Effects of prospective rewarming nursing on spontaneous hypothermia in traumatic patients in emergency service

Abstract

Objective To explore the effects of prospective rewarming nursing on spontaneous hypothermia in traumatic patients in emergency service. Methods Totally 67 traumatic patients admitted in the Emergency Department of Armed Police Zhejiang Corps Jiaxing Hospital between January and August 2016 were selected as the control group, and another 72 traumatic patients admitted between January and August 2017 were selected as the observation group by purposive sampling. Patients in the control group received conventional emergency treatment, while patients in the observation group received prospective rewarming nursing care on this basis. Body temperature and the incidence of shivering, arrhythmia and spontaneous hypothermia were compared between the two groups. Results The body temperature of the observation group stood at (36.38±0.21) ℃ and (36.72±0.38) ℃ respectively at admission and 1 hour post admission, both higher than that of the control group (t=24.241, 18.039; P<0.01) . The incidence rate of shivering in the observation group was 15.94% and 17.39% respectively at admission and 1 hour post admission, both lower than that of the control group (χ2=19.326, 19.141; P<0.01) . The incidence rate of arrhythmia in the observation group was 30.43%, while that of the control group was 49.15% (χ2=4.681, P=0.030) . Conclusions Prospective rewarming can reduce the risks of spontaneous hypothermia in traumatic patients in emergency service. Key words: Rewarming; Emergency service, hospital; Trauma; Spontaneous hypothermia