Effect of Evidence-Based Nursing in Preventing Hypothermia of Patients Undergoing Thoracotomy
- VernacularTitle:循证护理预防开胸手术患者低体温的效果观察
- Author:
Qinchun ZHU
1
;
Chunling WANG
;
Ling FANG
Author Information
1. 复旦大学附属中山医院手术室
- Keywords:
Evidence-based nursing;
Hypothermia;
Thoracotomy;
Nursing
- From:
Chinese Journal of Clinical Medicine
2015;(6):808-811
- CountryChina
- Language:Chinese
-
Abstract:
Objective : To explore the effect of evidence-based nursing in preventing perioperative hypothermia of patients undergoing thoracotomy .Methods : A total of 60 patients ,who were scheduled for thoracotomy with general anesthesia during August 2013 and May 2014 ,were selected and randomly divided into the evidence-based group and the control group with 30 cases in each .While the control group was treated with routine insulation measures ,the evidence-based group received warming with inflatable heating blanket .The changes of intraoperative body temperature in two groups were observed and recorded . The extubation time ,amount of bleeding ,incidence rate of shivering ,and situation of incision infection were compared between the two groups .Results : There was no significant difference between the two groups regarding general information .The body temperature of different time points in evidence-based group was significantly higher than that in control group one hour after surgery (P< 0 .05) .There were statistically significant differences regarding the amount of bleeding ,the time of extubation , the incidence rate of postoperative shivering ,and the rate of incision infection between the two groups (P< 0 .05) .Conclusions :Evidence-based nursing practice are conducive to reducing the incidence rate of intraoperative hypothermia in patients undergoing thoracotomy .It can also promote anesthesia recovery ,reduce the amount of bleeding ,and decrease the incidence rate of wound infection and shivering .It is worthy of clinical application .
