Article Open Access http://dx.doi.org/10.26855/ijcemr.2023.07.037
Risk Factors and Nursing Strategies of Chills in Patients with Scar Uterus during Cesarean Section
Xiao Feng1,#, Xin Hu1,#, Chunmei Zhang1,2,*
1The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
2School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
#Both authors contributed equally to this work.
*Corresponding author: Chunmei Zhang
Published: August 21,2023
Abstract
Objective: To explore the risk factors of chills in patients with scar uterus during cesarean section, and formulate nursing strategies. Methods: A total of 85 patients with scar uterus who underwent cesarean section in The Second Affiliated Hospital of Wenzhou Medical University from February 2023 to April 2023 were selected as the study subjects. The incidence of chills during cesarean section was recorded. According to whether chills occurred, the pa-tients were divided into chills group and non-chills group. The baseline cha-racteristics were compared between chills group and non-chills group, to analyze the risk factors that affect the chills of patients with scar uterus during cesarean section. Results: A total of 36 (42.4%) patients with scar uterus occurred chills during cesarean section. There were statistically significant dif-ferences between the two groups in the preoperative pain score (t=57.234, P=0.002), state anxiety score (S-AI) (t=1.230, P=0.000), trait anxiety score (T-AI) (t=0.039, P=0.000), operating room temperature (t=3.601, P=0.000), insulation measures (χ2=7.522, P=0.006), and emergency admission (χ2=4.410, P=0.036). In addition, multivariate Logistic regression analysis showed that S-AI was an independent risk factor for the occurrence of chills in patients with scar uterus during cesarean section. Conclusion: Preoperative pain score, S-AT, T-AI, operating room temperature, insulation measures and emergency admission are closely related to the occurrence of chills in patients with scar uterus during cesarean section. Hence, the related factors should given more attention in clinical practice to reduce the incidence of chills in specific clinical practice.
References
[1] Obstetrics and Gynecology Group of the Obstetrics and Gynecology Section of the Chinese Medical Association. Expert consensus on cesarean section (2014) [J]. Chinese Journal of Obstetrics and Gynecology, 2014, 49(10):721-724.
[2] Guo J. The influence of scar uterus on the amount of bleeding during Caesarean section and the exploration of preventive measures [J]. Tibetan Medicine, 2023, 44 (03): 39-41.
[3] Shen LN. Analysis of influencing factors of shivering and pulling pain during Caesarean section [J]. China Maternal and Child Health, 2022, 37 (02): 296-299.
[4] Sheng LP. Analysis of the effect of dexmedetomidine on postoperative shivering in patients undergoing spinal surgery under general anesthesia [J]. Capital Food and Medicine, 2019, 26 (05): 63.
[5] Jiang J, Xu XD. The effect and safety of low-dose dexmedetomidine on the prevention of shivers during Caesarean section [J]. Anhui Medical Journal, 2017, 38 (04): 433-436.
[6] Zhang L. Causes and preventive measures of shivering during perioperative period [J]. Modern Distance Education of Traditional Chinese Medicine in China, 2008 (10): 1226.
[7] Zhu HY, Xu WF. Establishment of a predictive model for early postoperative hypoxemia in patients with spinal cord injury type thoracolumbar fractures [J]. Nursing Research, 2023, 37 (08): 1338-1343.
[8] Huang L. The value analysis of dexmedetomidine hydrochloride in preventing shivering reaction during intraspinal anesthesia in patients with Caesarean section [J]. Chinese Community Physician, 2021, 37 (09): 29-30.
[9] Nie XF, Miao XJ, Li T, et al. Tramadol combined with butorphanol in the treatment of epidural anesthesia shivering reaction [J]. Journal of Modern Integrated Traditional Chinese and Western Medicine, 2010, 19 (32): 4189-4190.
[10] Wang CN. Influence of psychological nursing on anxiety and postoperative complications of patients undergoing Ectopic pregnancy surgery [J]. Chinese Medical Guide, 2018, 16 (19): 222-223.
How to cite this paper
Risk Factors and Nursing Strategies of Chills in Patients with Scar Uterus during Cesarean Section
How to cite this paper: Xiao Feng, Xin Hu, Chunmei Zhang. (2023) Risk Factors and Nursing Strategies of Chills in Patients with Scar Uterus during Cesarean Section. International Journal of Clinical and Experimental Medicine Research, 7(3), 506-509.
DOI: http://dx.doi.org/10.26855/ijcemr.2023.07.037