降低腹部手术患者围术期非计划性低体温发生率  

Reducing the Incidence of Inadvertent Perioperative Hypothermia in Patients Undergoing Abdominal Surgery

作　　者：许倩[1,2] 许瑞华 冯金华[1,2] 范美龄 XU Qian;XU Ruihua;FENG Jinhua(Department of Biliary Surgery,West China Hospital,Sichuan University,Sichuan University School of Nursing,Chengdu,Sichuan,610041,China)

机构地区：[1]四川大学华西医院胆道外科,四川成都610041 [2]四川大学华西护理学院,四川成都610041

出　　处：《中国卫生质量管理》2021年第8期68-72,共5页Chinese Health Quality Management

基　　金：四川省科技厅支撑项目(编号:2021YFS0153);四川大学护理学科发展专项基金(编号:HXHL19031);四川大学护理学科发展专项基金(编号:HXHL20040)。

摘　　要：体温作为人体五大生命体征之一,是影响机体新陈代谢和生命活动的重要因素。手术患者发生非计划性低体温,可造成不同程度的危害。针对腹部手术患者围术期非计划性低体温发生率高的问题,开展品管圈活动。引入了无线体温监测工具,构建了病房、手术室、复苏室智能链式体温监测方案,制定了术前、术中、术后保温策略等,使腹部手术患者围术期非计划性低体温发生率从43.18%降低至8.51%,保障了患者安全,提升了医疗护理服务质量。As one of the five vital signs of human body,body temperature is an important factor affecting the body metabolism and life activities.Unplanned hypothermia occurs in patients undergoing surgery,which can cause different degrees of harm.In view of the high incidence of perioperative unplanned hypothermia in patients undergoing abdominal surgery,quality control circle activities were carried out.Wireless temperature monitoring tools were introduced,intelligent chain temperature monitoring schemes were constructed in wards,operating rooms and resuscitation rooms,and preoperative,intraoperative and postoperative thermal preservation strategies were formulated,which reduced the incidence of perioperative unplanned hypothermia in patients with abdominal surgery from 43.18%to 8.51%,ensuring patient safety and improving the quality of medical care services.

关 键 词：品管圈 问题解决型品管圈 腹部手术 围术期 非计划性低体温 发生率 

分 类 号：R197.323[医药卫生—卫生事业管理] R656[医药卫生—公共卫生与预防医学]