摘要
目的探讨基于低体温发生风险模型的护理干预对妇科腹腔镜手术患者术中低体温的预防意义。方法选取2022年1月至2023年1月于福建医科大学附属南平第一医院妇科行腹腔镜手术的患者为研究对象,按照入院时间顺序分为常规组和干预组,分别进行常规性干预和常规性干预联合基于低体温发生风险模型的护理干预。比较两组患者干预后低体温发生率、并发症发生率、胃肠功能、住院时间和护理满意度。结果共纳入60例患者,干预组和常规组各30例。干预组患者低体温发生率(3.33%vs.20.00%,P=0.044)和寒战发生率(0.00%vs.13.33%,P<0.001)均显著低于常规组,而两组患者心律失常、苏醒躁动期和低氧血症发生率无显著差异(P>0.05)。干预组肠鸣音恢复时间(25.80±2.54 vs.44.89±5.30,P<0.001)、下床活动时间(11.29±1.69 vs.18.28±1.93,P<0.001)、肛门排气时间(24.08±3.90 vs.31.56±4.21,P<0.001)和住院时间(6.83±0.87 vs.9.57±1.04,P<0.001)均显著短于常规组。此外,干预组护理满意度也明显高于常规组(90.00%vs.63.33%,P=0.015)。结论基于低体温发生风险模型的护理干预可有效预防妇科腹腔镜手术患者术中低体温,降低寒战风险,改善患者术后胃肠功能,缩短住院时间,提升护理满意度。
Objective To explore the significance of nursing intervention based on the hypothermia risk model for the prevention of hypothermia in patients undergoing gynecological laparoscopic surgery.Methods Patients who underwent laparoscopic surgery in the department of gynecology of Nanping First Hospital Affiliated to Fujian Medical University from January 2022 to January 2023 were selected as research subjects and divided into the conventional group and the intervention group,according to the order of admission time.The conventional group and the intervention group received conventional intervention and conventional intervention combined with nursing intervention based on hypothermia risk model, respectively. The incidence of hypothermia, incidence of complications, gastrointestinal function, length of stay and satisfaction with nursing were compared between two groups. Results A total of 60 patients were included, with 30 cases in each of the group. The incidence of hypothermia in the intervention group (3.33% vs. 20.00%, P=0.044) and the incidence of shivering (0.00% vs. 13.33%, P<0.001) were significantly lower than those in the conventional group. However, there was no significant differences in the incidence of arrhythmia, emergence agitation and hypoxemia between two groups (P>0.05). The recovery time of bowel sounds (25.80±2.54 vs. 44.89±5.30, P<0.001), ambulation time (11.29±1.69 vs. 18.28±1.93, P<0.001), exhaust time (24.08±3.90 vs. 31.56±4.21, P<0.001) and hospital stay (6.83±0.87 vs. 9.57±1.04, P<0.001) in the intervention group were significantly shorter than those in the conventional group. In addition, the nursing satisfaction of patients in the intervention group was also significantly higher than that in the conventional group (90.00% vs. 63.33%, P=0.015). Conclusion Nursing intervention based on the risk model of hypothermia can effectively prevent hypothermia in patients undergoing gynecological laparoscopic surgery, reduce the risk of shivering, improve patients' postoperative gastrointestinal function, shorten the length of stay, and improve patients' satisfaction with nursing.
作者
王淋
蔡子胭
杨青毓
WANG Lin;CAI Ziyan;YANG Qingyu(Operating Room,Nanping First Hospital Affiliated to Fujian Medical University,Nanping 353000,Fujian Province,China)
出处
《数理医药学杂志》
CAS
2024年第6期425-430,共6页
Journal of Mathematical Medicine
关键词
妇科
腹腔镜手术
发生风险模型
术中低体温
Gynecology
Laparoscopic surgery
Occurrence risk model
Intraoperative hypothermia
