Chinese Journal of Nursing ›› 2019, Vol. 54 ›› Issue (10): 1509-1513.DOI: 10.3761/j.issn.0254-1769.2019.10.013

• Specialist Practice and Research • Previous Articles     Next Articles

The establishment and practice of postoperative hypothermia rewarming program for severe burn patients

XU Caijuan,SHEN Mingyan(),LU Fuchang,CHEN Huaqing,FU Yahong,HU Yan   

  • Received:2019-03-29 Online:2019-10-15 Published:2019-10-30
  • Contact: Mingyan SHEN

重度烧伤术后低体温患者复温方案的制订及实践

徐彩娟,沈鸣雁(),卢福长,陈华清,傅亚红,胡雁   

  1. 310009 杭州市 浙江大学医学院附属第二医院护理部(徐彩娟),烧伤科(沈鸣雁,卢福长,陈华清,傅亚红);复旦大学护理学院(胡雁)
  • 通讯作者: 沈鸣雁
  • 作者简介:徐彩娟:女,硕士,副主任护师,科护士长,E-mail: xucaijuan@zju.edu.cn
  • 基金资助:
    浙江省医药卫生科技计划项目(2019KY083)

Abstract: Objective This article summarized experiences of postoperative hypothermia management for severe burn patients. Methods We established multidisciplinary management team and formulated postoperative hypothermia rewarming program for severe burn patients based on evidence,including set-up of rewarming unit,clarification of starting and ending criteria of rewarming,the method and frequency of core temperature monitoring,complex rewarming interventions for burn patients,management of rewarming equipment,training and evaluation of nurses' rewarming skills. Results The continuation time of hypothermia was decreased from(274.38±149.43) min to(107.89±65.39) min. The compliance of complex rewarming interventions increased from 21.88% to 83.33%. The accuracy rate of core temperature monitoring was improved from 18.75% to 97.22%. Conclusion The postoperative hypothermia rewarming program of severe burn patients is beneficial to improve the quality of nursing care.

Key words: Burns, Hypothermia, Rewarming, Evidence-Based Practice, Perioperative Nursing

摘要: 目的 总结重度烧伤患者术后低体温的管理经验。 方法 组建多学科管理团队,基于循证医学制订重度烧伤患者术后低体温管理方案,包括建立复温单元、明确复温启动和终止标准、核心温度监测方法及监测频率、适合烧伤患者的复合复温措施、复温仪器的维护管理、护士复温技能的培训考核等。 结果 重度烧伤患者低体温持续时间由(274.38±149.43) min缩短至(107.89±65.39) min,复合复温方案执行率由21.88%提高至83.33%,核心体温监测正确率由18.75%提高至97.22%。 结论 重度烧伤术后低体温患者复温方案有利于提高护理质量。

关键词: 烧伤, 低温, 复温, 循证实践, 围手术期护理