# 循证护理在小儿腹腔镜手术中预防低体温发生的效果研究The Effect of Evidence-Based Nursing in the Prevention of Low Body Temperature in Children’s Laparoscopic Operation

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Objective: To explore the effect of evidence-based nursing on preventing hypothermia in pediatric laparoscopic surgery. Methods: 96 cases of laparoscopic surgery in our hospital were treated in our hospital. The time of hospitalization was in June 2017-May 2016. According to the order of admission, the children were divided into two groups: 48 cases were selected in each group, the nursing mode of the control group was based on basic nursing, the nursing mode of the observation group was evidence-based nursing, and the application effect of the nursing mode of the two groups was compared. Results: 1) The proportion of hypothermia in the observation group was less than that of the control group, and the difference of data between the groups was statistically significant. 2) Secondly, the temperature of the observation group and the control group had no statistical significance before operation, and the temperature of the two groups of children after the anesthesia, 30 minutes before the operation and at the end of the operation was statistically different (P < 0.05). 3) The surgical knowledge, temperature monitoring, temperature nursing and prevention of complications scores of the observation group were significantly higher than those of the control group, and the data between the groups were statistically significant compared with the control group. 4) The nursing satisfaction of the observation group (95.84%) was significantly higher than that of the control group (81.25%), and the difference of data between the groups was statistically significant (P < 0.05). Conclusion: The incidence of hypothermia can be reduced by evidence-based nursing mode in children with laparoscopy, the temperature of the children is stable in the process of operation, and the satisfaction of the family members of the children is improved.

1. 引言

2. 资料与方法

2.1. 一般资料

2.2. 方法

2.3. 评估指标

2.4. 统计学数据计算

3. 结果

3.1. 低体温发生率

3.2. 不同时期体温

Table 1. Comparison of the body temperature of the two groups in different periods

3.3. 护理质量

Table 2. Comparison of nursing quality scores between the two groups

3.4. 护理满意度

Table 3. Comparison of nursing satisfaction between the two groups (n%)

4. 讨论

NOTES

*通讯作者。

 [1] 刘虹梅, 朱爱萍. 小儿腹腔镜手术围术期低体温的预防措施及效果观察[J]. 山西医药杂志, 2017, 46(24): 3082-3084. [2] 陈鸥. 护理干预对预防小儿术中低体温的效果观察[J]. 护理实践与研究, 2014(5): 108-109. [3] 邓清兰. 保暖护理干预小儿巨结肠手术中低体温的效果研究[J]. 实用临床护理学电子杂志, 2017, 2(49): 119-120. [4] 林素羽, 孙广晓, 符琼燕, 等. 小儿腹腔镜手术中低体温的原因分析及护理对策[J]. 西南国防医药, 2016, 26(10): 1211-1212. [5] 孙忠朋. 小儿患者在整形外科手术中体表暴露面积与围手术期低体温相关性的临床研究[D]: [硕士学位论文]. 北京: 北京协和医学院中国医学科学院, 2017. [6] 李坤. 小儿经皮肾镜取石术中的体温护理[J]. 护理实践与研究, 2013, 10(16): 134-135. [7] 马瑶瑶, 凌宾芳, 吴尧等. 小儿肝脏移植术中低体温的发生及相应护理措施[J]. 实用医药杂志, 2013, 30(4): 359-360. [8] 买合布拜•买买提热夏提, 艾克拜江•艾尼, 艾再木•艾尔肯, 等. 微创经皮肾镜取石术中小儿保温护理的效果分析[J]. 心理医生, 2017, 23(23): 270-271. [9] 陈显丽. 小儿腹腔镜手术安全的影响因素与防范措施[J]. 中国医药指南, 2017, 15(30): 154-155. [10] 蔡玉芬, 蔡玉霞, 赖连妹, 等. 包裹式新型保暖毯在小儿外科手术中的制作与应用[J]. 赣南医学院学报, 2017, 37(3): 430, 452.