预见性综合保温护理干预在手术室开腹手术患者中的应用效果

Predictive Comprehensive Thermal Nursing Intervention in Patients with Open Surgery in Operating Room

目的分析预见性综合保温护理干预方法在手术室开腹患者中的应用效果。方法采用分组对照试验,将2018年3月至2019年10月收治的92例开腹手术患者应用抽签法则分为观察组和对照组,每组46例。在手术室中分别对两组患者配合预见性综合保温护理和常规护理,比较两组的护理效果。结果术后1周,观察组出现切口感染3例,占6.52%,对照组出现切口感染11例,占23.91%,差异有统计学意义(P <0.05);除T_(0)以外,观察组和对照组其他不同时间节点的体温比较,差异有统计学意义(P <0.05);术前,两组患者在凝血功能指标方面,差异无统计学意义(P> 0.05),观察组术后的凝血功能明显比对照组更好,差异有统计学意义(P <0.05);术前两组患者的血压、心率比较,差异无统计学意义(P> 0.05),术后观察组的血压和心率明显比对照组更稳定,差异有统计学意义(P <0.05);观察组的拔管时间、手术后苏醒时间、平均住院时间明显比对照组短,差异有统计学意义(P <0.05)。结论手术室预见性综合保温护理干预能有效帮助患者提高手术室护理的安全性,较好的维持患者的体温,降低感染对患者的影响,利于维持患者的凝血功能、血压和心率的稳定,促进术后的康复。

Objective To analyze the effect of predictive comprehensive thermal insulation interventions in patients with open surgery. Methods A total of 92 surgical patients from March 2018 to October 2019 were divided into observation group and control group by using the drawing rule. The number of the two groups was equal to 46 cases. In the operating room, the two groups of patients were combined with predictive comprehensive thermal care and routine nursing, and the statistical data of the two groups were calculated and compared statistically. Results One week after operation, there were 3 cases of incision infection in the observation group, accounting for 6.52%, and 11 cases of incision infection in the control group, accounting for 23.91%, the difference was statistically significant(P<0.05). Except T_(0), the difference in body temperature between the observation group and the control group at different time nodes was statistically significant(P<0.05). Before surgery, there was no significant difference in coagulation function between the two groups of patients(P>0.05),the coagulation function of the observation group was significantly better than that of the control group after operation, and the difference was statistically significant(P<0.05). There was no significant difference in blood pressure and heart rate between the two groups of patients before operation(P>0.05).The blood pressure and heart rate of the observation group after operation were significantly more stable than those of the control group, and the difference was statistically significant(P<0.05). The extubation time, recovery time after surgery, and average hospital stay were significantly shorter than those in the control group, and the difference was statistically significant(P<0.05). Conclusion The predictive comprehensive thermal nursing intervention in the operating room can effectively help patients improve the safety of operating room care, better maintain the patient’s body temperature, reduce the impact of infection on the patient, maintain the stability of the patient’s coagulation function, and maintain the patient’s blood pressure and blood pressure. The stability of the heart rate promotes postoperative recovery.