기본간호학회지 (Journal of Korean Academy of Fundamentals of Nursing)

  • 제21권2호
  • /
  • Pages.112-122
  • /
  • 2014
  • /
  • 1225-9012(pISSN)
  • /
  • 2287-1802(eISSN)
기본간호학회 (Korean Academy of Fundamentals of Nursing)
권호 표지
DOI QR코드

DOI QR Code

웹기반 체온 관리 근거중심 간호실무 가이드라인이 위절제술 환자의 체온, 전율, 체온 불편감, 체온 관리 만족도에 미치는 효과

Use of Web-Based Evidence-based Clinical Practice Guidelines for Patients following Gastrectomy: Effects on Body Temperature, Shivering, Perceived Thermal Comfort, and Satisfaction with Temperature Management

  • 홍성정 (세명대학교 간호대학) ;
  • 이은주 (경북대학교 간호대학 간호학과 간호과학연구소)
  • Received : 2013.11.07
  • Accepted : 2014.03.13
  • Published : 2014.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

Abstract

Purpose: The purpose of this study was to examine the effects on body temperature, shivering, and perceived thermal comfort of web-based evidence-based practice guideline for patients undergoing gastrectomy. Methods: Eighty patients scheduled for gastrectomy were recruited and assigned to the control or experimental group by sequential order. Before collecting data from the experimental group, a systematic educational program on evidence-based guidelines was provided to the nurses as well anesthesiologists. Data were analyzed using t-test and repeated measured ANOVA. Results: The experimental group showed higher body temperature from the induction of anesthesia until four hours after surgery compared to the control group. In addition, the levels of thermal comfort as well as satisfaction with thermal management were significantly higher in the experiment group. Conclusion: Use of evidence-based guidelines was effective in maintaining body temperature, lowering sensitivity to shivering, and promoting perceived thermal comfort. Therefore, adoption of evidence-based interventions in nursing practice is recommended.

Keywords

References

  1. Andrzejowski, J., Hoyle, J., Eapen, G., & Turnbull, D. (2008). Effect of prewarming on post-induction core temperature and the incidence of inadvertent perioperative hypothermia in patients undergoing general anaesthesia. British Journal of Anaesthesia, 101, 627-631. http://dx.doi.org/10.1093/bja/aen272.
  2. Berry, D., Wick, C., & Magons, P. (2008). A clinical evaluation of the cost and time effectiveness of the ASPAN hypothermia guideline. Journal of Perianesthesia Nursing, 23, 24-35. http://dx.doi.org/10.1016/j.jopan.2007.09.010.
  3. Bratton, S. L., Chestnut, R. M., Ghajar, J., McConnell Hammond, F. F., Harris, O. A., Hartl, R., et al. (2007). Guidelines for the management of severe traumatic brain injury. XIII. Antiseizure prophylaxis. Journal of Neurotrauma, 24, S83-86.
  4. Collins, V. J. (1996). Physiologic and pharmacologic bases of anesthesia. Philadelphia, PA: Lippincott Williams & Wilkins.
  5. Cooper, S. (2006). The effect of preoperative warming on patients' postoperative temperatures. Association of periOperative Registered Nurses Journal, 83, 1073-1076, 1079-1084.
  6. Courtney, M. (2005). Evidence for nursing practice. Marrickville: Churchill Livingstone.
  7. Eberhart, L. H., Doderlein, F., Eisenhardt, G., Kranke, P., Sessler, D. I., Torossian, A., et al. (2005). Independent risk factors for postoperative shivering. Anesthesia and Analgesia, 101, 1849-1857. http://dx.doi.org/10.1213/01.ANE.0000184128.41795.FE
  8. Fallis, W. M., Hamelin, K., Symonds, J., & Wang, X. (2006). Maternal and newborn outcomes related to maternal warming during cesarean delivery. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35, 324-331. https://doi.org/10.1111/j.1552-6909.2006.00052.x
  9. Fanelli, A., Danelli, G., Ghisi, D., Ortu, A., Moschini, E., & Fanelli, G. (2009). The efficacy of a resistive heating under-patient blanket versus a forced-air warming system: A randomized controlled trial. Anesthesia and Analgesia, 108, 199-201. http://dx.doi.org/10.1213/ane.0b013e31818e6199.
  10. Forbes, S. S., Eskicioglu, C., Nathens, A. B., Fenech, D. S., Laflamme, C., McLean, R. F., et al. (2009). Evidence-based guidelines for prevention of perioperative hypothermia. Journal of the American College of Surgeons, 209, 492-503. https://doi.org/10.1016/j.jamcollsurg.2009.07.002
  11. Fossum, S., Hays, J., & Henson, M. M. (2001). A comparison study on the effects of prewarming patients in the outpatient surgery setting. Journal of Perianesthesia Nursing, 16, 187-194. https://doi.org/10.1053/jpan.2001.24039
  12. Gerrish, K., Ashworth, P., Lacey, A., Bailey, J., Cooke, J., Kendall, S., et al. (2007). Factors influencing the development of evidence-based practice: A research tool. Journal of Advanced Nursing, 57, 328-338. http://dx.doi.org/10.1111/j.1365-2648.2006.04112.x
  13. Hooper, V. D., Chard, R., Clifford, T., Fetzer, S., Fossum, S., Godden, B., et al. (2010). ASPAN's evidence-based clinical practice guideline for the promotion of perioperative normothermia: Second edition. Journal of Perianesthesia Nursing, 25, 346-365. http://dx.doi.org/10.1016/j.jopan.2010.10.006
  14. Horn, E. P., Schroeder, F., Gottschalk, A., Sessler, D. I., Hiltmeyer, N., Standl, T., et al. (2002). Active warming during cesarean delivery. Anesthesia and Analgesia, 94, 409-414.
  15. Jeran, L., Hooper, V. D., McAuliffe, M., & Brown-Mahoney, C. (2001). Evaluation of ASPAN's clinical guideline for the prevention of unplanned perioperative hypothermia. Presented at ASPAN's 20th National Conference, April 1-5, Boston, MA.
  16. Kang, S. M., Kim, H. Y., Park, K. S., & Park, Y. S. (2010). Methodology of online survey questionnaire based on webgame towards spacial color combination and affective word. Journal of the Korea Contents Association, 10, 133-141.
  17. Kiekkas, P., & Karga, M. (2005). Prewarming: Preventing intraoperative hypothermia. British Journal of Perioperative Nursing, 15, 444, 446-447, 449-451.
  18. Kim, J. O., Chung, Y., & Park, Y. J. (2008). The effects of warming methods on the anxiety and cold discomfort of patients undergoing operation under spinal anesthesia. Medical Journal of Chosun University, 33, 96-109.
  19. Kim, J. Y., Shinn, H., Oh, Y. J., Hong, Y. W., Kwak, H. J., & Kwak, Y. L. (2006). The effect of skin surface warming during anesthesia preparation on preventing redistribution hypothermia in the early operative period of off-pump coronary artery bypass surgery. European Journal of Cardio-thoracic Surgery: Official Journal of the European Association for Cardio-thoracic surgery, 29, 343-347. http://dx.doi.org/10.1016/j.ejcts.2005.12.020.
  20. McCall, E. M., Alderdice, F. A., Halliday, H. L., Jenkins, J. G., & Vohra, S. (2008). Interventions to prevent hypothermia at birth in preterm and/or low birthweight infants. Cochrane Database of Systematic Reviews, 23, CD004210. http://dx.doi.org/10.1002/14651858.CD004210.pub4
  21. National Collaborating Centre for Nursing and Supportive Care (UK). (2008). The management of inadvertent perioperative hypothermia in adults (NICE Clinical Guidelines, No. 65). London: Royal College of Nursing (UK).
  22. Park, Y. W. (1999). Effect of pre-and intraoperative warming on tympanic temperature and thermal-discomfort of the patients with gastrectomy. Unpublished master's thesis, Yonsei University of Korea, Seoul.
  23. Petsas, A., Vollmer, H., & Barnes, R. (2009). Peri-operative warming in caesarean sections. Anaesthesia, 64, 921-922. http://dx.doi.org/10.1111/j.1365-2044.2009.06026.x.
  24. Schmitt, M. B., Titler, M. G., Herr, K. A., & Ardery, G. (2004). Challenges of web-based education in educating nurses about evidence-based acute pain management practices for older adults. Journal of Continuing Education in Nursing, 35, 121-127.
  25. Sessler, D. I. (2008). Temperature monitoring and perioperative thermoregulation. Anesthesiology, 109, 318-338. http://dx.doi.org/10.1097/ALN.0b013e31817f6d76
  26. Wagner, D., Byrne, M., & Kolcaba, K. (2006). Effects of comfort warming on preoperative patients. Association of periOperative Registered Nurses Journal, 84, 427-448.
  27. Yoo, J. B., Park, H. J., Chae, J. Y., Lee, E. J., Shin, Y. J., Ko, J. S., et al. (2013). Effects of ASPAN's evidence-based clinical practice guidelines for promotion of hypothermia of patients with total knee replacement arthroplasty. Journal of Korean Academy of Nursing, 43, 352-360. http://dx.doi.org/10.4040/jkan.2013.43.3.352

Cited by

  1. Effect of Evidence-based Clinical Practice Guidelines for Promotion of Postoperative Nausea and Vomiting of Patients with Laparoscopic Hysterectomy vol.27, pp.5, 2015, https://doi.org/10.7475/kjan.2015.27.5.481
  2. Effect of the ASPAN Guideline on Perioperative Hypothermia Among Patients With Upper Extremity Surgery Under General Anesthesia: A Randomized Controlled Trial vol.35, pp.3, 2014, https://doi.org/10.1016/j.jopan.2019.11.004