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Effects of the perioperative thermal insulation for women with cesarean section on their core body temperature and circulatory function |
Xuancheng Central Hospital, Xuancheng, Anhui Province, 242000 |
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Abstract To investigate the effects of the evidence-based practice of perioperative thermal insulation for women with cesarean section on their core body temperature and circulatory function. Methods: 92 pregnant women who wanted cesarean section were selected and were divided into two groups (46 cases in each group) by numerical odd-even method between November 2019 and November 2023. The women in the two groups were given the perioperative routine care intervention, and the women in the observation group were given the evidence-based practice of perioperative thermal insulation additionally. The perioperative core body temperature value, the circulatory function, the incidences of complications, such as agitation, chills and hypothermia, and the nursing satisfaction of the women were compared between the two groups. Results: The core temperature values of the women in the observation group at skin incision (37.10±0.19℃), at 15min of operation (36.64±0.39℃), at fetal delivery (36.31±0.35℃) and at the end of operation (36.52±0.33℃) were significantly higher than those (36.84±0.20℃, 36.12±0.41℃, 35.85±0.47℃ and 35.81±0.45℃) of the women in the control group. The change values of the heart rate, the diastolic blood pressure, the systolic blood pressure and the mean arterial pressure of the women in the observation group at 15min of operation and at the end of operation were significantly lower than those of the women in the control group. The incidences of shivering (2.2%) and hypothermia (4.4%) of the women in the observation group were significantly lower than those (13.1% and 21.7%) of the women in the control group. The nursing satisfaction (93.5%) of the women in the observation group was significantly higher than that (76.1%) of the women in the control group (all P<0.05). Conclusion: The application of the evidencebased practice of perioperative thermal insulation for the pregnant women with cesarean section can effectively maintain their perioperative core body temperature, improve their circulatory function and reduce the risk of their hypothermia and chills, and which is accepted by the women widely.
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