摘要
目的:探讨基于舒适理论的体温管理在腹腔镜胰十二指肠切除术患者术中低体温预防中的应用效果。方法:选取2021年1月1日~2022年12月31日68例行腹腔镜胰十二指肠切除术(LPD)患者随机分为对照组和实验组各34例,对照组采取常规体温保护护理,实验组在此基础上实施基于舒适理论的体温管理;比较两组患者入手术室(T_(1))、麻醉后1 h(T_(2))、手术结束时(T_(3))、离开恢复室时(T_(4))的体温,术后并发症(寒战、肠道痉挛、术后出血、肌肉酸痛)发生率,麻醉恢复室复苏时间、自主呼吸恢复时间、意识恢复时间。结果:实验组T_(2)、T_(3)、T_(4)体温高于对照组(P<0.01),术后寒战、肠道痉挛发生率低于对照组(P<0.05),麻醉恢复室复苏时间、自主呼吸恢复时间、意识恢复时间短于对照组(P<0.01)。结论:基于舒适理论的体温管理可有效降低腹腔镜胰十二指肠切除术患者围术期低体温发生率,有效促进患者术后麻醉复苏,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 laparoscopic pancreaticoduodenectomy(LPD).Methods:A total of 68 patients undergoing LPD from January 1,2021 to December 31,2022 were selected and randomly divided into the control group and the experimental group with 34 ccases in each group.The control group adopted routine temperature protection nursing,while the experimental group received the temperature management intervention based on comfort theory on the above basis.Body temperatures in the time of entering the operating room(T_(1)),1 hour after anesthesia(T_(2)),at the end of operation(T_(3))and leaving the recovery room(T_(4)),the incidence of complications(chills,intestinal spasm,bleeding after operaion and muscle soreness),anesthesia recovery resuscitatiob time,free respiration recovery time and consciousness recovery time were compared between the two groups.Results:The body temperature of patients at T_(2),T_(3)and T_(4) in the experimental group was higher than that in the control group(P<0.01).The incidence of chills and intestinal spasm was lower than that in the control group(P<0.05).The anesthesia recovery resuscitatiob time,free respiration recovery time and consciousness recovery time were shorter in the experimental group than those in the control group(P<0.01).Conclusions:Body temperature management based on comfort theory can effectively reduce the incidence of perioperative hypothermia in patients undergoing laparoscopic pancreaticoduodenectomy,effectively promote the recovery of postoperative anesthesia and reduce postoperative complications.
作者
蔡翠翠
李倩
闫玉芬
李淑嫒
Cai Cuicui;Li Qian;Yan Yufen(Affiliated Hospital of Qingdao University,Qingdao Shandong 266003,China)
出处
《齐鲁护理杂志》
2023年第16期28-31,共4页
Journal of Qilu Nursing
关键词
腹腔镜胰十二指肠切除术
围术期护理
舒适理论
体温管理
低体温
Laparoscopic pancreaticoduodenectomy
Perioperative nursing
Comfort theory
Temperature management
Hypothermia
