Prevention effect of whole-course active thermal insulation strategy in operating room on hypothermia and chills in elderly patients undergoing abdominal surgery
Objective To explore the prevention effect of whole-course active thermal insulation strategy in operating room on hypothermia and chills in elderly patients undergoing abdominal surgery.Methods A total of 82 elderly patients who underwent abdominal surgery in Jiaxing Second Hospital,Zhejiang Province were enrolled between October 2022 and March 2023.According to random number table method,they were divided into control group(routine thermal insulation nursing)and observation group(whole-course active thermal insulation strategy in operating room),with 41 cases in each group.The body temperature at different time points,occurrence of intraoperative hypothermia,occurrence and grading of chills,anesthesia recovery indexes,and adverse reactions were compared between the two groups.Results There were statistically significant differences in body temperature between the two groups at different time,between groups and interaction(P<0.05).The body temperature of the two groups at 30 min and after operation were higher than those before operation,and those in the observation group were higher than those in the control group(P<0.05).The incidence of intraoperative hypothermia and chills in the observation group were lower than those in the control group(P<0.05).Shivering grade of observation group was better than control group(P<0.05).The recovery time of spontaneous respiration,consciousness recovery time,getting out of bed activity time and hospitalization time in observation group were shorter than those in control group(P<0.05).The incidence of adverse reactions in observation group was lower than that in control group(P<0.05).Conclusion The whole-course active thermal insulation strategy in operating room can stabilize body temperature,effectively prevent hypothermia and chills,improve recovery quality,promote postoperative recovery and reduce adverse reactions in elderly patients undergoing abdominal surgery.
Abdominal surgeryElderlyWhole-course active thermal insulation strategy in operating roomHypothermiaChill