The Intervention Effect of Predictive Comprehensive Insulation Nursing on Patients Undergoing Open Abdominal Surgery

LI Jian; CHI Yuan

doi:10.3969/j.issn.2096-305X.2025.04.020

Abstract：Objective To analyze the effect of comprehensive insulation care intervention in advance in patients undergoing open abdominal surgery in the operating room and its impact on the complication rate.Methods 88 patients undergoing open abdominal surgery in the operating room at the First Affiliated Hospital of Jinzhou Medical University were randomly divided into a control group(n=44)and a study group(n=44)by lottery.The control group received routine surgical care,while the study group received comprehensive insulation care intervention in advance in addition.The body temperature,coagulation function,blood pressure,respiration,heart rate,stress indicators and complication rates of the patients in each group at different times were compared.The research period was from May 2020 to May 2021.Results The body temperature of the study group at T1,T2,T3,and T4 was significantly higher than that of the control group(P＜0.05);the APTT and TT levels of the study group after surgery were significantly higher than those of the control group,and the PT and FIB levels were significantly lower than those of the control group(P＜0.05);the SBP,DBP,and HR levels of the study group after surgery were significantly higher than those of the control group(P＜0.05);the extubation time and postoperative recovery time of the study group were significantly earlier than those of the control group,and the hospital stay was shorter than that of the control group(P＜0.05);the postoperative complication rate of the study group was only 4.55％,significantly lower than that of the control group(18.18％)(P＜0.05).Conclusion Comprehensive insulation care intervention in advance for patients undergoing open abdominal surgery in the operating room has a significant effect,can better maintain the patient's body temperature,stabilize the patient's vital signs and coagulation function,and also reduce the risk of postoperative complications,which can promote the improvement of the safety of operating room nursing and is worthy of clinical promotion.