The role of predictive rewarming nursing in preventing spontaneous hypothermia in trauma patients in the emergency department
Objective To investigate the effect of predictive rewarming nursing on preventing spontaneous hypothermia in trauma patients in emergency department. Methods A total of 82 trauma patients admitted to the emergency department of our hospital from August 2019 to April 2021 were included and divided into study group and control group by envelope randomized method, with 41 cases in each group. The control group received basic nursing, and the study group received predictive rewarming nursing. Vital signs, modified trauma and APACHE Ⅱ score, coagulation function and incidence of adverse reactions were analyzed. Results The body temperature of the study group was higher than that of the control group, systolic blood pressure and heart rate index were lower, and the differences between the groups were statistically significant (P＜0.05). Before intervention, there was no significant difference in modified trauma and APACHE Ⅱ scores between the two groups (P＞0.05). After intervention, the modified trauma score of the study group was higher than that of the control group, and the APACHE Ⅱ score was lower than that of the control group, the difference was statistically significant (P＜0.05). The APTT, PT and TT indexes in the study group were lower than those in the control group, while the Fib indexes were higher than those in the control group, and the difference was statistically significant (P＜0.05). The total incidence of adverse reactions in the study group was 9.76％, lower than that in the control group (14.63％), and the difference was statistically significant (P＜0.05). Conclusion Predictive rewarming nursing for trauma patients in emergency department can strengthen the rewarming effect and reduce adverse reactions.
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