Effects of the timeliness incentive combined with the special insulation intervention for patients with uterine fibroids during operation on their prevention of hypothermia and anxiety
Objective:To investigate the effects of the timeliness incentive combined with the special insulation inter-vention for patients with uterine fibroids during operation on their prevention of hypothermia and anxiety.Methods:252 patients with uterine fibroids treated in the hospital were selected and were divided into the control group(126 ca-ses with the conventional perioperative nursing during operation)and the observation group(126 cases with the timeli-ness incentive combined with special insulation intervention and the conventional perioperative nursing during opera-tion)by random number table method from July 2022 to July 2023.The perioperative temperature and anxiety,the postoperative recovery,the comfort level,the stress reaction and the complication rate of the patients were compared between the two groups.Results:The body temperature of the patients in the observation group at 10 min after anes-thesia,at 20 min after surgery or at 4 h after surgery was at the stable level,and which was significantly higher than that of the patients in the control group.The incidence of the intraoperative hypothermia(7.1％)of the patients in the observation group was significantly lower than that(23.8％)of the patients in the control group(all P＜0.05).The anxiety score of the patients in the two groups after intervention had decreased significantly,and which(28.86±3.42 points)of the patients in the observation group was significantly lower than that(31.25±3.21 points)of the patients in the control group(P＜0.05).There was no significant difference in the operation time of the patients between the two groups(P＞0.05).The first feeding time(9.08±1.69h),the first defecation time(44.57±3.38h),the time of the bowel sounds recovery(24.34±2.18h)and the hospitalization time(5.46±0.74d)of the patients in the observation group were significantly shorter than those(10.62±1.54h,48.65±4.49h and 26.46±2.09)of the patients in the con-trol group.The comfort score of the patients in the two groups after intervention had increased significantly,and which of the patients in the observation group was significantly higher than that of the patients in the control group.The heart rate,and the levels of epinephrine and norepinephrine of the patients in the two groups after operation had increased significantly,but which of the patients in the observation group were significantly lower than those of the patients in the control group.The incidence of the complications(4.8％)of the patients in the observation group was significantly lower than that(19.1％)of the patients in the control group(all P＜0.05).Conclusion:The use of the timeliness in-centive combined with special insulation intervention has better effectiveness in the prevention of the intraoperative hy-pothermia of the patients with uterine fibroids,and which can improve the perioperative body temperature stability,can reduce the anxiety and stress reaction,can increase the comfort and postoperative recovery and can decrease the complications of the patients.
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