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      [1]許倩許瑞華馮金華范美齡.降低腹部手術患者圍術期非計劃性低體溫發生率[J].中國衛生質量管理,2021,28(08):068-72.[doi:10.13912/j.cnki.chqm.2021.28.8.18 ]
       XU Qian,XU Ruihua,FENG Jinhua.Reducing the Incidence of Inadvertent Perioperative Hypothermia in Patients Undergoing Abdominal Surgery[J].Chinese Health Quality Management,2021,28(08):068-72.[doi:10.13912/j.cnki.chqm.2021.28.8.18 ]
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      降低腹部手術患者圍術期非計劃性低體溫發生率
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      《中國衛生質量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

      卷:
      第28卷
      期數:
      2021年08期
      頁碼:
      068-72
      欄目:
      QC小組平臺
      出版日期:
      2021-08-28

      文章信息/Info

      Title:
      Reducing the Incidence of Inadvertent Perioperative Hypothermia in Patients Undergoing Abdominal Surgery
      作者:
      許倩許瑞華馮金華范美齡
      四川大學華西醫院膽道外科
      Author(s):
      XU QianXU RuihuaFENG Jinhua
      Department of Biliary Surgery,West China Hospital,Sichuan University, Sichuan University School of Nursing
      關鍵詞:
      品管圈問題解決型品管圈腹部手術圍術期非計劃性低體溫發生率
      Keywords:
      Quality Control Circle Problem Solving Quality Control Circle Abdominal Surgery Perioperative Inadvertent Perioperative Hypothermia Incidence
      分類號:
      R197.323;R656
      DOI:
      10.13912/j.cnki.chqm.2021.28.8.18
      文獻標志碼:
      B
      摘要:
      體溫作為人體五大生命體征之一,是影響機體新陳代謝和生命活動的重要因素。手術患者發生非計劃性低體溫,可造成不同程度的危害。針對腹部手術患者圍術期非計劃性低體溫發生率高的問題,開展品管圈活動。引入了無線體溫監測工具,構建了病房、手術室、復蘇室智能鏈式體溫監測方案,制定了術前、術中、術后保溫策略等,使腹部手術患者圍術期非計劃性低體溫發生率從43.18%降低至8.51%,保障了患者安全,提升了醫療護理服務質量。
      Abstract:
      As one of the five vital signs of human body, body temperature is an important factor affecting the body metabolism and life activities. Unplanned hypothermia occurs in patients undergoing surgery, which can cause different degrees of harm. In view of the high incidence of perioperative unplanned hypothermia in patients undergoing abdominal surgery, quality control circle activities were carried out. Wireless temperature monitoring tools were introduced, intelligent chain temperature monitoring schemes were constructed in wards, operating rooms and resuscitation rooms, and preoperative, intraoperative and postoperative thermal preservation strategies were formulated, which reduced the incidence of perioperative unplanned hypothermia in patients with abdominal surgery from 43.18% to 8.51%, ensuring patient safety and improving the quality of medical care services.

      參考文獻/References:

      [1]Mehta OH, Barclay KL. Perioperative hypothermia in patients undergoing major colorectal surgery[J].ANZ Journal of Surgery, 2014, 84(7-8): 550-555. [2]Xie Z, Yi J, Xiang Z, et al. Incidence of inadvertent intraoperative hypothermia and its risk factors in patients underg-oing general anesthesia in Beijing: a prospective regional survey[J].Plos One, 2015, 10(9):159-461. [3]Torossian A, Brauer A, Hocker J, et al. Preventing inadvertent perioperative hypothermia[J].Dtsch Arztebl Int, 2015, 112(10): 166-172. [4]Committee ARP. Recommended practices for the prevention of unplanned perioperative hypothermia[J].AORN J, 2007, 85(5): 972-974, 976-984, 986-978. [5]Yi J, Lei Y, Xu S, et al. Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia: national study in China[J].PLoS One, 2017,12(6):e0177221. [6]黨 笑,柏 蒙,張澤昊,等.降低腔鏡手術患者接臺延遲率[J].中國衛生質量管理,2020,27(6):103-106. [7]魏凱靜,于恩杰.降低手術患者麻醉誘導期低體溫發生率[J].中國衛生質量管理,2012,19(6):12-15.

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      更新日期/Last Update: 2021-08-28
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