手术室复合体温保护在老年股骨粗隆间骨折患者中的护理效果观察  

Observation of Nursing Effect of Combined Temperature Protection in Operating Room in Elderly Patients with Intertrochanteric Fracture of Femur

作　　者：罗红英 LUO Hongying(Department of Operating Room,Nanfeng County People’s Hospital,Fuzhou 344500,China)

机构地区：[1]江西省南丰县人民医院手术室,江西抚州344500

出　　处：《中国伤残医学》2024年第24期144-147,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨手术室复合体温保护在老年股骨粗隆间骨折患者中的护理效果。方法:选取2022年1月—2024年1月南丰县人民医院收治的68例老年股骨粗隆间骨折患者为研究对象,采用随机数字表法将其分为对照组和观察组,各34例。对照组采取常规护理干预,观察组在对照组基础上采取手术室复合体温保护护理干预。两组均观察至术后2周。比较两组体温、生命指标、心理状态、并发症发生情况及舒适度。结果:术中30 min、麻醉清醒后,观察组体温均高于对照组,差异均有统计学意义(P<0.05)。术中30 min,两组心率、舒张压和收缩压均低于术前,且观察组均低于对照组,差异均有统计学意义(P<0.05);术后2周,两组心理状态评估量表评分均低于术前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率2.94%低于对照组的23.53%,差异均有统计学意义(P<0.05)。术后2周,两组Kolcaba舒适状况量表评分均高于术前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论:手术室复合体温保护能够稳定老年股骨粗隆间骨折患者体温和生命指标,改善心理状态,能够在一定程度上减少并发症的发生,提升患者舒适度。Objective:To investigate the nursing effect of combined temperature protection in operating room in elderly patients with intertrochanteric fracture of femur.Methods:A total of 68 elderly patients with intertrochanteric fracture of femur admitted to Nanfeng County People’s Hospital from January 2022 to January 2024 were selected as the study objects,and were divided into control group and observation group by random number table method,with 34 cases in each group.The control group received routine nursing intervention,and the observation group received combined temperature protection nursing intervention in the operating room on the basis of the control group.Both groups were observed until 2 weeks after surgery.The temperature,vital index,psychological state,complication occurrence and comfort level of the two groups were compared.Results:The body temperature of observation group were higher than that of control group 30 min and after anesthesia,the differences were statistically significant(P<0.05).At 30 min after operation,the heart rate,diastolic blood pressure and systolic blood pressure in both groups were lower than before surgery,and the observation group was lower than the control group,with statistical significance(P<0.05);Two weeks after surgery,the scores of Mental Status Scale in Non-Psychiatric Settings in both groups were lower than before surgery,and the observation group was lower than the control group,with statistical significance(P<0.05).The complication rate of observation group was 2.94%lower than 23.53%of control group,the differences were statistically significant(P<0.05).Two weeks after surgery,General Comfort Questionnaire score in both groups was higher than before surgery,and the observation group was higher than the control group,with statistical significance(P<0.05).Conclusion:Combined temperature protection in the operating room can stabilize the body temperature and vital indicators of elderly patients with intertrochanteric fracture of femur,improve the psychological state,reduc

关 键 词：股骨粗隆间骨折 手术室复合体温保护 体温变化 并发症 舒适度 

分 类 号：R47[医药卫生—护理学]