Application of structured hypothermia intervention program in elderly intestinal cancer patients with frailty
10.3760/j.issn.1674-2907.2019.10.004
- VernacularTitle:结构化低体温干预方案在老年肠癌衰弱患者术中的应用
- Author:
Jiping YANG
1
;
Zeya SHI
;
Yifeng ZHOU
;
Fengjiao NIE
;
Xiaohong PENG
;
Shuhui YIN
;
Hao YUAN
Author Information
1. 湖南师范大学第一附属医院湖南省人民医院手术部,长沙 410005
- Keywords:
? Perioperative nursing;
? Temperature;
? Aged;
? Intestinal Neoplasms;
? Structuration;
Hypothermia intervention program
- From:
Chinese Journal of Modern Nursing
2019;25(10):1200-1204
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of structured hypothermia intervention program in elderly intestinal cancer patients with frailty. Methods? From November 2017 to July 2018, we selected 96 patients with surgery for intestinal cancer scored more than two points in Fried frailty assessment for the aged before surgery at the First Affiliated Hospital of Hu'nan Normal University & People's Hospital of Hu'nan Province by cluster sampling. All of the patients were divided into experimental group (n=48) and control group (n=48) with the method of random number table. Experimental group carried out the structured management model, formulated and implemented the structured hypothermia intervention program, while control group provided warm nursing based on nursing routine. We compared the respiration, blood pressure, heart rate and blood oxygen saturation before, during and after surgery as well as temperature, incidence of hypothermia and related indicators (extubation time, retention time in resuscitation room, urine volume and intraoperative blood loss) at each time points during surgery. Results were analyzed with the repeated measure variance analysis, t test and χ2 test. Results? There were interactions between time and groups in temperature, blood pressure, heart rate, respiration and blood oxygen saturation (P＜ 0.05). The fluctuation with time of the above vital signs in the experimental group was lower than that of control group. In experimental group, the incidence of hypothermia was lower than that in control group; the extubation time and retention time in resuscitation room were shorter than those in control group; the intraoperative blood loss was less than that in control group and the urine volume was more than that in control group;the differences were all statistically significant (P＜ 0.01). Conclusions? The application of structured hypothermia intervention program in elderly intestinal cancer patients with frailty can effectively maintain the stable intraoperative vital signs, shorten the time anesthesia resuscitation, reduce the incidences of hypothermia and related complications, standardize preventive measures for intraoperative hypothermia and guarantee patient intraoperative safety among elderly intestinal cancer patients with frailty.
