摘要
目的:探究加温输液联合环境加温护理对剖宫产术产妇围产期体温及低体温发生率的影响。方法:选取南阳市第二人民医院2020年5月—2021年8月收治的82例进行剖宫产术产妇作为研究对象。按随机数表法将其分为常规组和研究组,每组各41例。常规组采用环境加温护理,研究组加温输液联合环境加温护理干预。比较两组产妇的术前、术中30 min、术中1 h的体温,护理后心率、血氧饱和度,护理后舒适度(Kolcaba舒适量表)及低体温发生率。结果:研究组术中30 min、术中1 h体温均高于常规组,差异有统计学意义(t=8.861、5.607,P<0.05);护理后,研究组血氧饱和度高于常规组,心率低于常规组,差异有统计学意义(t=3.442、5.979,P<0.05);两组产妇生理和环境评分均升高,且研究组高于常规组,差异有统计学意义(t=9.590、5.215,P<0.05);研究组低体温发生率为14.63%,低于常规组的36.59%(χ^(2)=7.837,P<0.05)。结论:加温输液联合环境加温护理能够维持体温正常,稳定产妇心率、血氧饱和度,提高产妇舒适度,降低围产期体温及低体温发生率。
Objective:To explore the effect of warm infusion combined with warm environment nursing on the incidence of perinatal body temperature and hypothermia in parturients undergoing cesarean section.Methods:82 pregnant women who underwent cesarean section in the hospital from May 2020 to August 2021 were randomly divided into study group and routine group,with 41 cases in each group.Routine group received environmental warming nursing,and study group received warming infusion combined with environmental warming nursing intervention.The preoperative,intraoperative 30 min and 1 h nursing body temperature,heart rate,blood oxygen saturation,post nursing comfort(Kolcaba Comfort Scale)and the incidence of hypothermia were compared between the two groups.Results:The body temperature of the study group at 30 min and 1 h during operation was higher than that of the conventional group,and the difference was statistically significant(t=8.861,5.607;P<0.05).After nursing,the blood oxygen saturation of the study group was higher than that of the conventional group,the heart rate was lower than that of the conventional group,and the difference was statistically significant(t=3.442,5.979;P<0.05).Both groups of maternal physiological and environmental scores increased,and the study group was higher than the conventional group,the difference was statistically significant(t=9.590,5.215;P<0.05).The incidence of hypothermia in the study group was 14.63%,which was lower than 36.59%in the conventional group(χ^(2)=7.837,P<0.05).Conclusion:Warm infusion combined with environmental warming nursing can maintain normal body temperature,stabilize maternal heart rate and blood oxygen saturation,improve maternal comfort,and reduce the incidence of perinatal body temperature and hypothermia.
作者
王严慧
刘东平
周建征
Wang Yanhui;Liu Dongping;Zhou Jianzheng(Operating Room,Nanyang Second People's Hospital,Nanyang,Henan,473000,China)
出处
《黑龙江医学》
2024年第10期1252-1254,1258,共4页
Heilongjiang Medical Journal
基金
河南省自然科学基金资助项目(2019385)。
关键词
加温输液联合环境加温护理
剖宫产术
低体温发生率
舒适度
血氧饱和度
Warming infusion combined with environmental warming nursing
Cesarean section
Incidence of hypothermia,Comfort,Blood oxygen saturation
