提升全身麻醉手術後病人體溫回升速率之方案

Project to Accelerate Rewarming in Patients with Anesthesia-Related Postoperative Hypothermia

陳清芬(Ching-Fen Chen) ； 張德馨(Te-Hsin Chang) ； 郭俐伶(Li-Lin Kuo) ； 黃瓊瑤(Chyang-Yao Huang)

《馬偕護理雜誌》 3卷1期 (2009/01) Pp. 55-64

https://doi.org/10.29415/JMKN.200901_3(1).0006

摘要

正常體溫是身體進行新陳代謝和生命活動的必要條件。然有許多手術病人曾因麻醉影響，導致低體溫併發症及渾身顫抖的不愉快經驗；故本專案之目的在改善全身（含脊椎）麻醉手術後病人低體溫問題及有效提升體溫回升速率。利用體溫登記表記錄全身麻醉手術後病人的體溫變化，發現體溫低於36℃者達50%，且體溫回升至正常之速度慢。經建立及實施麻醉手術後病人保暖措施護理照護標準、在職教育及定期執行監測等措施後，術後病人體溫回升至36℃之速率，於第30分鐘時之59%提升至82%，而第45分鐘時之68%提升至96%。專案進行期間，護理人員獲得病人體溫的實證數據，除證明護理措施的有效性外，並迅速回升麻醉手術後病人恢復至正常體溫，進而提升照護品質。

關鍵字

低體溫 ； 麻醉手術後病人 ； 體溫回升

並列摘要

Normothermia is essential for the body to carry on metabolism and other vital activities. However, many surgical patients have anesthesia-related hypothermia and shivering. We designed a project to address postoperative hypothermia after either general or spinal anesthesia in order to effectively accelerate the rewarming process. Prior to implementation of the project, a review of records of postoperative patients who had received general anesthesia revealed that the temperature in 50% of patients dropped below 36°C, and the return to normothermia was slow. The project to improve postoperative temperature maintenance included standard nursing procedures, on-the-job training, and regular monitoring. Before the project, the percentage of patients with a temperature of 36°C or above at 30 minutes was 59% and at 45 minutes only 68% After its implementation, the respective proportions improved to 82% and 96%. This project effectively accelerated post-anesthesia return to normothermia and thus enhanced the quality of nursing care.

並列關鍵字

hypothermia ； post-anesthesia ； surgery ； body temperature rise