中国医药科学2024,Vol.14Issue(2) :110-113.DOI:10.20116/j.issn2095-0616.2024.02.27

基于前馈控制理念的保温护理对老年骨科手术患者术中及复苏期低体温的干预效果评价

Evaluation of the intervention effect of thermal insulation nursing based on the feedforward control concept on intraoperative and resuscitation period hypothermia in elderly patients undergoing orthopedic surgery

何真莉 廖雪梅 徐静敏
中国医药科学2024,Vol.14Issue(2) :110-113.DOI:10.20116/j.issn2095-0616.2024.02.27

基于前馈控制理念的保温护理对老年骨科手术患者术中及复苏期低体温的干预效果评价

Evaluation of the intervention effect of thermal insulation nursing based on the feedforward control concept on intraoperative and resuscitation period hypothermia in elderly patients undergoing orthopedic surgery

何真莉 1廖雪梅 1徐静敏1
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作者信息

  • 1. 广西壮族自治区贵港市人民医院麻醉科,广西贵港 537100
  • 折叠

摘要

目的 探讨前馈控制理念的保温护理对老年骨科手术患者术中及复苏期低体温的干预效果.方法 选取 2022 年 1-7 月在贵港市人民医院骨科接受治疗的老年骨科手术患者 120 例,采用随机数表法分为对照组和观察组,每组各 60 例.对照组采用常规护理,观察组在对照组基础上基于前馈控制理念给予患者保温护理.比较两组手术前后生命体征变化、术中和复苏期低体温发生率、复苏期躁动寒战发生率、复苏时间、肌力恢复时间及术后护理满意度.结果 与对照组比较,观察组手术 1 h后、手术结束时及病房交接时体温升高、心率减慢、血压降低(P<0.05),低体温发生率、躁动寒战发生率降低,术后复苏时间及肌力恢复时间缩短(P<0.05),护理满意度升高(P<0.05).结论 基于前馈控制理念的保温护理对老年骨科手术患者术中及复苏期低体温的干预效果显著,对促进机体恢复具有积极意义.

Abstract

Objective To explore the intervention effect of thermal insulation nursing based on the feedforward control concept on intraoperative and resuscitation period hypothermia in elderly patients undergoing orthopedic surgery.Methods A total of 120 elderly patients receiving orthopedic surgery in the Department of Orthopaedics of Guigang City People's Hospital from January to July 2022 were selected.They were divided into the control group and the observation group using the random number table method,with 60 cases in each group.The control group received routine nursing,while the observation group received thermal insulation nursing based on the feedforward control concept on the basis of the nursing in the control group.The changes in vital signs before and after surgery,the incidence of intraoperative and resuscitation period hypothermia,the incidence of restlessness and chills during the resuscitation period,the resuscitation time,muscle strength recovery time,and postoperative nursing satisfaction between the two groups were compared.Results Compared with the control group,the observation group showed an increase in body temperature,and a decrease in heart rate and blood pressure(P<0.05),a decrease in the incidence of hypothermia and restlessness,a shorter postoperative resuscitation time and muscle strength recovery time(P<0.05),and an increase in nursing satisfaction(P<0.05).Conclusion Thermal insulation nursing based on feedforward control has a significant intervention effect on intraoperative and resuscitation period hypothermia in elderly patients undergoing orthopedic surgery,and has a positive significance in promoting body recovery.

关键词

前馈控制/保温护理/骨科手术/复苏期/低体温

Key words

Feedforward control/Thermal insulation nursing/Orthopedic surgery/Resuscitation period/Hypothermia

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基金项目

广西壮族自治区卫生健康委员会自筹经费科研课题(Z-R20221939)

出版年

2024
中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
参考文献量15
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