广东省85所医院手术室围手术期低体温管理的现状调查  

Investigation on the status of perioperative hypothermia management in 85 hospital operating rooms in Guangdong Province

作　　者：章明阳[1] 常后婵[2] 梁爱群[1] 阮思美[1] 杜李百合 ZHANG Mingyang;CHANG Houchan;LIANG Aiqun;RUAN Simei;DULI Baihe

机构地区：[1]中山市人民医院手术麻醉一科,广东省528400 [2]广东省人民医院手术室

出　　处：《中华护理杂志》2020年第7期1039-1044,共6页Chinese Journal of Nursing

摘　　要：目的了解广东省85所医院手术室围手术期低体温管理的现状。以期为手术室护理工作提供借鉴。方法采用便利抽样方法,于2019年2月对广东省护理学会手术室专业委员会成员进行问卷调查。采用自行编制的问卷,包括一般资料及围手术期低体温管理现状2个部分。结果共回收有效问卷85份,有效回收率为98.84%。有23所(27.06%)医院实施了预保温;仅有6所(7.06%)医院使用围手术期低体温风险评估表;21所(48.84%)三级医院、9所(25.71%)二级医院建立了低体温应急流程,不同等级医院比较,差异有统计学意义(χ2=4.359,P=0.037);有25所(58.14%)三级医院、1所(2.86%)二级医院术前和术中采用同样方式测量体温,不同等级医院比较,差异有统计学意义(χ2=24.106,P<0.001);有34所(40.00%)医院要求术后进行患者体温交接;有20所(23.53%)医院关注患者术后转运环境中的温度调节。结论广东省85所医院围手术期体温管理不完善。实施预保温,进行低体温风险评估并建立应急流程,采用同样方式测量术前术中体温,术后交接体温,调节术后转运环境温度5个方面执行率不高。需要加强围手术期低体温预防知识培训并促进实践。Objective To understand the current situation of perioperative hypothermia management in 85 hospital operating rooms in Guangdong Provinces,so as to find out the deficiencies and provide references for the nursing practice in operating rooms. Methods A convenient sampling method was used to conduct a questionnaire survey on all the members of the Operating Room Professional Committee of Guangdong Nursing Association in February 2019. A self-developed questionnaire was used,including general information and the current management of perioperative hypothermia. Results A total of 85 valid questionnaires were received,with an effective recovery rate of 98.84%. 23(27.06%) hospitals have implemented pre-warming;Only 6 hospitals(7.06%) carried out perioperative hypothermia risk assessment. 21(48.84%) tertiary hospitals and 9(25.71%) secondary hospitals have established hypothermia emergency plans,with statistical differences( χ~2=4.359,P=0.037);in 25(58.14%) tertiary hospitals and 1(2.86%) secondary hospitals,the core temperature was measured by the same method before operation,and the difference was statistically significant( χ~2=24.106,P <0.001). 34(40.00%) hospitals required temperature handover after operation. 20 hospitals(23.53%) paid attention to the temperature regulation of patient transferring environment after operation. Conclusion Perioperative temperature management in 85 hospitals in Guangdong Province was incomplete. The implementation rates of pre-warming,risk assessment of hypothermia and establishment of emergency procedures,the same temperature measurement method of preoperative and intraoperative temperature,postoperative handover temperature,adjustment of the post-transport environment temperature are not high. Perioperative hypothermia prevention knowledge training and practice need to be strengthened and promoted.

关 键 词：围手术期护理 体温 风险评估 预保温 问卷调查 

分 类 号：R472.3[医药卫生—护理学]