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保温对结直肠癌腹腔镜根治性切除术中预防体温过低的影响。

Effect of thermal insulation on preventing hypothermia during laparoscopic radical resection for colorectal cancer.

作者信息

Qian Meidan, Ye Yuli, Zhou Jujng

机构信息

Shengzhou People's Hospital (The First Affiliated Hospital of Zhejiang University Shengzhou Branch) Shengzhou, Zhejiang, China.

出版信息

Am J Transl Res. 2024 May 15;16(5):2158-2165. doi: 10.62347/BKBY6649. eCollection 2024.

Abstract

OBJECTIVE

To evaluate the effect of thermal insulation nursing in the operating room on preventing hypothermia during laparoscopic radical resection of colorectal cancer.

METHODS

Sixty colorectal cancer patients undergoing laparoscopic radical resection from June 2022 to August 2023 were included. The research group received thermal insulation nursing interventions using medical heaters and infusion heaters, while the control group received routine nursing measures. Clinical data including vital signs, intraoperative and postoperative complications, recovery time, nursing satisfaction, and psychological and sleep status were compared between the two groups.

RESULTS

Thirty minutes after skin incision, both groups showed decreased body temperature, and systolic and diastolic blood pressure compared to pre-surgery levels, with no significant difference between groups (P > 0.05). However, the research group exhibited lower rates of intraoperative hypothermia, postoperative infection, and other complications, as well as shorter postoperative recovery times, hospital stays, anxiety, and depression scores compared to the control group (P < 0.05). Additionally, the research group demonstrated higher comfort scores, shorter sleep latency, longer actual sleep time, and higher nursing satisfaction rate (P < 0.05).

CONCLUSION

Thermal insulation nursing intervention in the operating room during laparoscopic radical resection of colorectal cancer contributes to maintaining vital signs, preventing intraoperative hypothermia, reducing postoperative complications, expediting recovery, and improving psychological well-being and sleep quality. This intervention enhances patient comfort and nursing satisfaction in perioperative care.

摘要

目的

评估手术室保温护理在预防腹腔镜结直肠癌根治术中体温过低的效果。

方法

纳入2022年6月至2023年8月期间接受腹腔镜根治术的60例结直肠癌患者。研究组采用医用加热器和输液加热器进行保温护理干预,而对照组采用常规护理措施。比较两组患者的生命体征、术中和术后并发症、恢复时间、护理满意度以及心理和睡眠状态等临床数据。

结果

皮肤切开后30分钟,两组患者的体温、收缩压和舒张压均较术前水平下降,组间差异无统计学意义(P>0.05)。然而,与对照组相比,研究组术中体温过低、术后感染及其他并发症的发生率较低,术后恢复时间、住院时间、焦虑和抑郁评分较短(P<0.05)。此外,研究组的舒适度评分较高,睡眠潜伏期较短,实际睡眠时间较长,护理满意度较高(P<0.05)。

结论

腹腔镜结直肠癌根治术中手术室保温护理干预有助于维持生命体征,预防术中体温过低,减少术后并发症,加快恢复,改善心理健康和睡眠质量。该干预措施提高了围手术期护理中患者的舒适度和护理满意度。

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