of the observation group were shorter than the control group,and the difference was significant(P<0.05).The incidence of complications in the observation group(5.13%)was lower than that in the control group(20.51%),and the difference was significant(P<0.05).Conclusion The effect of comfortable nursing intervention in patients undergoing laparoscopic rectal cancer surgery is more significant.It can prevent the occurrence of intraoperative hypothermia,reduce the recovery of chills,and accelerate postoperative recovery.