保暖措施對等候手術病人體溫改善成效

Effects of a Warming Strategy on the Temperature of Patients Waiting for Surgery

鄭如玉(Ru-Yu Cheng) ； 林雅慧(Ya-Hui Lin) ； 闕可欣(Ke-Hsin Chueh)

《護理雜誌》 58卷6期 (2011/12) Pp. 65-72

https://doi.org/10.6224/JN.58.6.64

摘要

Background:Patient hypothermia is a critical nursing problem in the preoperative room. Applying an appropriate temperature control strategy prior to surgery helps patients maintain body temperature and physical comfort.Purpose:This project assessed the temperature effects of a coat warming strategy on preoperative patients.Methods:This quasi-experimental study invited 60 participants who were divided into two groups, namely an experimental group (n = 30) that used a coat temperature control strategy and a control group (n = 30) that used a routine strategy. We analyzed changes in patient-perceived temperature, auricular temperature, skin color at the distal end of extremities, and Dali lithosporic at the upper arm. Measurements were taken once at pretest and at 5 and 10 minutes after intervention.Results:Compared with the control group, experimental group patients reported feeling significantly less cold (p ＜ .001, 5 minutes after intervention; p = .001) and had lower Dali lithosporic (p ＜ .001, 5 minutes after intervention),higher auricular temperature (p = .026, 5 minutes after intervention) and pinker skin color at the distal end of their extremities(p = .016, 5 minutes after intervention).Conclusions / Implications for practice:This evidence-based result offers nurses a suggested strategy for effective control of patient temperature.

關鍵字

保暖 ； 冷 ； 耳溫 ； 大理石斑 ； 末梢肢體顏色

並列摘要

Background:Patient hypothermia is a critical nursing problem in the preoperative room. Applying an appropriate temperature control strategy prior to surgery helps patients maintain body temperature and physical comfort.Purpose:This project assessed the temperature effects of a coat warming strategy on preoperative patients.Methods:This quasi-experimental study invited 60 participants who were divided into two groups, namely an experimental group (n = 30) that used a coat temperature control strategy and a control group (n = 30) that used a routine strategy. We analyzed changes in patient-perceived temperature, auricular temperature, skin color at the distal end of extremities, and Dali lithosporic at the upper arm. Measurements were taken once at pretest and at 5 and 10 minutes after intervention.Results:Compared with the control group, experimental group patients reported feeling significantly less cold (p ＜ .001, 5 minutes after intervention; p = .001) and had lower Dali lithosporic (p ＜ .001, 5 minutes after intervention),higher auricular temperature (p = .026, 5 minutes after intervention) and pinker skin color at the distal end of their extremities(p = .016, 5 minutes after intervention).Conclusions / Implications for practice:This evidence-based result offers nurses a suggested strategy for effective control of patient temperature.

並列關鍵字

Warming ； Cold ； Auricular Temperature ； Dali Lithosporic ； Skin Color at Distal end of Extremities