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目的探究手术患者应用保温护理对术中应激及满意度的影响。方法选取天津市第一中心医院普外科2014年10月-2016年10月收治的行手术治疗患者共120例,随机分为对照组和观察组各60例。并在围术期给予对照组常规护理,观察组给予常规护理联合保温护理。记录两组围术期体温、术中低体温发生情况、术前和术后肾上腺素、C反应蛋白以及去甲肾上腺素水平,并比较两组患者的护理满意度。结果在手术20min后,观察组患者的体温明显高于对照组,差异有统计学意义(P<0.01);观察组患者低体温发生率低于对照组,而护理满意度则高于对照组,差异均有统计学意义(P<0.05);观察组患者术后肾上腺素、C反应蛋白以及去甲肾上腺素水平均低于对照组,差异均有统计学意义(P<0.01)。结论在手术室应用保温护理能有效维持患者的术中体温,降低患者术中低体温的发生率,控制术中患者的应激反应,并可提高患者护理满意度,值得推广和应用。
Objective To investigate the effect of applying thermal insulation on intraoperative stress and satisfaction in surgical patients. Methods A total of 120 patients undergoing surgery in the First Central Hospital of Tianjin from October 2014 to October 2016 were selected and randomly divided into control group and observation group of 60 patients. The patients in the control group were given routine nursing during the perioperative period. The observation group were given routine nursing combined with thermal insulation. The perioperative body temperature, hypothermia during operation, preoperative and postoperative epinephrine, C-reactive protein and norepinephrine levels were recorded. The nursing satisfaction was compared between the two groups. Results After 20 minutes of operation, the body temperature of observation group was significantly higher than that of control group (P <0.01). The incidence of hypothermia in observation group was lower than that of control group, while the nursing satisfaction was higher than that of control group (P <0.05). The levels of epinephrine, C-reactive protein and norepinephrine in the observation group were significantly lower than those in the control group (P <0.01). Conclusion The application of thermal insulation in the operating room can effectively maintain the intraoperative body temperature, reduce the incidence of intraoperative hypothermia, control the intraoperative patients’ stress response, and improve patient satisfaction. It is worthy of popularization and application.