临床医学研究与实践2024，Vol.9Issue(10) ：139-142.DOI:10.19347/j.cnki.2096-1413.202410034

基于量化评估策略的手术室护理结合复合保温措施对膝关节置换术患者核心体温及应激反应的影响

Effects of operating room nursing based on quantitative evaluation strategy combined with composite insulation measures on core body temperature and stress response in patients undergoing knee arthroplasty

贺娇娇 宋晓焕 陈伯亮
临床医学研究与实践2024，Vol.9Issue(10) ：139-142.DOI:10.19347/j.cnki.2096-1413.202410034
✕
  • 维普
  • 万方数据

基于量化评估策略的手术室护理结合复合保温措施对膝关节置换术患者核心体温及应激反应的影响

Effects of operating room nursing based on quantitative evaluation strategy combined with composite insulation measures on core body temperature and stress response in patients undergoing knee arthroplasty

贺娇娇 1宋晓焕 1陈伯亮2
扫码查看

作者信息

  • 1. 西安凤城医院,陕西 西安,710016
  • 2. 宝鸡市中医医院,陕西 宝鸡,721000
  • 折叠

摘要

目的 探究基于量化评估策略的手术室护理结合复合保温措施在膝关节置换术患者中的应用效果.方法 选择2019 年1月至 2022 年 7 月收治的89 例膝关节置换术患者为研究对象,以随机数字表法将其分为对照组(44 例)和观察组(45 例).对照组给予常规手术室护理,观察组在对照组基础上给予基于量化评估策略的手术室护理结合复合保温措施.比较两组的护理效果.结果 术中30 min、出手术室时,观察组的核心体温高于对照组(P＜0.05).术后24 h,观察组的促肾上腺皮质激素(ACTH)、促肾上腺皮质激素释放激素(CRH)水平及焦虑自评量表(SAS)、视觉模拟评分法(VAS)评分均低于对照组(P＜0.05).观察组的并发症总发生率低于对照组(P＜0.05).结论 基于量化评估策略的手术室护理结合复合保温措施用于膝关节置换术患者的手术护理中,可维持患者的核心体温,缓解机体应激反应,降低并发症发生率,值得推广.

Abstract

Objective To explore the application effect of operating room nursing based on quantitative evaluation strategy combined with composit e insulation measures in patients undergoing knee arthroplasty.Methods A total of 89 patients undergoing knee arthroplasty admitted from January 2019 to July 2022 were selected as the research objects and divided into control group(44 cases)and observation group(45 cases)by random number table method.The control group was given routine operating room nursing,and the observation group was given operating room nursing based on quantitative evaluation strategy combined with composite insulation measures on the basis of the control group.The nursing effects of the two groups were compared.Results At 30 min during operation and at the time of leaving the operating room,the core body temperature in the observation group was higher than that in the control group(P<0.05).At 24 h after operation,the adrenocorticotropic hormone(ACTH),corticotropin releasing hormone(CRH)levels,Self-Rating Anxiety Scale(SAS)and Visual Analogue Scale(VAS)scores in the observation group were lower than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion The operating room nursing based on quantitative evaluation strategy combined with composite insulation measures for the surgical nursing of patients undergoing knee arthroplasty can maintain the core body temperature of patients,relieve the stress response of the body,and reduce the incidence of complications,which is worthy of promotion.

关键词

基于量化评估策略的手术室护理/复合保温措施/膝关节置换术/核心体温/应激反应

Key words

operating room nursing based on quantitative evaluation strategy/composite insulation measure/knee arthroplasty/core body temperature/stress response

引用本文复制引用

基金项目

宝鸡市卫生健康委科研项目(2019)(2019-25)

出版年

2024
临床医学研究与实践

临床医学研究与实践

ISSN：
参考文献量15
段落导航相关论文