Volume 29 Issue 10
Oct.  2025
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WANG Yi, WANG Shaowei, YUAN Li, WU Liang. The correlation among intraoperative hypothermia in elderly patients undergoing laparoscopic surgery and professional cognition, nursing behavior of operating room nurses[J]. Chinese Journal of General Practice, 2025, 23(10): 1800-1803. doi: 10.16766/j.cnki.issn.1674-4152.004232
Citation: WANG Yi, WANG Shaowei, YUAN Li, WU Liang. The correlation among intraoperative hypothermia in elderly patients undergoing laparoscopic surgery and professional cognition, nursing behavior of operating room nurses[J]. Chinese Journal of General Practice, 2025, 23(10): 1800-1803. doi: 10.16766/j.cnki.issn.1674-4152.004232

The correlation among intraoperative hypothermia in elderly patients undergoing laparoscopic surgery and professional cognition, nursing behavior of operating room nurses

doi: 10.16766/j.cnki.issn.1674-4152.004232
Funds:

 20241638

  • Received Date: 2025-03-11
  •   Objective  To analyze the correlation between intraoperative hypothermia in elderly patients undergoing laparoscopic surgery and professional cognition and nursing behaviors of operating room nurses.  Methods  The clinical records of elderly patients undergoing laparoscopic surgery at the First Affiliated Hospital of Hebei North University from January 2023 to January 2024 were retrospectively analyzed. A total of 80 operating room nurses were selected as the research objects. General questionnaire, intraoperative hypothermia professional cognition scale, hypothermia nursing behavior scale, job burnout (revised Maslach burnout scale), and safety culture attitude questionnaire were performed. Logistic regression was used to identify risk factors for intraoperative hypothermia.  Results  The incidence of intraoperative hypothermia was 7.87% (70/890). A total of 32 nurses who participated in laparoscopic surgery involving elderly patients with hypothermia were assigned to the hypothermia group, while the remainder were assigned to the non-hypothermia group. The scores of professional cognition [(74.54±5.51) points], nursing behavior [(30.78±2.64) points], emotional exhaustion in job burnout [(21.54±0.80) points], decreased sense of achievement [(20.04±0.79) points], and safety culture attitude [(93.80±4.02) points] in the hypothermia group were significantly lower than those in the non-hypothermia group [(96.38±4.53) points, P < 0.05]. Stepwise logistic regression showed that low professional cognition of nurses, inadequate nursing behavior, emotional fatigue, reduced sense of achievement, and poor safety culture attitude were independent risk factors for intraoperative hypothermia in elderly patients undergoing laparoscopic surgery (P < 0.05). Pearson correlation analysis further showed that the nursing behaviors were positively correlated with both professional cognition and safety culture attitude (r=0.446, 0.351, P < 0.05).  Conclusion  Professional cognition, nursing behavior, job burnout, and safety culture attitude of operating room nurses are key factors influencing the occurrence of intraoperative hypothermia in elderly patients undergoing laparoscopic surgery. Strengthening professional training for operating room nurses may improve cognitive and behavioral performance and reduce the risk of intraoperative hypothermia.

     

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