人性化延续护理对术中低体温的预防效果分析
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摘要
目的探索人性化延续护理对术中低体温的预防效果。方法选择2016年9月至12月在某院进行全身麻醉下,手术时间2小时以上的手术患者100例,随机分为两组。50例为观察组,给予人性化延续护理保温措施。50例作为对照组,给予手术中常规保暖。共分5个时间点采集体温:分别在麻醉前、切皮前、手术开始1小时、手术开始2小时和手术结束时进行采集,采用重复测量方差分析,分别对不同时间、组间、时间与组别交互效应比较。观察并比较两组患者术中低体温的发生率和满意效果。结果观察组与对照组在不同时间段测量出的温度,观察组明显高于对照组。不同时间段,测量出的温度相比较,P<0.05,差异具有统计学意义。手术开始后实验组各时间段的温度高于对照组,P<0.05,差异具有统计学意义。考虑时间与组别之间有交互效应,统计学分析P<0.05,差异具有统计学意义。结论对于全身麻醉下时间较长的手术患者,采用人性化延续护理措施能够有效降低术中低体温的发生,充分体现对患者的人性化全面护理和人文关怀,提高术中护理质量。给予患者情感的安慰,鼓励患者直面疾病,以豁达的态度去积极生活。
Objective: To explore the preventive effect of humanized continuous nursing on hypothermia during operation. Methods: 100 patients who underwent general anesthesia for more than 2 hours from September to December 2016 were randomly divided into two groups. 50 cases as observation group were given humanized continuous nursing and heat preservation measures. 50 cases as control group were given routine warming during operation. Temperature was collected at five time points: before anesthesia, skin incision, 1 hour before operation, 2 hours after operation and at the end of operation. The cross-effects of different time, group, time and group were compared by repeated measurement of variance analysis. The incidence and satisfactory effect of hypothermia during operation were observed and compared between the two groups. Results: The temperature measured in the observation group and the control group in different time periods was significantly higher than that in the control group. In different time periods, the measured temperature was compared, the difference was statistically significant(P<0.05). After the operation, the temperature of the observation group was higher than that of the control group(P<0.05), and the difference was statistically significant. Considering the interaction effect between time and group, the difference was statistically significant(P<0.05). Conclusion: For patients undergoing long-term surgery under general anesthesia, humanized continuous nursing measures can effectively reduce the occurrence of hypothermia during operation, fully embody the humanized comprehensive nursing and humanistic care for patients, and improve the quality of intraoperative nursing. Give patients emotional comfort, encourage patients to face the disease directly, and live an active life with an open-minded attitude.
Objective: To explore the preventive effect of humanized continuous nursing on hypothermia during operation. Methods: 100 patients who underwent general anesthesia for more than 2 hours from September to December 2016 were randomly divided into two groups. 50 cases as observation group were given humanized continuous nursing and heat preservation measures. 50 cases as control group were given routine warming during operation. Temperature was collected at five time points: before anesthesia, skin incision, 1 hour before operation, 2 hours after operation and at the end of operation. The cross-effects of different time, group, time and group were compared by repeated measurement of variance analysis. The incidence and satisfactory effect of hypothermia during operation were observed and compared between the two groups. Results: The temperature measured in the observation group and the control group in different time periods was significantly higher than that in the control group. In different time periods, the measured temperature was compared, the difference was statistically significant(P<0.05). After the operation, the temperature of the observation group was higher than that of the control group(P<0.05), and the difference was statistically significant. Considering the interaction effect between time and group, the difference was statistically significant(P<0.05). Conclusion: For patients undergoing long-term surgery under general anesthesia, humanized continuous nursing measures can effectively reduce the occurrence of hypothermia during operation, fully embody the humanized comprehensive nursing and humanistic care for patients, and improve the quality of intraoperative nursing. Give patients emotional comfort, encourage patients to face the disease directly, and live an active life with an open-minded attitude.
引文
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[10] 韩鹏,陈校云,张铁山,等.国内外人文关怀与医患关系相关问题综述[J].中国医学伦理学,2013,26(6):768-771.
[11] 周英.手术室护理干预在围手术期护理中的应用[J].蚌埠医学院学报,2015,40(5):693-695.
[12] 李玉霞.全膝关节置换术后延续性护理对患者生活质量的影响[J].中国医学伦理学,2018,31(3):338-341.
[2] 于丁宁,李泽.低体温的危害及治疗(文献综述)[J].国外医学:外科分册,2004,31(5):259-261.
[3] 黄青青.围手术期危重病人低温防治新概念[J].中华实用外科杂志,2003,23(3):191-192.
[4] 徐梅,祁艳萍,马丽萍,等.开腹手术中实施3种不同保温措施对病人体温变化影响的研究[J].现代护理,2007,13(4):6.
[5] 钱瑾,刘菲,尹小兵.延续性护理的研究进展[J].护理研究,2014,28(7):777-779.
[6] 孙玲玲.外科手术中低体温的护理干预研究[J].山东医学高等专科学校学报,2017,39(4):295-297.
[7] 方华,戴红霞,马丽,等.手术患者低体温防护的研究进展[J].护理实践与研究,2015,12(8):11-14.
[8] 夏玲,姜云,肖美云,等.复合保温对高危患者胸科手术中低体温影响的研究[J].护士进修杂志,2012,27(16):1448-1450.
[9] 张迪晖,隆曼利,李芳.人文关怀在急诊骨外科中的应用[J].中国医学伦理学,2018,31(7):901-904.
[10] 韩鹏,陈校云,张铁山,等.国内外人文关怀与医患关系相关问题综述[J].中国医学伦理学,2013,26(6):768-771.
[11] 周英.手术室护理干预在围手术期护理中的应用[J].蚌埠医学院学报,2015,40(5):693-695.
[12] 李玉霞.全膝关节置换术后延续性护理对患者生活质量的影响[J].中国医学伦理学,2018,31(3):338-341.