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

摘要: 目的：探究循证护理在小儿腹腔镜手术中预防低体温的应用效果。方法：研究中抽取的96例研究对象为我院收治的腹腔镜手术患儿，患儿入院时间为2016年5月~2017年6月，依据入院先后顺序均分为观察和对照两组，每组入选48例，对照组护理模式为基础护理，观察组护理模式为循证护理，比较两种护理模式的应用效果。结果：1) 观察组患儿经护理后低体温比例少于对照组患儿，组间数据差异显著形成统计学意义；2) 观察组和对照组手术前体温经统计对比无任何统计学意义；麻醉后、手术前30分钟和手术结束时两组患儿的体温经统计对比差异显著，P < 0.05；3) 观察组手术知识、监测体温、体温护理和预防并发症分数显著高于对照组，组间数据经统计对比形成统计学意义；4) 观察组护理满意度(95.84%)显著高于对照组护理满意度(81.25%)，组间数据差异显著存在统计学意义(P < 0.05)。结论：腹腔镜手术患儿采用循证护理模式可降低低体温发生率，确保患儿手术过程中体温处于稳定状态，提升患儿家属的满意度。

Abstract: 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.