基于舒适理论的体温管理在经尿道前列腺电切术患者低体温预防中的应用

Effects of temperature management based on comfort theory in the prevention of hypothermia in patients undergoing transurethral resection of prostate

目的探讨基于舒适理论的体温管理对经尿道前列腺电切术(TURP)患者低体温预防的应用效果。方法采用便利抽样法,选取2021年3—11月浙江大学医学院附属金华医院收治的拟行TURP治疗的242例良性前列腺增生患者为研究对象,按照随机数字表法将患者分为对照组和观察组,各121例。对照组采取常规保温护理,观察组在对照组基础上给予基于舒适理论的体温管理干预。对比两组入手术室(T_(1))、麻醉后0.5h(T_(2))、麻醉后1h(T_(3))、手术结束时(T_(4))的体温;比较两组麻醉恢复时间,并统计两组术后并发症发生情况。结果观察组T_(2)、T_(3)、T_(4)时刻体温均高于对照组,差异有统计学意义(P<0.01),T_(1)~T_(4)时两组患者体温变化均呈下降趋势。观察组寒战、膀胱痉挛发生率低于对照组,差异有统计学意义(P<0.05)。观察组麻醉恢复室停留时间、自主呼吸恢复时间、意识恢复时间均短于对照组,差异有统计学意义(P<0.01)。结论基于舒适理论的体温管理能有效预防TURP患者低体温,促进术后麻醉苏醒,减少术后并发症。

Objective To explore the effect of temperature management based on comfort theory on hypothermia prevention in patients undergoing transurethral resection of prostate(TURP).Methods From March to November 2021,242 patients with benign prostatic hyperplasia who were treated with TURP in Affiliated Jinhua Hospital of Zhejiang University School of Medicine were selected as the study subject by convenience sampling.The patients were divided into control group and observation group according to the method of random number table,121 patients in each group.The control group carried out routine temperature management,while observation group was given temperature management based on comfort theory on the basis of the control group.We compared the temperature of the two groups when they entered the Operating Room(T_(1)),0.5 h after anesthesia(T_(2)),1 h after anesthesia(T_(3)),and at the end of the operation(T_(4)).The recovery time of anesthesia was compared between the two groups,and the postoperative complications were counted.Results The temperature of the observation group at T_(2),T_(3),T_(4) was higher than those of the control group,with statistically significant differences(P<0.01).The temperature changes of patients in both groups showed a downward trend from T_(1) to T_(4).The incidence of shivering and bladder spasm in the observation group were lower than those in the control group,also with statistically significant differences(P<0.05).The duration of stay in the Recovery Room,the recovery time of spontaneous respiration and the recovery time of consciousness in the observation group were shorter than those in the control group,with statistical differences(P<0.01).Conclusions Temperature management based on comfort theory can effectively prevent hypothermia in TURP patients,promote postoperative anesthesia recovery,and reduce postoperative complications.