关键词: 围手术期护理, 体温, 风险评估, 预保温, 问卷调查

Abstract:

Objective To understand the current situation of perioperative hypothermia management in 85 hospital operating rooms in Guangdong Provinces,so as to find out the deficiencies and provide references for the nursing practice in operating rooms. Methods A convenient sampling method was used to conduct a questionnaire survey on all the members of the Operating Room Professional Committee of Guangdong Nursing Association in February 2019. A self-developed questionnaire was used,including general information and the current management of perioperative hypothermia. Results A total of 85 valid questionnaires were received,with an effective recovery rate of 98.84%. 23（27.06%） hospitals have implemented pre-warming;Only 6 hospitals（7.06%） carried out perioperative hypothermia risk assessment. 21（48.84%） tertiary hospitals and 9（25.71%） secondary hospitals have established hypothermia emergency plans,with statistical differences（ χ ²=4.359,P=0.037）;in 25（58.14%） tertiary hospitals and 1（2.86%） secondary hospitals,the core temperature was measured by the same method before operation,and the difference was statistically significant（ χ ²=24.106,P<0.001）. 34（40.00%） hospitals required temperature handover after operation. 20 hospitals（23.53%） paid attention to the temperature regulation of patient transferring environment after operation. Conclusion Perioperative temperature management in 85 hospitals in Guangdong Province was incomplete. The implementation rates of pre-warming,risk assessment of hypothermia and establishment of emergency procedures,the same temperature measurement method of preoperative and intraoperative temperature,postoperative handover temperature,adjustment of the post-transport environment temperature are not high. Perioperative hypothermia prevention knowledge training and practice need to be strengthened and promoted.

Key words: Perioperative Nursing Care, Body Temperature, Risk Assessment, Pre-Warming, Questionnaires