The effect of targeted nursing intervention on reducing shivering for patients after cesarean section

LIU Liying

doi:10.3969/j.issn.1674-3768.2015.06.014

Abstract：Objective To explore the effect of targeted nursing intervention on reducing shivering for patients after cesarean section.Methods Fifty patients receiving cesarean section between December 2012 and December 2014 were selected as a control group and given conventional nursing.Another fifty patients undergoing the operation in the following year were chosen as the observation group and provided with targeted nursing on basis of conventional nursing.The axillary temperatures were measured while entering the operation room,at the end of anesthesia,at the skin incision,after the delivery of fetus,when the operation was over,and compared between the two groups.Patients'satisfaction degree of nursing care and occurrence rate of postoperative shivering were also compared.Results In the control group,the axillary temperatures were (36.5±0.16)℃,(36.5 ±0.27)℃,(36.4±0.07)℃,(35.8±0.54)℃ and (35.6±0.47 )℃ at five different time points,while in the observation group the values were(36.6± 0.24)℃,(36.4 ±0.25)℃,(36.3 ±0.19)℃,(36.4±0.27)℃ and(36.2±0.37)℃ accordingly.There were significant differences at the same time points between the two groups(F =11.53,P <0.01).There were significant differences as compared between different time points and two groups(F =4.92,P <0.05;F =5.85,P <0.05).In the observation group,no significant differences were found in the temperatures when the operation was over and entering the operation room(t =1.24,P >0.05),but the temperatures were decreased in the control group(t =6.12,P <0.05).The occurrence rate of shivering in the control group was 64%,significantly higher than that in the observation group (χ2 =26.27,P <0.01)with the rate of 14%.The patients satisfaction in the observation group was 98%,significantly higher than that in the control group (Z = - 4.581,P < 0.01 )with the rate of 78%.Conclusion Targeted nursing intervention can effectively reduce the postoperative shivering,lower the occurrence of shivering after cesarean section,to improve nursing quality and patients'satisfaction of perioperative nursing.