Effects of the perioperative comprehensive heat preservation intervention in the operating room for women with cesarean section caused by placenta previa on the women in the short-term after operation
Objective:To analyze the effects of the perioperative comprehensive heat preservation intervention in the op-erating room for women with cesarean section caused by placenta previa on the women in the short-term after opera-tion.Methods:A total of 82 pregnant women with placenta previa who wanted cesarean section in the hospital were se-lected and were divided into the control group(41 women with the routine nursing intervention in the operating room)and the observation group(41 women with the perioperative comprehensive heat preservation intervention in operating room)by the random number table method from January 2020 to December 2023.The body temperature change,the operation-related indicators values,the homeostasis status,the shivering situation evaluated by Bedside Shivering As-sessment Scale(BSAS),the occurrence of hypothermia and chills,and the nursing satisfaction evaluated by Newcastle Satisfaction Nursing Scale(NSNS)of the women were compared between the two groups.Results:After the perioper-ative interventions,the temperature after the anesthesia effect at(T1)(36.62±0.33 ℃),after fetal giving birth(T2)(6.55±0.26℃)and at the end of the surgery(T3)(36.50±0.41℃)of the women in the observation group were sig-nificantly higher than those(35.71±0.29℃,35.37±0.29℃ and 35.31±0.35℃)of the women in the control group.The levels of blood glucose(7.52±1.50 mmol/L)and the blood lactic acid(1.44±0.51 mmol/L)of the women in the observation group at T3 significantly were lower than those(8.65±1.75 mmol/L and 1.87±0.39 mmol/L)of the women in the control group.The pH value(7.35±0.04)of the women in the observation group was significantly high-er than that(7.30±0.05)of the control group.The intraoperative blood loss(481.4±35.7ml)and the anesthesia re-covery time(56.4±6.2 min)of the women in the observation group were significantly lower than those(691.6±51.8 ml and 75.4±5.4 min)of the women in the control group.The blood oxygen saturation(97.7±1.2％)of the women in the observation group was significantly higher than that(94.7±1.4％)of the women in the control group.The mater-nal BSAS score(1.54±0.28 points)and the incidence of maternal cold chills severity(4.9％)of the women in the ob-servation group were significantly lower than those(2.01±0.37 points and 22.0％)of the women in the control group.The maternal care satisfaction(97.6％)of the women in the observation group was significantly higher than that(82.9％)of the women in the control group(all P＜0.05).Conclusion:The perioperative comprehensive heat preser-vation intervention in operating room for the women with placenta previa can effectively help to maintain their stable body temperature during cesarean section,can reduce their intraoperative blood loss and shorten their anesthesia recov-ery time,and which is also beneficial for maintaining the blood oxygen and homeostasis and reducing the occurrence of the maternal shivering and chills,and with the higher satisfaction.
Placenta previaCesarean sectionPerioperative comprehensive heat preservation in operating roomBody temperatureHypothermia and chills
万方数据
维普
