术中行复合保温护理对腹腔镜全子宫切除术患者的影响研究  

Study on the Effect of Compound Heat Preservation during Operation on Patients Undergoing Laparoscopic Hysterectomy

作　　者：钟玉景 张少芳 余晓容 ZHONG Yujing;ZHANG Shaofang;YU Xiaorong(Operating Room,Ningde Hospital Affiliated to Ningde Normal University,Ningde,Fujian Province,352100 China)

机构地区：[1]宁德师范学院附属宁德市医院手术室,福建宁德352100

出　　处：《中外医疗》2022年第7期182-186,共5页China & Foreign Medical Treatment

摘　　要：目的分析研究腹腔镜全子宫切除术术中行复合保温护理对患者的影响。方法2019年12月—2020年12月简单随机选择该院接收的80例腹腔镜全子宫切除术患者作为研究对象,均实施腹腔镜全子宫切除术,将其分为对照组40例(常规护理)和观察组40例(复合保温护理),对比护理满意度、各项临床指标、不良反应发生率、围术期舒适度。结果和对照组患者的护理满意度(80.00%)相比,观察组患者的护理满意度(97.50%)更高,差异有统计学意义(χ^(2)=4.507,P<0.05)。在不良反应方面,和对照组患者的不良反应发生率(20.00%)相比,观察组患者的不良反应发生率(2.50%)更低,差异有统计学意义(χ^(2)=4.507,P<0.05)。观察组拔管时间(27.06±6.13)min、麻醉复苏时间(25.16±6.09)min较对照组更具优势,差异有统计学意义(t=6.629、6.308,P<0.05)。在舒适度方面,观察组评分较对照组高,差异有统计学意义(t=15.322、5.509、9.850、9.670,P<0.05)。分析不同时间段体温,两组入手术室体温对比差异无统计学意义(P>0.05);和对照组相比,观察组麻醉用药停止、麻醉1 h、手术结束时体温更稳定,差异有统计学意义(t=4.494、8.980、7.342,P<0.05)。和对照组患者的肛温异常发生率(22.50%)相比,观察组患者的肛温异常发生率(2.50%)更低,差异有统计学意义(χ^(2)=5.600,P<0.05)。结论实施复合保温护理干预,对腹腔镜全子宫切除术患者具有降低不良反应发生率、提高护理满意度的效果,维持患者正常体温,在很大程度上提高了围术期舒适度。Objective To analyze and study the effect of combined heat preservation nursing during laparoscopic hysterectomy on patients.Methods From December 2019 to December 2020,80 patients who received laparoscopic hysterectomy in the hospital were simple random selected as the research object.All performed laparoscopic total hysterectomy and divided them into a control group of 40 cases(routine care)and an observation group of 40 cases(combined insulation care).Compared nursing satisfaction,various clinical indicators,incidence of adverse reactions,and perioperative comfort.Results Compared with the nursing satisfaction of patients in the control group(80.00%),the nursing satisfaction of patients in the observation group(97.50%)was higher,the difference was statistically significant(χ^(2)=4.507,P<0.05).In terms of adverse reactions,compared with the incidence of adverse reactions in the control group(20.00%),the incidence of adverse reactions in the observation group(2.50%)was lower,the difference was statistically significant(χ^(2)=4.507,P<0.05).Extubation time(27.06±6.13)min and anesthesia resuscitation time(25.16±6.09)min in the observation group were more advantageous than those in the control group,the difference was statistically significant(t=6.629,6.308,P<0.05).In terms of comfort,the observation group scored higher than the control group,the difference was statistically significant(t=15.322,5.509,9.850,9.670,P<0.05).Analyzing the body temperature at different time periods,there was no statistically significant difference in the body temperature of the two groups entering the operating room(P>0.05).Compared with the control group,the observation group's body temperature was more stable when the anesthesia medication was stopped,anesthesia was 1 h,and the operation ended,the difference was statistically significant(t=4.494,8.980,7.342,P<0.05).Compared with the incidence of abnormal rectal temperature in the control group(22.50%),the incidence of abnormal rectal temperature in the observation group(2.50%)was l

关 键 词：腹腔镜全子宫切除术 复合保温护理 不良反应 护理满意度 

分 类 号：R47[医药卫生—护理学]