预防低体温的模块化护理在老年前列腺手术患者中的应用  

Application of modular nursing for preventing hypothermia in elderly patients undergoing prostate surgery

作　　者：李慧娟 何云 阎莉[1] LI Huijuan;HE Yun;YAN Li(Operating Room,Huaian First Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Huaian223300,China;Department of Geriatrics,Huaian First Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Huaian223300,China)

机构地区：[1]南京医科大学附属淮安第一医院手术室,江苏淮安223300 [2]南京医科大学附属淮安第一医院老年科,江苏淮安223300

出　　处：《中国医药导报》2024年第18期125-128,共4页China Medical Herald

基　　金：江苏省卫生健康委员会科研项目(ZD2021028)。

摘　　要：目的探讨预防低体温的模块化护理在老年前列腺手术患者中的应用效果。方法选取2023年2月至12月南京医科大学附属淮安第一医院收治的130例老年良性前列腺增生患者,按随机数字表法将其分为对照组和观察组,每组65例。对照组给予常规保温护理,观察组在对照组基础上给予预防低体温的模块化护理。比较两组入手术室(T_(1))、麻醉后0.5 h(T_(2))、麻醉后1 h(T_(3))、手术结束时(T_(4))体温;统计两组术中寒战、膀胱痉挛和低体温发生情况及患者满意度;比较两组护理前后睡眠质量和舒适度。结果整体分析发现:两组体温的组间比较、时间点比较及交互作用,差异均有统计学意义(P<0.05)。组内比较:两组T_(2)、T_(3)、T_(4)时点体温均低于T_(1)时点,T_(3)、T_(4)时点体温均低于T_(2)时点,T_(4)时点体温均低于T_(3)时点,差异有统计学意义(P<0.05);组间比较:观察组T_(1)、T_(2)、T_(3)、T_(4)时点体温均高于对照组,差异有统计学意义(P<0.05)。观察组术中寒战轻于对照组,膀胱痉挛、低体温发生率均低于对照组,差异有统计学意义(P<0.05)。护理后,两组匹兹堡睡眠质量指数(PSQI)评分均低于护理前,Kolcaba舒适状况量表(GCQ)评分均高于护理前,且观察组PSQI评分低于对照组,GCQ评分高于对照组,差异有统计学意义(P<0.05)。观察组满意度优于对照组,差异有统计学意义(P<0.05)。结论老年良性前列腺增生患者应用预防低体温的模块化护理可有效降低术中寒战、膀胱痉挛和低体温的发生风险,提高患者睡眠质量、舒适度及满意度。Objective To explore application effect of modular nursing for preventing hypothermia in elderly patients undergoing prostate surgery.Methods A total of 130 elderly patients with benign prostatic hyperplasia admitted to Huaian First Hospital Affiliated with Nanjing Medical University from February to December 2023 were selected and divided into the control group and the observation group by using random number table method,with 65 cases in each group.The control group received routine insulation care,while the observation group received modular nursing for preventing hypothermia in addition to the control group.Body temperature of the two groups in operating room(T_(1)),half an hour after anesthesia(T_(2)),one hour after anesthesia(T_(3))and at the end of surgery(T_(4))were compared.Intraoperative shivering,bladder spasms,hypothermia and patient satisfaction of the two groups were statistically analyzed.Sleep quality and comfort before and after nursing between the two groups were compared.Results Overall analysis showed that there were statistically significant differences on body temperature in intergroup comparison,time point comparison and interaction between the two groups(P<0.05).Intragroup comparison:body temperature in two groups at T_(2),T_(3) and T_(4) were lower than at T_(1),body temperature in the two groups at T_(3) and T_(4) were lower than at T_(2),body temperature in the two groups at T_(4) was lower than at T_(3),and the differences were statistically significant(P<0.05).Intergroup comparison:body temperature of the observation group at T_(1),T_(2),T_(3) and T_(4) were higher than those of the control group,and the differences were statistically significant(P<0.05).Intraoperative shivering in the observation group was milder than that in the control group,and incidence rate of bladder spasms and hypothermia in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,Pittsburgh sleep quality index(PSQI)scores in the

关 键 词：围手术期护理 经尿道前列腺电切术 模块化护理 低体温 寒战 

分 类 号：R473.6[医药卫生—护理学]