主动保暖对术后体温过低患者体温及热舒适度的影响：一项随机对照试验
The Effect of Active Warming on Postoperative Hypothermia on Body Temperature and Thermal Comfort: A Randomized Controlled Trial.
作者信息
Özsaban Aysel, Acaroğlu Rengin
机构信息
Department of Nursing, Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Turkey.
Department of Fundamentals of Nursing, Florence Nightingale Faculty of Nursing, İstanbul University-Cerrahpaşa, Istanbul, Turkey.
出版信息
J Perianesth Nurs. 2020 Aug;35(4):423-429. doi: 10.1016/j.jopan.2019.12.006. Epub 2020 Apr 29.
PURPOSE
The purpose of this study was to determine the effect of active warming method in temperature control and thermal comfort in hypothermia after surgery.
DESIGN
A randomized controlled trial.
METHODS
The study sample consisted of 64 male and female postanesthesia care unit and intensive care unit neurosurgery postoperative inpatients. The experimental group was warmed using the active warming method, and the control group's routine care was continued via a cotton blanket. Patients were warmed until their tympanic body temperature reached 37°C.
FINDINGS
The time needed to adequately warm patients was approximately twice as short in those who received active warming as compared with the control group. The perception of thermal comfort was significantly higher in the first hour in patients who received the active warming method (P < .05).
CONCLUSIONS
The active warming method resulted in a shorter time to warming in hypothermia after surgery and an increase in the perception of thermal comfort and body temperature.
目的
本研究旨在确定主动升温方法对术后体温过低患者体温控制及热舒适度的影响。
设计
一项随机对照试验。
方法
研究样本包括64名麻醉后护理单元及重症监护病房的神经外科术后住院患者，男女皆有。实验组采用主动升温方法进行升温，对照组则通过棉被继续进行常规护理。将患者体温升至鼓膜体温达到37°C。
结果
与对照组相比，接受主动升温的患者达到充分升温所需时间约缩短一半。接受主动升温方法的患者在第一个小时内热舒适度感知显著更高（P < 0.05）。
结论
主动升温方法可缩短术后体温过低患者的升温时间，并提高热舒适度感知及体温。
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