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护士麻醉师和手术室护士在临床围手术期护理中意外低体温的体验。

Nurse Anesthetists' and Operating Theater Nurses' Experiences with Inadvertent Hypothermia in Clinical Perioperative Nursing Care.

机构信息

Department of Caring Science, Faculty of Educational and Welfare Studies, Åbo Akademi University, Vasa, Finland.

Faculty of Health Studies, VID Specialized University, Oslo, Norway.

出版信息

J Perianesth Nurs. 2020 Dec;35(6):676-681. doi: 10.1016/j.jopan.2020.03.011. Epub 2020 Jun 27.

Abstract

PURPOSE

To deepen the understanding of and describe nurse anesthetists' and operating theater nurses' experiences with inadvertent hypothermia in clinical perioperative nursing care.

DESIGN

Qualitative, explorative, and descriptive study that carries an inductive nature.

METHODS

Focus group interviews with 16 nurse anesthetists and operating theater nurses from four hospitals in Norway. Gadamer's hermeneutics has guided the study's interpretation.

FINDINGS

Taking the temperature and measures against inadvertent hypothermia perioperatively are not always systematically implemented. In the data material, three thematic units emerged: routines and habits, the culture of the perioperative unit, and silent suffering.

CONCLUSIONS

Complications caused by inadvertent hypothermia in surgical patients can lead to unnecessary suffering and prolong the hospital stay. The surgical team's cooperation and responsibility are linked to routine nursing interventions. These depend on the nurses' knowledge and experience as well as their clinical and subjective assessment of the patient's physical condition and the surgical techniques used.

摘要

目的

深化对临床围手术期护理中护士麻醉师和手术室护士意外低体温体验的理解和描述。

设计

具有归纳性质的定性、探索性和描述性研究。

方法

对来自挪威四家医院的 16 名护士麻醉师和手术室护士进行焦点小组访谈。伽达默尔的解释学指导了研究的解释。

发现

手术期间测量体温和采取预防意外低体温的措施并不总是系统实施的。在数据材料中,出现了三个主题单元:常规和习惯、围手术期单位的文化以及无声的痛苦。

结论

手术患者因意外低体温引起的并发症可能导致不必要的痛苦和住院时间延长。手术团队的合作和责任与常规护理干预有关。这些取决于护士的知识和经验以及他们对患者身体状况和所使用的手术技术的临床和主观评估。

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