基于循证证据的体温管理联合模块化手术配合在经尿道前列腺切除术患者护理中的应用价值  

Application value of body temperature management based on evidence-based proof combined with modular surgical cooperation in the nursing of patients undergoing transurethral resection of prostate

作　　者：陶颖 赵云 王练英[3] 刘定江 TAO Ying;ZHAO Yun;WANG Lianying;LIU Dingjiang(Operation Room,Tianchang People′s Hospital,Chuzhou 239300,Anhui,China;Operating Room,the First Affiliated Hospital of Bengbu Medical University,Bengbu 233004,Anhui,China;Operation Room,the First People′s Hospital of Chuzhou,Chuzhou 239000,Anhui,China;Department of Brain Surgery,Tianchang Hospital of Traditional Chinese Medicine,Chuzhou 239300,Anhui,China)

机构地区：[1]安徽省天长市人民医院手术室,安徽滁州239300 [2]蚌埠医科大学第一附属医院手术室,安徽蚌埠233004 [3]滁州市第一人民医院手术室,安徽滁州239000 [4]安徽省天长市中医院脑外科,安徽滁州239300

出　　处：《中国性科学》2025年第4期22-27,共6页Chinese Journal of Human Sexuality

基　　金：安徽省中央引导地方科技发展专项项目(YDZX20183400004550)。

摘　　要：目的探究基于循证证据的体温管理联合模块化手术配合在经尿道前列腺切除术(TURP)患者护理中的应用价值。方法回顾性分析2021年1月至2024年8月安徽省天长市人民医院收治的96例行TURP治疗的患者的临床资料,以模块化手术配合推行时间为分界线,将推行前(2021年1月至2022年10月)设为对照组(n=47),采用常规手术护理干预;将推行后(2022年11月至2024年8月)设为观察组(n=49),采用基于循证证据的体温管理联合模块化手术配合。比较模块化手术配合推行前后手术配合情况(手术器材准备、手术安全配合、手术仪器管理、消毒隔离、术前准备时间),比较两组手术情况、不同时间点体温、寒战发生情况及术后并发症发生情况。结果模块化手术配合推行后的手术器材准备、手术安全配合、手术仪器管理、消毒隔离评分均显著高于推行前,术前准备时间比推行前短,差异具有统计学意义(P<0.05)。观察组手术时间、自主呼吸恢复时间均比对照组短,差异具有统计学意义(P<0.05);两组术中出血量比较,差异无统计学意义(P>0.05)。观察组麻醉后0.5 h、麻醉后1 h、手术结束时体温比对照组高,差异具有统计学意义(P<0.05)。观察组寒战等级、寒战总发生率及术后并发症总发生率比对照组低,差异具有统计学意义(P<0.05)。结论基于循证证据的体温管理联合模块化手术配合应用于行TURP治疗患者,不仅有助于手术管理,还可有效缩短术前准备时间和手术时间,维持患者术中体温,减少寒战和术后并发症的发生。Objective To explore the application value of body temperature management based on evidence-based proof combined with modular surgical cooperation in the nursing of patients undergoing transurethral resection of prostate(TURP).Methods Retrospective analysis was performed on clinical data of 96 patients underwent TURP in Tianchang People′s Hospital from January 2021 to August 2024.The implementation time of modular surgical cooperation was taken as the dividing line,the patients before the implementation(from January 2021 to October 2022)were set as control group(n=47)and adopted routine surgical nursing intervention,and the patients after the implementation(from November 2022 to August 2024)were included in observation group(n=49)and received body temperature management based on evidence-based proof combined with modular surgical cooperation.The surgical cooperation conditions(surgical equipment preparation,surgical safety cooperation,surgical instrument management,disinfection and isolation,preoperative preparation time)were compared before and after the implementation of modular surgical cooperation.The surgical status,body temperature at different time points,occurrence of chills and occurrence of postoperative complications were compared between the two groups.Results After the implementation of modular surgical cooperation,the scores of surgical equipment preparation,surgical safety cooperation,surgical instrument management,and disinfection and isolation were significantly higher than those before the implementation,and the preoperative preparation time was shorter,with statistically significant difference(P<0.05).The surgical time and spontaneous breathing recovery time in observation group were shorter compared with those in control group,with statistically significant differences(P<0.05),but there was no statistical significance in intraoperative blood loss between groups(P>0.05).The body temperature in observation group was higher than that in control group at 0.5 h after anesthesia,at 1 h after anest

关 键 词：循证证据 体温管理 模块化手术配合 经尿道前列腺切除术 

分 类 号：R697[医药卫生—泌尿科学]