Effect of Hypothermia Preventive Nursing on Perioperative Coagulation Function and Stress Response in Elderly Patients Undergoing Total Hip Replacement.

Background: Total hip replacement (THR) is a surgical procedure in which all or part of the hip joint is replaced with an artificial hip joint to rebuild the motor function of the joint.

Objective: To explore the impacts of hypothermia preventive nursing on perioperative coagulation function and stress response in elderly patients undergoing THR.

Method: A total of 124 elderly patients who underwent THR from February 2020 to February 2023 were included and assigned to the control group (CG) and observation group (OG). Patients in the CG were provided with routine intraoperative nursing, and patients in the OG were given hypothermia preventive nursing.

Results: In contrast to the CG, the postoperative temperature in the OG was elevated, and the awakening time and extubation time in the OG were shorter (P < .05). After operation, prothrombin time, thrombin time, fibrinogen along with D-dimer levels in the CG were higher (P < .05), while those in the OG did not change (P > .05). After the operation, epinephrine and norepinephrine levels in both groups were elevated, with levels being lower in OG than CG (P < .05). The occurrence of hypothermia and postoperative chills in the OG was decreased compared to the CG (P < .05). The nursing satisfaction of patients in the OG was higher compared to the CG (P < .05). After nursing, the scores of physical function, social function, material function, and mental health in the OG were higher than GC (P < .05).

Conclusion: Hypothermia preventive nursing during operation can effectively maintain the stable coagulation function of patients, reduce the stress response, decrease the occurrence of chills and hypothermia during the operation, and promote the quality of life, especially in elderly patients with THR, which has a specific nursing role for elderly patients undergoing THR, and thus has certain clinical application value.