Guo Yue, Hao Rui-Xia, Duan Hong-Xia, Xu Na, Wei Ling, Wang Xiu-Mei
Central Surgery Department, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, No.99 Longcheng Street, Taiyuan, Shanxi, 030032, China.
BMC Surg. 2025 Mar 15;25(1):101. doi: 10.1186/s12893-025-02816-w.
To explore the management effect of a chain temperature management checklist in preventing hypothermia in patients undergoing urological robotic surgery during the perioperative period.
A total of 152 patients undergoing urological robotic surgery were enrolled in this study between March and September 2021 and again between March and September 2022. All patients were randomly divided into the control group (n = 76) and the intervention group (n = 76). The incidence of hypothermia and chills were compared between the two groups of patients, as well as implementation omission rates, thermal comfort scores and nurse satisfaction scores, following the construction and implementation of a chain temperature management checklist.
The incidence of hypothermia and chills in the intervention group (10.5% and 13.2%, respectively) was lower than that in the control group (38.2% and 40.8%, respectively). The implementation omission rate in the intervention group (1.3%) was also lower than that in the control group (30.3%). The thermal comfort score in the intervention group (8.76 ± 1.31) was higher than that in the control group (5.78 ± 1.43). Additionally, the nurse satisfaction score was higher in the intervention group (98.89 ± 2.43) than in the control group (89.57 ± 3.75). The differences were all statistically significant (p < 0.05).
Using a chain temperature management checklist in the temperature management of patients undergoing urological robotic surgery can reduce the incidence of low body temperature and shivering, decrease the rate of implementation omissions and improve patient thermal comfort and nurse satisfaction.
探讨链式体温管理检查表在泌尿外科机器人手术患者围手术期预防体温过低中的管理效果。
2021年3月至9月以及2022年3月至9月期间，共有152例接受泌尿外科机器人手术的患者纳入本研究。所有患者随机分为对照组（n = 76）和干预组（n = 76）。在构建并实施链式体温管理检查表后，比较两组患者体温过低和寒战的发生率，以及实施遗漏率、热舒适度评分和护士满意度评分。
干预组体温过低和寒战的发生率（分别为10.5%和13.2%）低于对照组（分别为38.2%和40.8%）。干预组的实施遗漏率（1.3%）也低于对照组（30.3%）。干预组的热舒适度评分（8.76±1.31）高于对照组（5.78±1.43）。此外，干预组的护士满意度评分（98.89±2.43）高于对照组（89.57±3.75）。差异均具有统计学意义（p < 0.05）。
在泌尿外科机器人手术患者的体温管理中使用链式体温管理检查表可降低低体温和寒战的发生率，降低实施遗漏率，并提高患者的热舒适度和护士满意度。
