低体温导向的循证护理在全麻手术患者中的应用

Application of Evidence-Based Nursing Guided by Hypothermia in Patients Undergoing General Anesthesia Surgery

目的探讨低体温导向的循证护理在全麻手术患者中的应用效果。方法选取2021年1月至2022年1月于我院行全麻手术的200例患者,按照抽签法分为观察组与对照组。对照组采用常规护理,观察组采用低体温导向的循证护理。比较两组的应激反应及苏醒质量。结果两组的皮质醇(COR)水平在T_(0)~T_(3)时呈升高趋势,观察组升高幅度小于对照组(P<0.05)。观察组自主呼吸时间、意识恢复时间、导管拔除时间、PACU滞留时间短于对照组(P<0.05)。观察组不良反应发生率低于对照组(P<0.05)。结论低体温导向的循证护理可减轻全麻手术患者的应激反应,提升麻醉恢复质量,减少不良反应的发生。

Objective To explore the application effect of evidence-based nursing guided by hypothermia in patients undergoing general anesthesia surgery.Methods 200 patients undergoing general anesthesia surgery in our hospital from January 2021 to January 2022 were selected and divided into observation group and control group according to the method of drawing lots.The control group was given routine nursing,and the observation group was given evidence-based nursing guided by hypothermia.The stress response and awakening quality of the two groups were compared.Results The cortisol(COR)level of the two groups showed an increasing trend from T_(0) to T_(3),and the increasing range in the observation group was less than that in the control group(P<0.05).The spontaneous breathing time,consciousness recovery time,catheter extraction time and PACU retention time of the observation group were shorter than those of the control group(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusions Evidence-based nursing guided by hypothermia can reduce the stress response of patients undergoing general anesthesia surgery,improve the quality of anesthesia recovery,and reduce the adverse reactions.