Browse > Article

Rewarming Intervention Program for Abdominal Surgery Patients  

Ahn, Hye-Young (College of Nursing, Eulji University)
Eom, Mi-Ran (Department of Nursing, Mokpo National University)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.17, no.2, 2010 , pp. 220-230 More about this Journal
Abstract
Purpose: This study was done to identify differences in three groups of operative patients (Forced Air Warming, Electrical Blanketrol, Control) for discomfort and pattern of body temperature during surgery and post operatively. Methods: The sample consisted of 3 randomized 3 groups of abdominal surgery patients admitted to an university hospital in D-city : The Bair Hugger and upper body blanket were used with the first group, electrical blanketrol with PVC Film with the second, and the third group was the control. ANOVA was used with the WIN SPSS 17.0 program to analyze the data. Results: Significant differences were found among the three groups for tympanic and esophageal body temperature at 1 hour after starting surgery. There was significant difference in tympanic body temperature during the 15 minute stay in the post anesthetic room. There were no significant differences in thermal discomfort while in the post anesthetic room. or There among the three groups for serum cortisol during surgery. Conclusion: According to the results of this study, application of a Bair Hugger or electrical blanketrol improves maintenance of body temperature of operative patients as well as body temperature of post operative patients, and is a clinically significant warming method providing a more consistent body temperature.
Keywords
Hypothermia; Temperature; Shivering;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Wagner, K., Swanson, E., Raymond, C. J., & Smith, C. E. (2008). Comparison of two convective warming systems during major abdominal and orthopedic surgery. Canadian Journal of Anesthesia, 55(6), 358-363.   DOI   ScienceOn
2 White, H. E., Thurston, N. E., & Blackmore, K. A., Green, S. E., & Hannah, K. J. (1987). Body temperature in elderly surgical patients. Research in Nursing & Health, 10(5), 317-321.   DOI   ScienceOn
3 Lamke, L. O., Lennquist, S., Liljedahl, S. O., & Wedin, B. (1972). The influence of cold stress on catecholamine excretion and oxygen uptake of normal persons. Scandinavian Journal of Clinical and Laboratory Investigation, 30(1), 57-62.   DOI   ScienceOn
4 Just, B., Trevien, V., Delva, E., & Lienhart, A. (1993). Prevention of Intraoperative hypothermia by preoperative skin-surface warming, Anesthesiology, 79(2), 214-218.   DOI   ScienceOn
5 Lehot, J. J., Villard, J., Piriz, H., Philbin, D. M., Carry, P, Y., Gauquelin, G., et al. (1992), Hemodynamic and hormonal responses to hypothermic and normothermic cardiopulmonary bypass. Journal of Cardiothoracic and Vascular Anesthesia, 6(2), 132-139.   DOI   ScienceOn
6 Murat, I, $Bemi\grave{e}re$, J., & Constant, I (1994). Evaluation of the efficacy of a forced-air warmer (Bair Hugger) during spinal surgery in children. Journal of Clinical Anesthesia 6(5), 425-429.   DOI   ScienceOn
7 Lee, S. O. (2008). The effects of warming interventions on body temperature and thermal discomfort in LA VH patients. Unpublished master's thesis, Eulji University, Daejeon.
8 Martin, J. H., & Hind, B. S. C. (1994), An investigation into factors that esophageal temperature during surgery not involving body cavities, Anesthesiology, 32, 102-107.
9 Kongsayreepong, S., Gunnaleka, P., Suraseranivongse, S., Pirayavarapom, S., Chowvanayotin, S., Montapaneewat, T., et al (2002). A reusable, custom-made warming blanket prevents core hypothermia during major neonatal surgery. Canadian Journal of Anesthesia, 49(6), 605-609.   DOI   ScienceOn
10 Defina, J., & Lincoln, J. (1998). Prevalence of inadvertent hypothermia during the peri operative period: a quality assurance and performance improvement study. Journal of PeriAnesthesia Nursing, 13(4), 229-235.   DOI   ScienceOn
11 Collins, V. J. (1996). Temperature regulation and heat problems. in Collins, V. J. (Eds), Physiologic and pharmacologic bases of anesthesia, Baltimore, MD: Williams & Wilkins.
12 Kim, C. G., Baek, W. Y., Hong, J. G., Park, J. W., & Kim, B. K. (1988). Temperature changes during general anesthesia. Korean Journal of Anesthesiology, 21(1), 27-32.
13 Kim, M. G. (2006). Comparison of warming methods on body temperature change and thermal discomfort in abdominal surgery patients. Unpublished master's thesis, Dong Eui University, Busan.
14 Cho, S. H. (2005). The effects of aroma hand massage on stress response in hospitalized elderly patients. Unpublished doctoral dissertation, Kosin University, Busan.
15 Choi, K. H. (2007). Comparison of the effects of warming methods on body temperature change, shivering, and postanesthesia recovery in a recovery room. Unpublished master's thesis, Dong Eui University, Busan.
16 Chung, S. W. (2007). The effects of relaxation music on cortisol of stress response. Unpublished master's thesis, Sookmyoung Women's University, Seoul.
17 Park, Y. W. (1998), The effect of pre-and intraoperative warming on tympanic temperature and thermal-discomfort of the patients with gastrectomy. Unpublished master's thesis, Yonsei University, Seoul.
18 Brauer, A., English, M. J., Steinmetz, N., Lorenz, N., Perl, T., Weyland, W., et al. (2007). Efficacy of forced-air warming systems with full body blankets. Canadian Journal of Anesthesia, 54(1), 34-41.   DOI   ScienceOn
19 Wilkerson, J. E., Raven, P. B., Bolduan, N. W., & Horvath, S. M. (1974). Adaptations in man's adrenal function in response to acute cold stress. Journal of Applied Physiology, 36(2), 183-189.
20 Yi, J. W., & Choi, Y. K. (2003). The hemodynamic changes and stress hormone responses to mild intraoperative hypothermia during intravenous anesthesia. Korean Journal of Anesthesiology, 45(6), 702-709.
21 Roberts, A. (1989). Hypothermia. Nursing times, 85(6), 59-62.
22 Seo, Y. G. (2001). The effect of warming method for prevention of hypothermia of perioperative pediatric patients. Unpublished master's thesis, Seoul National University, Seoul.
23 Sessler, D. I., McGuire, I., Hynson, I., Moayeri, A., & HeIer, T. (1992). Thermoregulatory vasoconstriction during isoflurane anesthesia minimally decreases cutaneous heat loss. Anesthesiology, 76(5), 670-675.   DOI   ScienceOn
24 Morris, R. H, (1971). Operating room temperature and the anesthetized, paralyzed patient. Archives of Surgery, 102(2), 95-97.   DOI   ScienceOn
25 Slotman, G. J., Jed, E. H., & Burchard, K. W. (1985). Adverse effects of hypothermia in postoperative patients, The American Journal of Surgery, 149(4), 495-501.   DOI   ScienceOn
26 Vogelsang, J. (1994). Patients talk about their postanesthesia shaking experiences. Journal of post anesthesia nursing, 9(4), 214-218.
27 Miller R. D. (2005). Anesthesia 6th ed. Philadelphia: Elsevier.