Abstract:

Objective To analyze the eff ect of bundle nursing based on insulation intervention on perioperative recovery of patients undergoing laparoscopic cholecystectomy (LC). Method 104 patients who received LC at Li-anshui County People’s Hospital from July 2022 to July 2024 were selected and randomly divided into an obser-vation group (bundle nursing based on insulation intervention) and a control group (conventional nursing), with 52 patients in each group, using a random number table method. Monitor the temperature changes of two groups of pa-tients before surgery, 30 minutes during surgery, 60 minutes during surgery, 60 minutes after surgery, and compare the coagulation function indicators [fi brinogen (FIB), thrombin time (TT), activated partial thromboplastin time (APTT)] of the two groups of patients before surgery and 60 minutes after surgery. Result The observation group had signifi cantly higher body temperatures at 30 minutes, 60 minutes, and after surgery compared to the control group (P ＜ 0.05). There was no signifi cant diff erence in FIB, TT, and APTT between the two groups of patients before and 60 minutes after surgery (P ＞ 0.05). At 60 minutes after surgery, the FIB level in the observation group was higher than that in the control group, while TT and APTT were shorter than those in the control group (P＜0.05). Conclusion Bundle nursing based on insulation intervention can signifi cantly maintain stable intraoperative body temperature and coagulation function indicators in LC patients.

Key words: Insulation, Bundled care, Laparoscopic cholecystectomy, Changes in body temperature, Coagulation function