在器官移植接受者中实施护理包,以预防意外的外科手术期间低温:一项前性的非并行队列研究
Tugba Nur Oden1, Fatma Demir Korkmaz2, Sezgin Ulukaya3
1Organ Transplantation Center, Ege University Hospital, Izmir, Turkey.
概括
实施护理套餐显著减少了移植患者的无意间外科手术期低温症 (IPH). 这种基于证据的方法改善了患者的体温和遵守低温预防方案.
科学领域:
- 麻醉学 麻醉学
- 手术患者护理手术患者护理
- 临界护理医学 临界护理医学
背景情况:
- 意外的外科手术期间低温 (IPH) 对移植接受者构成风险.
- 需要有效的策略来预防IPH在这个弱势群体.
研究的目的:
- 评估护理包实施 (CBI) 对器官移植接受者IPH发病率的影响.
- 评估患者体温的变化和遵守低温预防措施.
主要方法:
- 采用了前性非并行队列研究设计.
- 该研究涉及三个阶段:检测 (识别缺陷),实施 (培训和CBI推广) 和测量 (评估影响).
- 检测和测量期间的数据进行了比较.
主要成果:
- 对护理包的遵守率从0%增加到78.4% (P < .001).
- IPH的发生率下降了40% (P < .001).
- 与检测期相比,测量期的体温显著高于检测期 (手术内,ICU入院和术后).
结论:
- 护理包的实施成功地发现了缺陷,并减少了移植受体的IPH.
- CBI导致患者体温升高,并改善了对低温预防的坚持.
- 建议使用护理包的多学科,系统的方法来预防手术环境中的低温症.
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