针对性护理降低剖宫产患者术后寒颤的临床观察

目的 分析针对性护理对减少剖宫产患者术后寒颤的效果。 方法 选取2012年12月-2013年12月50例剖宫产患者为对照组,选取2013年12月-2014年12月50例剖宫产患者为观察组。对照组采用常规护理,观察组在常规护理的基础上采用针对性护理。比较2组入手术室时、麻醉后、切皮时、胎儿娩出后、手术结束时患者腋温、术后寒颤发生率及患者对护理工作的满意度。 结果 入室、麻醉后、切皮时、胎儿娩出后、手术结束时腋温对照组分别为(36.50±0.16)℃、(36.50±0.27)℃、(36.40±0.07)℃、(35.80±0.54)℃、(35.60±0.47)℃,观察组分别为(36.60±0.24)℃、(36.40±0.25)℃、(36.30±0.19)℃、(36.40±0.27)℃、(36.20±0.37)℃,2组比较,具有统计学意义(F=11.53,P<0.01); 多时间点比较、组间多时间点比较,均有统计学意义(F=4.92,P<0.05; F=5.85,P<0.05)。手术结束时与入室前腋温观察组无明显差异(t=1.24,P>0.05),而对照组腋温降低(t=6.12,P<0.05)。对照组寒颤发生率为64%,观察组寒颤发生率为14%,观察组低于对照组(χ²=26.27,P<0.01)。对照组总满意度为78%,观察组总满意度为98%,观察组高于对照组(Z=-4.581,P<0.01)。 结论 针对性护理能有效减小围手术期患者体温波动,降低剖宫产患者术后寒颤发生率,提高护理质量,增加剖宫产患者对剖宫产围手术期护理的满意度。

The effect of targeted nursing intervention on reducing shivering for patients after cesarean section

Objective To explore the effect of targeted nursing intervention on reducing shivering for patients after cesarean section. Methods Fifty patients receiving cesarean section between December 2012 and December 2014 were selected as a control group and given conventional nursing. Another fifty patients undergoing the operation in the following year were chosen as the observation group and provided with targeted nursing on basis of conventional nursing. The axillary temperatures were measured while entering the operation room, at the end of anesthesia, at the skin incision, after the delivery of fetus, when the operation was over, and compared between the two groups. Patients' satisfaction degree of nursing care and occurrence rate of postoperative shivering were also compared. Results In the control group, the axillary temperatures were (36.5±0.16)℃, (36.5±0.27)℃, (36.4±0.07)℃, (35.8±0.54)℃ and (35.6±0.47)℃ at five different time points, while in the observation group the values were(36.6±0.24)℃,(36.4±0.25)℃,(36.3±0.19)℃,(36.4±0.27)℃ and(36.2±0.37)℃ accordingly. There were significant differences at the same time points between the two groups(F=11.53,P<0.01). There were significant differences as compared between different time points and two groups(F=4.92,P<0.05; F=5.85,P<0.05). In the observation group, no significant differences were found in the temperatures when the operation was over and entering the operation room(t=1.24,P>0.05), but the temperatures were decreased in the control group(t=6.12,P<0.05) . The occurrence rate of shivering in the control group was 64%, significantly higher than that in the observation group (χ²=26.27, P<0.01) with the rate of 14%. The patients satisfaction in the observation group was 98%, significantly higher than that in the control group (Z=-4.581, P<0.01) with the rate of 78%. Conclusion Targeted nursing intervention can effectively reduce the postoperative shivering, lower the occurrence of shivering after cesarean section, to improve nursing quality and patients' satisfaction of perioperative nursing.