| ObjectiveThe study mainly studied on the temperature:before the patient’s anesthesia induction,30 minutes,60 minutes,90 minutes,120 minutes and the finish of the operation,the patient’s anesthesia recovery time,whether chill,The length of the hospitalization and so on.Through the comprehensive nursing interventions to prevent the occurrence of hyp-othermia during the operation,thereby reducing postoperative complications and ensuring the safety of patients in treatment.MethodsThis study belongs to a kind of experimental study that selected 120 patients who met with the inclusion criteria underwent elective surgery department of Baoji Hospital from October 2017 to April 2018,including 71 male and 49 female patients who from 20 to 70years old,remove of 18 patients who have cardiopulmonary dysfunction,patients with ab-normal preoperative temperature(fever or hypothermia),with urinary tract infection and102 patients were randomly divided into experimental group and control group(each group haave 51 patients).The operating room wall cabinet of the hospital is equipped with an incubator,a circulating water temperature blanket,a blood transfusion infusion warmer,a self-made warm leg and a shoulder sleeve,a limb sleeve,a head cover were used in clinical patients.The experimental group took nursing intervention measures such as strengthening pre-operative visits,making card explanations,improving patient understanding,improv-ing mutual familiarity through communication,strengthening psychological care,relieving patient nervousness,and signing informed consent to participate in the study.the room temperature keep 25°C before one hour surgery and use the circulating water temperature blanket preheating bed,the operation room quilt,bed sheets and warm cotton cover are put into the incubator in order to preheat,reducing the cover of the operating room,Heat transfer caused by low temperature of sheets and homemade warm cotton sleeves,reducing body heat dissipation;preheating rinse salt and intraoperative intravenous infusion of li-quid to 37°C;intravenous infusion line connected to electronic heater that temperature adjusted to 37°C;using 3 pieces of disposable brain 3 L application to expand the plastic isolation range and prevent the dressing of the operation area from being wetted.The co-ntrol group took regular warmth measures.The subjects were tested for temperature before anesthesia,30 minutes,60 minutes,90 minutes,120 minutes after anesthesia,and at the end of surgery.The effects of the two nursing interventions were evaluated by SPSS.19.0statistical software was used to analyze the data and compare the scores of each index be-tween the experimental group and the control group.The t-test was used to compare the measurement data between groups.The x~2 test was used to compare the count data between groups.There is statistically significant when P<0.05.Results1.In this study,there is 102 patients were randomly divided into control group and experimental group that each group have 51cases.There were no significant differences in age,weight and operation time between the two groups.2.The incidence of postoperative shivering in the experimental group and the control group has statistically significant(ΔP<0.05).The incidence of postoperative shivering in the experimental group was 17%which was significantly lower than that in the control group(40%);After the incidence of chills from the post-operative awake person and re-covery time,the experimental group and the control group were statistically different(P<0.05),the results showed that the experimental group was completely awake patients was higher than that of the control group.At the same time,the time of general anesthesia in the experimental group was less than that in the control group.The experimental group and the control group had a total of 6 temperature before,during and after the anesthesia induction.The difference was statistically significant(P<0.05),indicating that pre-operative and intraoperative interventions(a comprehensive and comprehensive system of nursing interventions)are effective for patients with postoperative and postoperative ch-anges in body temperature.Patients who took interventions were preoperatively,intr-aoperatively,The postoperative temperature change was not significant,but the body temp-erature of the control group without the intervention was significantly decreased,and the operation time was prolonged,the body temperature decreased more significantly,and the incidence of hypothermia increased.Conclusions1.It is indicated that integrated comprehensive nursing intervention before and during surgery for intraoperative and postoperative core body temperature and preventing the occurrence of hypothermia during the operation was effective.The preoperative,intra-operative,and postoperative temperature changes of the patients who took the inter-vention were not significant,while the temperature of the control group that did not take the nursing intervention decreased significantly,and the body temperature decreased more significantly with the prolonged operation time.2.Nursing interventions for the comprehensive system of intraoperative hypothermia in patients under going percutaneous nephrolithotomy are easy to implement,safe,simple,economical and have good clinical effects,effectively alleviating the perioperative hypo-thermia and chills.Not only help patients to successfully in the operation period and can effectively prevent the occurrence of intraoperative hypothermia and postoperative shiver,shorten the time of anesthesia recovery and hospitalization,reduce the occurrence of com-plications,but also help the patient’s prognosis,can be widely used in clinical surgery treatment care. |
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