探究手术室体温护理结合细节护理干预在腹股沟疝老年患者围手术期的应用效果。

选取安徽省庐江县中医院2020年5月至2022年4月收治的80例老年腹股沟疝手术患者，按照随机数字表法将其分为对照组和观察组，各40例，对照组给予常规护理，观察组给予手术室体温护理结合细节护理干预，均术后随访6个月，比较2组患者手术指标、术中体温情况、术后恢复情况、心理状态，以及术后并发症发生率。

2组患者手术时间比较差异无统计学意义（P>0.05），观察组出血量低于对照组（P<0.05）；2组患者术前体温比较差异无统计学意义（P>0.05），观察组术中10 min、30 min及手术结束时的体温均高于对照组（P<0.05）；观察组肠功能恢复时间、下床活动时间均短于对照组，疼痛视觉模拟评分（VAS）低于对照组（P<0.05）；护理后2组患者焦虑自评量表（SAS）、抑郁自评量表（SDS）评分较术前均下降，且观察组较对照组更低（P<0.05）；观察组术后并发症总发生率（2.50%）较对照组（15.00%）更低（χ²=3.914，P<0.05）。

老年腹股沟疝围手术期应用手术室体温护理结合细节护理干预，效果显著，可保持患者体温、促进术后恢复、改善心理状态，减少术后并发症的发生。

To investigate the application effect of operating room body temperature nursing combined with detailed nursing intervention in the perioperative period of elderly patients with inguinal hernia.

A total of 80 elderly patients who underwent inguinal hernia surgery in Lujiang Hospital of Traditional Chinese Medicine from May 2020 to April 2022 were randomly divided into the control group and the observation group with 40 cases in each group. The control group received routine nursing, while the observation group received operating room body temperature nursing combined with detailed nursing intervention. All patients were followed up for 6 months after surgery. The surgical indicators, intraoperative body temperature, postoperative recovery, psychological state, and the incidence of postoperative complications were compared between the two groups.

There was no significant difference in operation time between the two groups (P>0.05). Blood loss of the observation group was less than that of the control group (P<0.05). There was no statistically significant difference in body temperature between the two groups of patients before surgery (P>0.05). The observation group had a higher body temperature than the control group at 10 and 30 min after the beginning of surgery and at the end of surgery (P<0.05). The intestinal function recovery time, ambulation time and visual analogue scale (VAS) score of the observation group were shorter or lower than those of the control group (P<0.05). The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the two groups after nursing were lower than those before surgery, and the scores of the observation group were lower than those of the control group (P<0.05). The total incidence of postoperative complications in the observation group (2.5%) was lower than that in the control group (15.00%) (χ²=3.914, P=0.048).

Applying operating room body temperature nursing combined with detailed nursing intervention to elderly patients with inguinal hernia during the perioperative period is conducive to maintaining body temperature, promoting postoperative recovery, improving psychological state, and reducing the incidence of postoperative complications.