围手术期意外低温:当前护理知识

Inadvertent Perioperative Hypothermia: Current Nursing Knowledge.

作者信息

Giuliano Karen K, Hendricks Jane

出版信息

AORN J. 2017 May;105(5):453-463. doi: 10.1016/j.aorn.2017.03.003.

Abstract

Inadvertent perioperative hypothermia is estimated to affect 70% of surgical patients and is associated with adverse clinical outcomes, lengthened hospital stays, and increased costs. To better understand the current level of nursing knowledge on this subject since the release of the "Guideline for prevention of unplanned patient hypothermia," we conducted an e-mail survey of AORN members. The overall response rate was 6.5% (N = 324), and most responding nurses overestimated or underestimated the lower and upper limits for normothermia. When asked about the most common complications associated with hypothermia, respondents identified shivering (68.2%), surgical site infections (65.4%), and cardiac events (61.7%); only 44.8% and 33.6% identified blood loss and pressure injuries, respectively. These results indicate a need for ongoing interventions to increase awareness and promote best practices to prevent and manage inadvertent perioperative hypothermia.

摘要

据估计,70%的手术患者会在围手术期意外发生体温过低,这与不良临床结局、住院时间延长及费用增加有关。为了更好地了解自《预防患者意外体温过低指南》发布以来,护理人员对该主题的当前认知水平,我们对美国手术室注册护士协会(AORN)的成员进行了电子邮件调查。总体回复率为6.5%(N = 324),大多数做出回复的护士高估或低估了正常体温的下限和上限。当被问及与体温过低相关的最常见并发症时,受访者指出有寒战(68.2%)、手术部位感染(65.4%)和心脏事件(61.7%);只有44.8%和33.6%的受访者分别指出了失血和压力性损伤。这些结果表明,需要持续采取干预措施,以提高认识并推广预防和管理围手术期意外体温过低的最佳做法。

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