手术室保温护理对剖宫产术中低体温、术后寒战的预防效果

Preventive effect of thermal insulation nursing on intraoperative hypothermia and postoperative shivering of cesarean section

目的探究手术室保温护理对剖宫产产妇术中低体温及术后寒战的预防效果。方法选择2019年6月—2020年7月开展剖宫产产妇310例为研究对象,根据随机数字表法将其分为对照组155例与观察组155例,对照组采取常规护理措施,观察组采取手术室保温护理。比较两组产妇入手术室时、手术10 min、术毕体温,记录术中低体温、术后寒战发生人数,评价寒战严重程度,术后次日采用问卷调查产妇满意度。结果观察组手术10 min体温、术毕室温均高于对照组,分别为(36.62±0.39)℃对(35.91±0.43)℃、(36.27±0.38)℃对(35.63±0.42)℃,差异有统计学意义(P<0.05);观察组术中低体温发生率低于对照组(1.29%对9.68%),术后寒战发生率低于对照组(3.23%对46.45%),寒战严重程度轻于对照组,差异有统计学意义(P<0.05);观察组产妇满意度高于对照组(93.55%对70.32%),差异有统计学意义(P<0.05)。结论手术室保温护理在剖宫产术中应用可降低术中低体温及术后寒战发生率,提升产妇满意度。

Objective To explore the preventive effect of thermal insulation nursing on intraoperative hypothermia and postoperative shivering of cesarean section.Methods A total of 310 cases of cesarean delivery women from June 2019 to July 2020 were selected as study subjects.According to random number table,they were divided into a control group(155 cases),who received traditional nursing measures,and an observation group(155 cases),who received thermal insulation nursing in operation rooms.The body temperature of the two groups of pregnant women was compared at the time of entering operating room,10 min of operation,and after operation.Intraoperative hypothermia and postoperative shivering cases were recorded,and the severity of shivering was evaluated.On the day after operation,the satisfaction of nursing among the pregnant women was investigated by questionnaire.Results The observation group showed higher body temperature than the control group at 10 min of operation[(36.62±0.39)℃vs.(35.91±0.43)℃],and after operation[(36.27±0.38)℃vs.(35.63±0.42)℃],with significant differences(P<0.05).The incidence rates of intraoperative hypothermia(1.29%vs.9.68%)and postoperative shivering(3.23%vs.46.45%)in the observation group were lower than those in the control group,and shivering of the observation group was less severe than that of the control group,with significant difference(P<0.05).The pregnant women in the observation group showed higher satisfaction of nursing than the control group(93.55%vs.70.32%),and the difference was statistically significant(P<0.05).Conclusion The application of thermal insulation nursing during cesarean section can reduce the incidence of intraoperative hypothermia and postoperative shivering and improve satisfaction of nursing among pregnant women.