|
|
Application effect of thermal insulation care in patients with general anesthesia |
NIU Bin OUYANG Huixian ZHANG Shuzhen |
Operating Room, Shunde Hospital of Southern Medical University |
|
|
Abstract Objective To explore the application effect of thermal insulation care in patients with general anesthesia.Methods Eighty-eight patients who accepted general anesthesia during surgery in Shunde Hospital of Southern Medical University from June 2019 to June 2021 were selected as the research subjects. According to the random number table method, they were divided into a control group with 44 cases and an observation group with 44 cases. Patients in the control group took routine nursing care, and in the observation group, heat preservation nursing was added on the basis of the control group. The levels of stress response, postoperative resuscitation, occurrence of hypothermia, chills, and agitation, and nursing satisfaction were compared between the two groups. Results There was no significant difference in preoperative stress response between the two groups (P>0.05). The levels of C-reactive protein (CRP), adrenal hormone (AD), and norepinephrine (NE) in the two groups after surgery were higher than those before surgery, and those indexes in the observation group were lower than those in the control group, the differences were statistically significant(P<0.05). The tracheal extubation time, fully awaking time, and post-anesthesia care unit (PACU) retention time in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05). The incidence of hypothermia, chills, and agitation in the observation group were 4.55% 4.55%, and 6.82%,which were all lower than those in the control group, 18.18%, 20.45% and 22.73%, respectively with statistical significance (P<0.05). The total nursing satisfaction of the observation group was 95.45%, higher than that of the control group accounting for 81.82%, and the difference was statistically significant (P<0.05). Conclusion Heat preservation nursing can reduce the stress response during the operation of general anesthesia patients, shorten the anesthesia recovery period, promote the anesthesia recovery, reduce the incidence of hypothermia and chills, and increase nursing satisfaction.
|
|
|
|
|
[1] |
马玮玮,缪珩.甲状腺肿瘤患者全麻手术中的保温护理及对不良反应的影响[J].中国肿瘤临床与康复,2018,25(3):334-337.
|
[2] |
贾丽.术中保温护理对全身麻醉老年骨科手术患者术后早期认知功能的影响[J].中国药物与临床,2018,18(3):489-490.
|
[3] |
陈宇,叶馨,余小芳,等.术中保温对老年患者全麻苏醒期谵妄的影响[J].中华麻醉学杂志,2019,39(2):147-149.
|
[4] |
马杰,陈海萍,陈星.麻醉苏醒护理联合保温护理对全身麻醉患者苏醒及相关指标的影响研究[J].护士进修杂志,2019,34(15):1405-1408.
|
[5] |
杨玉平,唐安,张霞,等.保温护理对全身麻醉吸脂整形患者术中应激及术后复苏的影响[J].中国美容整形外科杂志,2018,29(7):429-431.
|
[6] |
胡志英,黄洁.升温毯不同保温温度在腹腔镜手术中应用的效果比较[J].广东医学,2020,41(3):293-296.
|
[7] |
邓燕君,吴春芬,郑容斌,等.保温护理对胃癌手术患者麻醉恢复期低温及苏醒延迟发生率的影响[J].河北医药,2018,40(13):2069-2071.
|
[8] |
倪荔,庄惠人.不同保温方法对普外科开腹手术患者苏醒时间及术后恢复的影响[J].解放军护理杂志,2018,35(23):57-61.
|
[9] |
杨丽萍,熊光琼,李婷,等.综合保温护理在胸外科全身麻醉手术中的应用[J].重庆医学,2020,49(22):3861-3864.
|
[10] |
许立倩,曹艳冰,戴红霞,等.充气式保温毯用于麻醉复苏室全麻恢复期患者的效果观察[J].护理学杂志,2019,34(14):31-32.
|
[11] |
苗素琴,赵玉,吕德珍.不同保温温度对胃癌手术患者应激反应指标和苏醒时间及脑电双频指数恢复的影响[J].中国医药,2018,13(9):1357-1360.
|
[12] |
陈红,张淼,李锐.综合保温对妇科腹腔镜手术患者复苏期并发症的影响[J].安徽医学,2018,39(1):45-47.
|
[13] |
曹菁芩,唐巧丽,蔡聪聪.围术期一体化保温模式在腹腔镜下先天性巨结肠手术中的应用[J].中国医药导报,2019,16(19):177-180.
|
[14] |
王霞,戴莉.围术期保温措施对食管癌患者手术效果的影响[J].中国肿瘤临床与康复,2018,25(5):578-581.
|
[15] |
宋媛媛,谭晶,王婷.手术室麻醉苏醒护理对腹部手术患者全麻苏醒期躁动效果及血液指标分析[J].贵州医药,2019,43(11):1826-1828.
|
[16] |
孙月琴.手术室保温护理在降低全身麻醉手术患者术后应激反应及减少并发症的效果[J].中国当代医药,2021,28(15):263-265.
|
[17] |
王思思,吴海萍,贺遵芳.保温毯联合加温冲洗液对经皮肾镜碎石术患者应激反应和术中低体温发生率的影响[J].中国医学创新,2020,17(15):155-159.
|
|
|
|