关键词: 剖宫产, 低体温, 围手术期护理, 格林模式

Abstract:

Objective To develop an intraoperative hypothermia prevention management program for women undergoing cesarean section and to conduct a preliminary application，so as to provide a reference for reducing the incidence of intraoperative hypothermia in cesarean section. Methods Guided by the PRECEDE-PROCEED Model，a management program was developed based on literature review，qualitative research，and expert consultation. A quasi-experimental study was conducted. 60 women who underwent cesarean section in the operating room of a tertiary hospital in Changzhou from December 2024 to February 2025 were enrolled as an intervention group and received the intraoperative hypothermia prevention management program，while 60 women who underwent cesarean section from August to October 2024 served as a control group and received routine hypothermia prevention care. The intervention and control groups were compared with respect to the incidence of intraoperative hypothermia，shivering，and the implementation rate of hypothermia prevention measures. Results A total of 60 women were included in each group. After implementation of the program，the incidence of intraoperative hypothermia decreased and the implementation rate of hypothermia prevention measures increased in women undergoing cesarean section，with both differences being statistically significant（P<0.05）. The incidence of shivering decreased，but the difference was not statistically significant（P=0.067）. Conclusion The developed program proves to be scientific and effective，which significantly reduces the incidence of intraoperative hypothermia and shivering among parturients，while effectively enhancing the implementation rate of hypothermia prevention measures during cesarean section.

Key words: Cesarean Section, Hypothermia, Perioperative Nursing, Precede-Proceed Model