CAJ | 학술논문

目的：了解手术室护士对围术期保温知识的认知和执行情况，更好地落实患者围术期的保温措施。方法采用自行设计的围术期保温相关知识调查问卷，对在手术室工作的49名护士进行调查；同期进行手术期保温措施执行行为现状调查。结果49名护士回答准确的围术期保温相关知识排在前3位的是：围术期保温的重要性（95．9％）、手术中保温内容和方法（83．7％）、手术前保温内容和方法（73．5％）；排在后3位的是：手术后保温内容和方法（36．7％）、体温监测要点和重要性（24．5％）、围术期保温效果评估（16．3％）。能有效执行的保温措施行为排在前3位的是：冲洗液加热防止冲洗液溢出（1．83±0．21）分、消毒时不要裸露过多皮肤（1．56±0．19）分、手术前调节室温＞22℃（1．51±0．23）分；排在后3位的是：接送患者加盖棉被穿好衣服、体温监测、正确使用保温毯。结论手术室护士对围术期保温知识掌握和执行有所欠缺，应加强对手术护士相关知识培训，提高围术期保温措施执行力。
목적：료해수술실호사대위술기보온지식적인지화집행정황，경호지락실환자위술기적보온조시。방법채용자행설계적위술기보온상관지식조사문권，대재수술실공작적49명호사진행조사；동기진행수술기보온조시집행행위현상조사。결과49명호사회답준학적위술기보온상관지식배재전3위적시：위술기보온적중요성（95．9％）、수술중보온내용화방법（83．7％）、수술전보온내용화방법（73．5％）；배재후3위적시：수술후보온내용화방법（36．7％）、체온감측요점화중요성（24．5％）、위술기보온효과평고（16．3％）。능유효집행적보온조시행위배재전3위적시：충세액가열방지충세액일출（1．83±0．21）분、소독시불요라로과다피부（1．56±0．19）분、수술전조절실온＞22℃（1．51±0．23）분；배재후3위적시：접송환자가개면피천호의복、체온감측、정학사용보온담。결론수술실호사대위술기보온지식장악화집행유소흠결，응가강대수술호사상관지식배훈，제고위술기보온조시집행력。
Objective To understand Operating room nurses’ cognition and execution for perioperative heat preservation and find a better implementation of perioperative heat preservation.Methods We utilized self-designed questionnaire to investigate forty nine operating room nurses for perioperative heat preservation related knowledge and the procedure of perioperative heat preservation executed. The questionnaire included perioperative insulation related knowledge-contained ten field investigations, and had good content validity. Results The top three part of questionnaire precision were the importance of perioperative heat preservation (95.9%), the content and method of perioperative heat preservation(83.7%) and the content and method of preoperative heat preservation(73.5%), while the last three parts were the content and method of postoperative heat preservation(36.7%), the key point and importance of temperature monitor(24.5%) and effective evaluation of perioperative heat preservation(1.63%).Meanwhile, the top three of behavior execution survey were rinses heating and rinses overflow prevention(1.83 ±0.21) scores, (1.51 ±0.23) scores, disinfection without bare skin too much:(1.56 ±0.19)scores compared bottom three-transfer patient with quilt or/and wear clothes well, pay attention on the body temperature monitoring, operation with insulation blanket on the bed. Conclusions Operating room nurses have shortcomings for perioperative heat preservation knowledge and execution.Hence, we should strengthen the related knowledge training and enhance the execution of perioperative heat preservation procedures.