经皮肾镜手术患者术中应用自制防水单和加热体位垫防水保暖的护理效果
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摘要
目的探析对接受经皮肾镜手术治疗患者给予自制防水单以及加热体位垫进行防水保暖的护理价值。方法取拟用经皮肾镜手术治疗患者80例为分析对象,根据在手术过程中对患者护理方案差异将其以每组40例分为对照组、联合组,对应常规围术期保温措施护理干预、给予自制防水单、加热体位垫防水保暖护理干预。比较患者在手术不同时间段体温情况及寒颤出现情况以归纳针对性保暖护理措施对经皮肾镜手术治疗患者的应用价值。结果分别在患者接受麻醉前、麻醉插管后、手术开始即刻、手术开始后0.5h、手术开始后1h及手术结束各个时间段进行体温测量,提示在手术开始0.5h后各个时间段联合组患者体温指标均高于对照组,组间数据有统计学意义(P<0.05);记录两种护理干预下患者各项手术指标,联合组患者发生寒颤例数显著少于对照组且有统计学意义(P<0.05)。结论经皮肾镜手术治疗期间患者保暖工作是否到位直接影响手术顺利进行以及术后康复质量,应用自制防水单、加热体位垫保暖干预方式能够有效控制术中体温,避免术后寒颤,值得临床推广。
Objective To evaluate the nursing value of giving self-made waterproof sheets and heating body cushions for waterproofing and warming in patients undergoing percutaneous nephrolithotomy. Methods Eighty patients who were treated with percutaneous nephrolithotomy in the operating room of the author's hospital in recent years were selected as the analysis subjects.According to the differences in patient care plan during the operation, 40 patients in each group were divided into control group and joint group. Conventional perioperative heat preservation measures, nursing intervention, self-made waterproof single, heated body position pad waterproof and warm nursing intervention. The patients were compared with the temperature of the patients at different time points and the occurrence of chills to summarize the application value of targeted warm nursing measures for patients treated with percutaneous nephrolithotomy. Results Body temperature measurements were taken before the patient underwent anesthesia, after anesthesia intubation, immediately after the start of surgery, 0.5 hour after the start of surgery, 1 hour after the start of surgery, and at the end of the procedure, suggesting that the time was combined after 0.5 hour of surgery. The body temperature index of the patients was higher than that of the control group, and the data between the groups were statistically significant(P<0.05). The surgical indexes of the patients under the two nursing interventions were recorded. The number of shivering cases in the combined group was significantly less than that in the control group and had statistical significance(P<0.05). Conclusion Whether the patient's warmth work is in place during percutaneous nephrolithotomy directly affects the smooth operation of the operation and the quality of postoperative rehabilitation. The application of self-made waterproof single and heated body position warm intervention can effectively control the intraoperative temperature and avoid postoperative chill, which is worthy of clinical practice promotion.
Objective To evaluate the nursing value of giving self-made waterproof sheets and heating body cushions for waterproofing and warming in patients undergoing percutaneous nephrolithotomy. Methods Eighty patients who were treated with percutaneous nephrolithotomy in the operating room of the author's hospital in recent years were selected as the analysis subjects.According to the differences in patient care plan during the operation, 40 patients in each group were divided into control group and joint group. Conventional perioperative heat preservation measures, nursing intervention, self-made waterproof single, heated body position pad waterproof and warm nursing intervention. The patients were compared with the temperature of the patients at different time points and the occurrence of chills to summarize the application value of targeted warm nursing measures for patients treated with percutaneous nephrolithotomy. Results Body temperature measurements were taken before the patient underwent anesthesia, after anesthesia intubation, immediately after the start of surgery, 0.5 hour after the start of surgery, 1 hour after the start of surgery, and at the end of the procedure, suggesting that the time was combined after 0.5 hour of surgery. The body temperature index of the patients was higher than that of the control group, and the data between the groups were statistically significant(P<0.05). The surgical indexes of the patients under the two nursing interventions were recorded. The number of shivering cases in the combined group was significantly less than that in the control group and had statistical significance(P<0.05). Conclusion Whether the patient's warmth work is in place during percutaneous nephrolithotomy directly affects the smooth operation of the operation and the quality of postoperative rehabilitation. The application of self-made waterproof single and heated body position warm intervention can effectively control the intraoperative temperature and avoid postoperative chill, which is worthy of clinical practice promotion.
引文
[1]钟传弟,钟桂友,钟桂枝,等.保暖措施在降低微创经皮肾镜钬激光碎石术中寒战反应的效果评价[J].国际医药卫生导报,2016,22(12):1802-1804.
[2]夏小丽,周洁,王小兰.灌洗液温度对经皮肾镜钬激光碎石术患者的影响[J].江苏医药,2016,42(12):1408-1409.
[3]陈凤琴,陈昌南,冯礼浓.围手术期保暖策略对氩氦刀冷冻治疗肝癌患者体温及寒战的影响[J].护理实践与研究,2016,13(16):84-85.
[4]吴素兰,曾辉.暖风毯在小儿全身麻醉开腹手术中保暖的临床应用[J]山西医药杂志,2017,46(12):1519-1521.
[5]佚名.综合保暖护理对小儿下腹部手术围手术期低体温的影响[J].齐齐哈尔医学院学报,2017,38(4):116-117.
[6]郝钰,张海霞.复合保暖措施在脑肿瘤手术中对皮肤压疮的预防及护理分析[J].实用临床医药杂志,2018,22(10):114-115.
[7]李竞赛,倪秋娅,邵磊,等.对进行手术的老年患者实施术中保暖护理的效果研究[J].当代医药论丛,2016,14(13):178-179.
[8]徐璐,苏迎春,刘彭,等.新生儿胸腹手术不同保暖方式应用效果的回顾性分析[J].中国医学创新,2017,14(13):5-8.
[9]靳春丽.术中综合保暖措施对手术患者术中低体温及生命体征的影响[J]河南医学研究,2017,26(13):2481-2482.
[10]邓清兰.保暖护理干预小儿巨结肠手术中低体温的效果研究[J].实用临床护理学杂志,2017,2(49):1489-1490.
[11]何丽萍,钟元英.手术麻醉患者实施术中保暖护理对其恢复期产生的影响[J].中外医学研究,2017,15(34):125-126.
[12]倪秋娅,李竞赛,邵磊,等.对行手术的患者实施术中保暖护理的效果观察[J].当代医药论丛,2016,14(13):162-163.
[13]韩淑娟,马明姣.综合保暖护理对术中低体温及术后寒战的影响[J]现代医学与健康研究电子杂志,2017,1(7):128.
[14]赖子云,李广海,李康,等.围手术期保温对全膝关节置换术患者的影响[J].江西医药,2017,52(3):231-233.
[15]卢仕萍.手术患者发生切口感染的手术室相关因素及护理策略探讨[J]中外医学研究,2017,15(18):76-78.
[2]夏小丽,周洁,王小兰.灌洗液温度对经皮肾镜钬激光碎石术患者的影响[J].江苏医药,2016,42(12):1408-1409.
[3]陈凤琴,陈昌南,冯礼浓.围手术期保暖策略对氩氦刀冷冻治疗肝癌患者体温及寒战的影响[J].护理实践与研究,2016,13(16):84-85.
[4]吴素兰,曾辉.暖风毯在小儿全身麻醉开腹手术中保暖的临床应用[J]山西医药杂志,2017,46(12):1519-1521.
[5]佚名.综合保暖护理对小儿下腹部手术围手术期低体温的影响[J].齐齐哈尔医学院学报,2017,38(4):116-117.
[6]郝钰,张海霞.复合保暖措施在脑肿瘤手术中对皮肤压疮的预防及护理分析[J].实用临床医药杂志,2018,22(10):114-115.
[7]李竞赛,倪秋娅,邵磊,等.对进行手术的老年患者实施术中保暖护理的效果研究[J].当代医药论丛,2016,14(13):178-179.
[8]徐璐,苏迎春,刘彭,等.新生儿胸腹手术不同保暖方式应用效果的回顾性分析[J].中国医学创新,2017,14(13):5-8.
[9]靳春丽.术中综合保暖措施对手术患者术中低体温及生命体征的影响[J]河南医学研究,2017,26(13):2481-2482.
[10]邓清兰.保暖护理干预小儿巨结肠手术中低体温的效果研究[J].实用临床护理学杂志,2017,2(49):1489-1490.
[11]何丽萍,钟元英.手术麻醉患者实施术中保暖护理对其恢复期产生的影响[J].中外医学研究,2017,15(34):125-126.
[12]倪秋娅,李竞赛,邵磊,等.对行手术的患者实施术中保暖护理的效果观察[J].当代医药论丛,2016,14(13):162-163.
[13]韩淑娟,马明姣.综合保暖护理对术中低体温及术后寒战的影响[J]现代医学与健康研究电子杂志,2017,1(7):128.
[14]赖子云,李广海,李康,等.围手术期保温对全膝关节置换术患者的影响[J].江西医药,2017,52(3):231-233.
[15]卢仕萍.手术患者发生切口感染的手术室相关因素及护理策略探讨[J]中外医学研究,2017,15(18):76-78.