Effects of operating room nursing under failure mode and effect analysis mode of patients undergoing laparoscopic total hysterectomy on their hypothermia occurrence and postoperative recovery
Objective:To observe the effects of operating room nursing under failure mode and effect analysis mode(FMEAM)of patients undergoing laparoscopic total hysterectomy on their hypothermia occurrence and postoperative recovery.Methods:A total of 146 patients who wanted laparoscopic total hysterectomy were selected and were divided into two groups(73 cases in each group)according to the time of admission from June 2022 to June 2023.The women in the control group were given routine operating room nursing,and the women in the study group were given operat-ing room nursing under FMEAM.The body temperature at the different operative time,the incidence of hypothermia,the postoperative recovery indexes values,the adverse reactions rate and the nursing quality of the patients were com-pared between the two groups.Results:The values of body temperature at intraoperative 30 min(36.39±0.48℃)and 60 min(36.65±0.52℃),and at the end of operation(36.92±0.57℃)of the patients in the study group were signifi-cantly higher than those(36.04±0.52℃,36.27±0.47℃,and 36.51±0.54℃)of the patients in the control group.The extubation time(26.02±6.24 min)and the anesthesia recovery time(23.91±5.78 min)of the patients in the study group were significantly shorter than those(33.58±7.09 min and 30.27±6.13min)of the patients in the control group.The urine volume and the drainage volume at postoperative 24h of the patients in the study group were significantly less than those of the patients in the control group.The incidences of hypothermia(8.2％),postoperative chills(6.9％)and restlessness(2.7％)of the patients in the study group were significantly lower than those(34.3％,26.0％,and 16.4％)of the patients in the control group(all P＜0.05).There were no significant differences in the incidences of postopera-tive coagulation dysfunction and infection of the patients between the two groups(P＞0.05).The nursing quality score of the patients in the study group was significantly higher than that of the patients in the control group(all P＜0.05).Conclusion:Operating room nursing under FMEAM for the patients undergoing laparoscopic total hysterectomy can effectively prevent their hypothermia occurrence,promote their postoperative recovery,reduce their chills and agi-tation occurrence,and improve their quality of nursing.
Laparoscopic total hysterectomyHypothermiaFailure mode and effect analysisOperating room nurs-ingQuality of nursing
万方数据
维普
