首页|全程舒适性护理干预结合改进复合保温模式在冠心病介入术中的应用效果及对患者舒适度、体温状态的影响

全程舒适性护理干预结合改进复合保温模式在冠心病介入术中的应用效果及对患者舒适度、体温状态的影响

Application effect of whole-course comfort nursing intervention combined with improved composite insulation mode in coronary heart disease intervention and its influences on patients'comfort and body temperature status

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目的 探究全程舒适性护理干预结合改进复合保温模式在冠心病介入术中的应用效果及对患者舒适度、体温状态的影响.方法 选择 2019 年 8 月至 2022 年 2 月收治的 96 例行冠心病介入术患者作为研究对象,以随机数字表法将其分为对照组和观察组,各48例.对照组接受手术室常规护理,观察组在对照组基础上加施全程舒适性护理干预结合改进复合保温模式.比较两组的干预效果.结果 干预后,观察组的生理、心理、环境、社会文化评分高于对照组(P<0.05).术中、出手术室时,观察组的体温高于对照组(P<0.05).手术30 min、术毕,观察组的皮质醇(Cor)、促肾上腺皮质激素(ACTH)水平低于对照组(P<0.05).结论 全程舒适性护理干预结合改进复合保温模式用于冠心病介入术中可维持患者的体温状态,缓解术中应激反应,提高术中舒适度,值得推广.
Objective To explore the application effect of whole-course comfort nursing intervention combined with improved composite insulation mode in coronary heart disease intervention and its influences on patients'comfort and body temperature status.Methods A total of 96 patients who underwent coronary heart disease intervention from August 2019 to February 2022 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 48 cases in each group.The control group received routine nursing in the operating room,and the observation group received whole-course comfort nursing intervention combined with improved composite insulation mode on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of physiology,psychology,environment and social culture in the observation group were higher than those in the control group(P<0.05).During the operation and when leaving the operating room,the body temperature of the observation group was higher than that of the control group(P<0.05).At 30 min after operation and at the end of operation,the levels of cortisol(Cor)and adrenocorticotrophic hormone(ACTH)in the observation group were lower than those in the control group(P<0.05).Conclusion The whole-course comfort nursing intervention combined with improved composite insulation mode can maintain the body temperature status of patients during coronary heart disease intervention,relieve the intraoperative stress response,and improve the intraoperative comfort,which is worthy of promotion.

whole-course comfort nursing interventionimproved composite insulation modecoronary heart disease interventioncomfortbody temperature status

李静、孙珂、左梅

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西安市人民医院/西安市第四医院,陕西 西安,710004

西安交通大学附属红会医院,陕西 西安,710054

延安大学咸阳医院,陕西 咸阳,712000

全程舒适性护理干预 改进复合保温模式 冠心病介入术 舒适度 体温状态

2020年度院内科学研究基金项目

2020ZX001

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(7)
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