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外科护士对围手术期意外低温的认知与实践

Knowledge and Practices of Surgical Nurses on Inadvertent Perioperative Hypothermia.

作者信息

Koyuncu Aynur, Güngör Songül, Yava Ayla

机构信息

Department of Nursing, Hasan Kalyoncu University, Faculty of Health Sciences, Gaziantep, Turkey.

Department of Nursing, Osmaniye Korkut Ata University, Faculty of Health Sciences, Osmaniye, Turkey.

出版信息

Florence Nightingale J Nurs. 2023 Feb;31(1):18-25. doi: 10.5152/FNJN.2022.21324.

Abstract

AIM

This study aimed to determine surgical nurses' knowledge of the risk factors and complications of inadvertent perioperative hypothermia and the practices preferred to prevent inadvertent perioperative hypothermia and to provide normothermia.

METHODS

This descriptive study was conducted on 122 volunteer nurses working in the surgical clinics of a state and a private hospital between August 1 and September 15, 2019. The data collection form included questions to determine the characteristics of nurses and the risk factors, complications, and preventive practices of inadvertent perioperative hypothermia. The data forms were distributed by visiting the nurses one by one and were retrieved after an appropriate time. For statistical analyses, Statistical Package for the Social Sciences 22.0 software was used.

RESULTS

The most known risk factors for IPH were "excessive blood loss" (75.4%), "anemia" (73.0%), and "inadequate covering of the patient/ not enough clothing" (72.9%). The most known complications of inadvertent perioperative hypothermia were "increased oxygen consumption and need" (65.6%), "hypoxemia" (61.5%), and "hypoxia" (49.4%). The most preferred method to provide normothermia in the perioperative period was "covering the patient with a blanket" (80.3%).

CONCLUSION

In this study, nurses did not have enough information about the risk factors and complications of Inadvertent perioperative hypothermia. In addition, it was determined that most of the nurses did not use the methods in the guidelines to prevent inadvertend perioperative hypothermia.

摘要

目的

本研究旨在确定外科护士对围手术期意外低温的危险因素和并发症的了解情况,以及预防围手术期意外低温并维持正常体温所偏好的做法。

方法

本描述性研究于2019年8月1日至9月15日对在一家公立和一家私立医院外科门诊工作的122名志愿护士进行。数据收集表包括用于确定护士特征以及围手术期意外低温的危险因素、并发症和预防措施的问题。数据收集表通过逐一拜访护士进行分发,并在适当时间后收回。统计分析使用社会科学统计软件包22.0软件。

结果

围手术期意外低温最广为人知的危险因素是“失血过多”(75.4%)、“贫血”(73.0%)和“患者覆盖不足/衣物不够”(72.9%)。围手术期意外低温最广为人知的并发症是“氧消耗和需求增加”(65.6%)、“低氧血症”(61.5%)和“缺氧”(49.4%)。围手术期维持正常体温最常用的方法是“用毯子覆盖患者”(80.3%)。

结论

在本研究中,护士对围手术期意外低温的危险因素和并发症了解不足。此外,研究发现大多数护士未采用指南中预防围手术期意外低温的方法。

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