比較兩種回溫設備對於骨科手術病人回溫及舒適度之效果

Comparison of the Effectiveness between Heater Lamps and Electrical Blankets in Restoring Normothermia and Improving Patients' Comfort after Orthopedics Surgery

陳慈桑(Tzu-Sang Chen) ； 魏方君(Fang-Chun Wei)

《榮總護理》 28卷3期 (2011/09) Pp. 258-265

https://doi.org/10.6142/VGHN.28.3.258

摘要

For decades, patients' safety and comfort have been a significant issue. However, there was a lack of studies to compare the differences in effectiveness and comfort score between the use of transitional heater lamps and electrical blankets. The purpose of this study was to compare the effectiveness and comfort score between the use of heater lamps and electrical blankets in orthopedics surgery. This study employed a quasi-experimental design and purposive sampling. The participants were assigned randomly to two groups: the experiment group (n=77) and the control group (n=71). The control group received the standard PACU rewarming intervention (i.e., one warm cotton blanket and a hospital bedspread) plus 4 heater lamps. The experiment group received the standard PACU rewarming intervention plus an electric blanket between a warm cotton blanket and a hospital bedspread. Nurses measured patients' vital signs and asked for patients' subjective comfort score on admission to the PACU every 15 minutes until discharging from PACU. The cumulative percentage tympanic thermometry was greater in the control group from 30 minutes after arrival at PACU. The cumulative percentage comfort score was greater in the control group from 15 minutes after arrival at PACU. Results suggested that the heater lamp had effectively improved postoperative temperature and comfort score with an evidence-based intervention.

關鍵字

低體溫 ； 骨科手術 ； 舒適度 ； 保溫燈 ； 電溫毯

並列摘要

For decades, patients' safety and comfort have been a significant issue. However, there was a lack of studies to compare the differences in effectiveness and comfort score between the use of transitional heater lamps and electrical blankets. The purpose of this study was to compare the effectiveness and comfort score between the use of heater lamps and electrical blankets in orthopedics surgery. This study employed a quasi-experimental design and purposive sampling. The participants were assigned randomly to two groups: the experiment group (n=77) and the control group (n=71). The control group received the standard PACU rewarming intervention (i.e., one warm cotton blanket and a hospital bedspread) plus 4 heater lamps. The experiment group received the standard PACU rewarming intervention plus an electric blanket between a warm cotton blanket and a hospital bedspread. Nurses measured patients' vital signs and asked for patients' subjective comfort score on admission to the PACU every 15 minutes until discharging from PACU. The cumulative percentage tympanic thermometry was greater in the control group from 30 minutes after arrival at PACU. The cumulative percentage comfort score was greater in the control group from 15 minutes after arrival at PACU. Results suggested that the heater lamp had effectively improved postoperative temperature and comfort score with an evidence-based intervention.

並列關鍵字

Hypothermia ； orthopedics surgery ； comfort score ； heater lamps ； electrical blankets