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

摘要：

目的 构建剖宫产产妇术中低体温预防管理方案并进行初步应用，为降低剖宫产产妇术中低体温发生率提供借鉴。方法 以格林模式为理论基础，基于文献回顾、质性研究、专家函询结果拟订剖宫产产妇术中低体温预防管理方案。采用类实验研究，将2024年12月—2025年2月在常州市某三级甲等医院手术室接受剖宫产手术的60例产妇作为试验组，实施剖宫产产妇术中低体温预防管理方案，将2024年8—10月接受剖宫产手术的60例产妇作为对照组，实施常规低体温预防管理，对比干预前后两组产妇术中低体温发生率、寒战发生率、低体温预防措施执行率的差异。结果 两组无样本脱落，各纳入60例。方案应用后，剖宫产产妇术中低体温发生率下降、低体温预防措施执行率提升，差异均具有统计学意义（P<0.05），剖宫产产妇寒战发生率下降，差异无统计学意义（P=0.067）。结论 该研究构建的方案具有科学性和有效性，能降低产妇术中低体温发生率，改善术中寒战发生情况，提升剖宫产术中低体温预防措施的执行率。

关键词: 剖宫产, 低体温, 围手术期护理, 格林模式