基于循证的集束化降温管理策略在热射病病人护理中的应用效果

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AbstractObjective：This studyaimedtoinvestigatetheaplicationandeficacyofevidence-basedbundlecoling management strategyinthtreatmentofpatientswithheatstroke.Methods：Thestudycohortconsistedofpatientswithheatstrokeadmitedtothe emergencydepartmentofourhospitalfromJuly2020toSeptember2O23.Specificaly，46patientsadmittedbetweenJuly2020and September2021wereassignedtothecontrolgroup，while48patientsadmitedfromJuly222toSptember223werealocatedtothe observationgroup.Thecontrol groupreceived standardtradionalcoolingmeasures，whereastheobservationgroup，inaditiotothe routinecare，mplementedanevidencebasedbundlecoolingmanagementstrategy.Thisstrategysummarizedinto6themesincluding environmentaltmperaturecotrol，ickspledtpfialodsselslina，aolubobieditist cooling，ntraveousfluidlingndoiostempratureotoringndaageent，ithotalof8piecesofidcee studycomparedthecoolingrates，colingachievementrates，GlasgowComaScaleGCS）scores，andmortaityatesbetweenthetwo groups.Results：Following the intervention，the time required for core body temperature to decrease to 39.0°C and 38.5∘C was significantly shorter in the observation group than in the control group（all P<0.05 ）.The proportion of patients whose core body temperature was reduced to 39.0°C or below within 3O minutes and to 38.5∘C orbelow within 2 hours was markedly higher in the observation group compared to the control group（all P<0.05 ）. Additionally，the GCS scores at 24 hours post-treatment were significantly higher in the observation group （P<0.05） ，and the mortality rate was significantly lower in the observation group than in the control group ..-0.05 .Conclusion：The implementationof evidence-based bundle coling managementstrategy has been demonstrated to significantly enhance the clinical outcomes of heat stroke treatment and improve patient prognosis.

Keywordsheat stroke;bundled nursing;evidence-based nursing; cooling management; first aid

热射病（heatstroke）是由于暴露在热环境和（或）剧烈运动所致的机体产热与散热失衡，形成以核心体温升高（ >40∘C） 及中枢神经系统功能损害为特征的急危重症，常伴有多器官功能损害，危及生命安全1，其住院病死率高达 14%～65%[2] 。（剩余8646字）