Application of nursing intervention based on the risk model of hypothermia in patients undergoing gynecological laparoscopic surgery
Objective To explore the significance of nursing intervention based on the hypothermia risk model for the prevention of hypothermia in patients undergoing gynecological laparoscopic surgery.Methods Patients who underwent laparoscopic surgery in the department of gynecology of Nanping First Hospital Affiliated to Fujian Medical University from January 2022 to January 2023 were selected as research subjects and divided into the conventional group and the intervention group,according to the order of admission time.The conventional group and the intervention group received conventional intervention and conventional intervention combined with nursing intervention based on hypothermia risk model,respectively.The incidence of hypothermia,incidence of complications,gastrointestinal function,length of stay and satisfaction with nursing were compared between two groups.Results A total of 60 patients were included,with 30 cases in each of the group.The incidence of hypothermia in the intervention group(3.33％vs.20.00％,P=0.044)and the incidence of shivering(0.00％vs.13.33％,P＜0.001)were significantly lower than those in the conventional group.However,there was no significant differences in the incidence of arrhythmia,emergence agitation and hypoxemia between two groups(P＞0.05).The recovery time of bowel sounds(25.80±2.54 vs.44.89±5.30,P＜0.001),ambulation time(11.29±1.69 vs.18.28±1.93,P＜0.001),exhaust time(24.08±3.90 vs.31.56±4.21,P＜0.001)and hospital stay(6.83±0.87 vs.9.57±1.04,P＜0.001)in the intervention group were significantly shorter than those in the conventional group.In addition,the nursing satisfaction of patients in the intervention group was also significantly higher than that in the conventional group(90.00％vs.63.33％,P=0.015).Conclusion Nursing intervention based on the risk model of hypothermia can effectively prevent hypothermia in patients undergoing gynecological laparoscopic surgery,reduce the risk of shivering,improve patients'postoperative gastrointestinal function,shorten the length of stay,and improve patients'satisfaction with nursing.
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