循证护理模式对腹腔镜胃癌根治术患者术中低体温的预防效果  

Preventive effect of evidence-based nursing model on intraoperative hypothermia in patients undergoing laparoscopic radical resection of gastric cancer

作　　者：朱亚杰 许晓红 朱敬森 ZHU Yajie;XU Xiaohong;ZHU Jingsen(Operating Room,the First Hospital of Putian City,Fujian Province,Putian 351100,China)

机构地区：[1]福建省莆田市第一医院手术室,福建莆田351100

出　　处：《中国当代医药》2025年第4期174-178,共5页China Modern Medicine

摘　　要：目的探讨循证护理模式对腹腔镜胃癌根治术中低体温的预防价值,为提升手术患者的安全和恢复质量提供依据。方法采用简单随机抽样法选取2022年5月至2023年5月于莆田市第一医院行腹腔镜胃癌根治术的92例患者作为研究对象,按照随机数字表法分为对照组和观察组,每组46例。对照组采用常规护理措施,观察组采用常规护理联合循证护理,比较两组患者肛温(术前,麻醉后,术中1、2 h),术后复苏情况(完全清醒时间、拔管时间、住院时间),寒战、躁动的发生情况及护理前后焦虑情况[汉密尔顿焦虑量表(HAMA)评分]和疼痛变化[视觉模拟评分法(VAS)]。结果两组患者麻醉后、术中1、2 h的肛温低于本组术前,差异有统计学意义(P<0.05)。观察组术中1、2 h肛温均高于对照组,差异有统计学意义(P<0.05)。观察组完全清醒时间、拔管时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组寒战、躁动发生率均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组HAMA、VAS评分均低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜胃癌根治术患者采用循证护理模式可更好地管理手术期间的体温,缩短患者复苏时间,降低寒战以及躁动发生率,并有利于缓解焦虑,减少疼痛,促进患者的恢复。Objective To explore the preventive value of evidence-based nursing model for hypothermia during laparoscopic radical gastrectomy for gastric cancer,and to provide basis for improving the safety and recovery quality of patients.Methods A total of 92 patients underwent laparoscopic radical gastrectomy in the First Hospital of Putian City from May 2022 to May 2023 were selected by simple random sampling method,and they were divided into control group and observation group according to random number table method,with 46 cases in each group.The control group received routine nursing measures,while the observation group received routine nursing combined with evidence-based nursing.Anal temperature(before surgery,after anesthesia,1,2 h during surgery)and postoperative resuscitation(time of full wakefulness,time of extubation,and time of hospitalization),the occurrence of chills and agitation,anxiety before and after nursing(Hamilton anxiety scale[HAMA]score)and pain changes(visual analogue scale[VAS])were compared between the two groups.Results The anal temperatures of two groups after anesthesia,1,2 h during operation were lower than those before operation,the differences were statistically significant(P<0.05).The anal temperatures in the observation group were higher than those in the control group at 1 and 2 h during operation,and the differences were statistically significant(P<0.05).The time of full wakefulness,extubation and hospitalization in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The incidences of chills and agitation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,HAMA and VAS scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Evidence-based nursing can better manage the body temperature during operation,shorten the recovery time,reduce the inci

关 键 词：胃癌根治术 腹腔镜 循证护理 低体温 预防 

分 类 号：R473.73[医药卫生—护理学]