剖宫产术中护士低体温预防行为影响因素的质性研究

doi:10.3761/j.issn.0254-1769.2025.10.006

摘要/Abstract

摘要：

目的探讨手术室护士对剖宫产术中低体温预防行为的影响因素，为促进剖宫产术中低体温的预防提供参考。方法采用描述性质性研究，基于格林模式的理论框架制订访谈提纲，对12名手术室护士进行半结构式访谈，采用定向内容分析法进行资料分析。结果将影响因素归纳为3个主题和8个亚主题。①倾向因素：理论知识欠缺、风险意识淡薄。②促成因素：合理配置设备资源、掌握良好的操作技能、开展针对性的教育培训、制订标准化预防流程。③强化因素：团队协作有待加强、监管机制有待健全。结论护理管理者应加强教育培训来提升手术室护士剖宫产术中低体温预防的认知和技能水平，完善设备资源和构建信息化评估与决策支持系统来促进低体温预防行为的落实；促进团队协作并通过信息化建设完成质量指标的收集与分析来强化质量管理，推动剖宫产术中低体温预防质量持续改进。

关键词: 剖宫产, 低体温, 手术室护士, 格林模式, 质性研究

Abstract:

Objective To gain an in-depth understanding of influencing factors on the preventive behaviors of operating room nurses regarding hypothermia during cesarean sections，and to provide references for promoting the prevention of hypothermia during cesarean sections. Methods A descriptive qualitative research approach was adopted，based on the theoretical framework of the Precede-Proceed Model to develop an interview outline. Semi-structured interviews were conducted with 12 operating room nurses，and the interview data were analyzed using directed content analysis. Results The influencing factors were categorized into 3 main themes and 8 sub-themes.①Predisposing factors：insufficient theoretical knowledge，low risk awareness among healthcare providers.②Enabling factors：rational allocation of equipment/resources，proficient operational skills，targeted and effective training programs，and standardized preventive procedures.③Reinforcing factors：the need to enhance team cooperation，the need to improve the regulatory mechanism. Conclusion Nursing managers should strengthen education and training to enhance nurses’ awareness and skill levels in preventing hypothermia，improve equipment resources and build an information-based assessment and decision support system to promote the implementation of hypothermia prevention behaviors. Additionally，facilitating team collaboration and utilizing information construction to collect and analyze quality indicators can strengthen quality management and promote continuous improvement in the quality of hypothermia prevention during cesarean sections

Key words: Cesarean Section, Hypothermia, Operating Room Nurse, Precede-Proceed Model, Qualitative Research

冯霖佳, 韩小云, 张成欢, 张庆庆. 剖宫产术中护士低体温预防行为影响因素的质性研究[J]. 中华护理杂志, 2025, 60(10): 1190-1195.

FENG Linjia, HAN Xiaoyun, ZHANG Chenghuan, ZHANG Qingqing. A qualitative study on influencing factors of operating room nurses’ preventive behaviors against hypothermia during cesarean section[J]. Chinese Journal of Nursing, 2025, 60(10): 1190-1195.

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