This study randomly divided 800 patients undergoing hysteroscopy at XX Gynecological Hospital into two groups and administered different hypothermia prevention nursing interventions during surgery. A Logistic regression model was then used to analyze the factors contributing to hypothermia in hysteroscopy patients during surgery. Additionally, the study compared changes in body temperature, postoperative recovery indicators, nursing satisfaction, stress response, complications, and coagulation function between the two groups. Results indicated that for patients with a BMI value, preoperative body temperature, and operating room temperature of ≤23.17, 36.5°C, and 22.5°C, respectively, and a surgical duration >15.5 minutes, precise intervention measures could be implemented to reduce the incidence of intraoperative hypothermia. Thermal care interventions had a positive impact on body temperature and stress responses in gynecological hysteroscopy patients. The use of heating blankets can reduce the incidence of intraoperative hypothermia in hysteroscopy patients and improve postoperative comfort. Thermal care in gynecological hysteroscopy surgery effectively protects patients’ coagulation function, reduces the incidence of shivering, and shortens postoperative recovery time.