手术室保温护理联合正念减压在腹腔镜全子宫切除术患者中的应用

中华养生保健 ›› 2024, Vol. 42 ›› Issue (15): 88-92.

手术室保温护理联合正念减压在腹腔镜全子宫切除术患者中的应用

管冬冬¹, 陈媛媛², 张燕³, 张兴月¹

1.聊城市第二人民医院手术室,山东聊城,252600;
2.聊城市第二人民医院神经外科,山东聊城,252600;
3.聊城市第二人民医院妇科,山东聊城,252600

出版日期:2024-07-22 发布日期:2024-07-22
作者简介:管冬冬（1990—）,男,汉族,籍贯：山东省临清市,硕士研究生,主管护师,研究方向：手术室护理,外科护理。

Application of Surgical Room Insulation Mursing Combined With Mindfulness Decompression in Patients Undergoing Laparoscopic Total Hysterectomy

GUAN Dong-dong¹, CHEN Yuan-yuan², ZHANG Yan³, ZHANG Xing-yue¹

1. Depatment of Operating Room, The Second People's Hospital of Liaocheng, Liaocheng Shandong 252600, China;
2. Depatment of Neurosurgery, The Second People's Hospital of Liaocheng, Liaocheng Shandong 252600, China;
3. Depatment of Gynaecology, The Second People's Hospital of Liaocheng, Liaocheng Shandong 252600, China

Online:2024-07-22 Published:2024-07-22

摘要/Abstract

摘要： 目的探讨腹腔镜全子宫切除术患者采用手术室保温护理联合正念减压干预的效果。方法选取2020年6月—2023年6月在聊城市第二人民医院行腹腔镜全子宫切除术的共计102例患者作为研究对象,以随机数表法将其分成干预组（n=51）和对照组（n=51）,对照组给予常规护理干预,干预组给予手术室保温护理联合正念减压干预,比较两组体温、麻醉苏醒指标、正念水平、不良反应发生情况。结果对照组手术结束时体温与术前比较,差异无统计学意义（P>0.05）,术中30 min、1 h体温较术前降低,干预组术中30 min、1 h及手术结束时体温与术前比较,差异无统计学意义（P>0.05）,干预组术中30 min、1 h、手术结束时体温较对照组更高,差异有统计学意义（P<0.05）;干预组自主呼吸恢复、麻醉复苏、完全清醒时间较对照组更短,差异有统计学意义（P<0.05）;两组干预后正念注意觉知量表（MAAS）评分均升高,且干预组较对照组更高,差异有统计学意义（P<0.05）;干预组不良反应发生率较对照组更低,差异有统计学意义（P<0.05）。结论腹腔镜全子宫切除术患者采用手术室保温护理联合正念减压干预对体温的影响较小,能够有效促进患者苏醒,改善患者正念水平,减少不良反应发生。

关键词: 手术室保温护理, 正念减压干预, 腹腔镜全子宫切除术

Abstract: Objective To explore the effect of surgical room insulation nursing combined with mindfulness decompression intervention on patients undergoing laparoscopic total hysterectomy. Methods A total of 102 patients undergoing laparoscopic total hysterectomy from June 2020 to June 2023 who were admitted in the Second People's Hospital of Liaocheng City were selected, and divided into the intervention group (n=51) and the control group (n=51) by random number table method. The control group was given routine nursing intervention, and the intervention group was given operating room insulation nursing combined with mindfulness decompression intervention. The temperature, anesthesia recovery indicators, mindfulness level, and adverse reactions in both groups were compared. Results There was no statistically significant difference in postoperative body temperature in the control group compared to the preoperative (P>0.05). The body temperature at 30 minutes and 1 hour during surgery was decreased compared to the preoperative (P<0.05). There was no statistically significant difference in intraoperative, 1 hour, and postoperative body temperature between the intervention group compared to the preoperative (P>0.05). In comparision of the control group, the body temperature at 30 minutes and 1 hour of the intervention group was higher (P<0.05). In comparision of the control group, the time for spontaneous breathing recovery, anesthesia resuscitation, and complete awakening of the intervention group was shorter (P<0.05). After intervention, the MAAS scores in both groups were increased (P<0.05), and in comparision of the control group, the intervention group was higher (P<0.05). The incidence of adverse reactions of the intervention group was lower than the control group (P<0.05). Conclusion The combination of surgical room insulation care and mindfulness decompression intervention has a relatively small impact on body temperature in patients undergoing laparoscopic total hysterectomy. It can effectively promote patient recovery, improve their mindfulness level, and reduce adverse reactions.

Key words: surgical room insulation care, mindfulness decompression intervention, laparoscopic total hysterectomy

中图分类号:

R472.3

管冬冬, 陈媛媛, 张燕, 张兴月. 手术室保温护理联合正念减压在腹腔镜全子宫切除术患者中的应用[J]. 中华养生保健, 2024, 42(15): 88-92.

GUAN Dong-dong, CHEN Yuan-yuan, ZHANG Yan, ZHANG Xing-yue. Application of Surgical Room Insulation Mursing Combined With Mindfulness Decompression in Patients Undergoing Laparoscopic Total Hysterectomy[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(15): 88-92.

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