Effects of multi-mode thermal insulation combined with multi-sensory awakening stimulation under ERAS concept on elderly patients undergoing general anesthesia for hip fracture
Objective Based on the ERAS concept,a multi-mode thermal insulation combined with multi-sensory awak-ening stimulation program was constructed to explore its influence on elderly patients undergoing general anesthesia for hip fracture,aiming to provide theoretical reference for optimizing perioperative nursing.Methods A total of 102 elderly patients undergoing general anesthesia for hip fracture at Tongde Hospital of Zhejiang Province from September 2019 to September 2023 were selected and divided into two groups by random number table method.The control group(n=51)were given traditional heat preservation measures and language awakening program,while the observation group(n=51)was treated with a multi-mode thermal insulation combined with multi-sensory awakening stimulation program guided by ERAS concept.Differences in body temperature,stress levels,quality of anesthesia recovery,and incidence of adverse reactions were compared between the two groups.Results The body temperature of the observation group was higher than that in the control group after anesthesia induction(T1),the beginning of surgery(T2),40 min after surgery(T3),and at the end of surgery(T4,P＜0.05).Levels of cortisol(Cor)and norepinephrine(NE)at T1-T4 were low-er in the observation group than those in the control group(P＜0.05).Recovery times of spontaneous respiration[(5.21±1.09)min vs.(7.09±1.32)min],consciousness[(16.23±3.12)min vs.(25.90±4.77)min],and re-tention in the anesthesia recovery room[(33.22±5.67)min vs.(50.09±8.23)min]were shorter than those in the control group(P＜0.05).The incidence of adverse reactions in the observation(9.80％vs.29.41％)was lower than that in the control group(X2=6.220,P=0.013).Conclusion The multi-mode thermal insulation combined with multi-sensory awakening stimulation under ERAS concept can maintain the stability of body temperature during operation,relieve stress response,improve the quality of anesthesia recovery,and reduce the incidence of adverse reactions in elder-ly patients undergoing general anesthesia for hip fracture.
Hip fractureGeneral anesthesiaBody temperature managementMulti-sensory awakeningStress re-sponseRestlessness
维普
万方数据
