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全膝关节置换术前主动保暖对术中体温及舒适度的影响:一项随机对照试验

The Effect of Active Warming Before Total Knee Arthroplasty on Intraoperative Body Temperature and Comfort: A Randomized Control Trial.

作者信息

Özsoy Hatice, Dolgun Eda

机构信息

Gölhisar Vocational School of Health Services First and Emergency Aid Program, Burdur Mehmet Akif Ersoy University, Burdur, Türkiye.

Department of Surgical Nursing, Faculty of Nursing, Ege University, İzmir, Türkiye.

出版信息

J Perianesth Nurs. 2025 Jun;40(3):564-573. doi: 10.1016/j.jopan.2024.06.116. Epub 2024 Sep 30.

Abstract

PURPOSE

This study was conducted to determine the effect of active warming on intraoperative body temperature and comfort before total knee arthroplasty.

DESIGN

This study was a randomized controlled trial designed according to the Consolidated Standards of Reporting Trials.

METHODS

The study was conducted on 54 patients in a public hospital in Türkiye. In the study, patients in the intervention group were prewarmed for 30 minutes before surgery. The patients in the intervention and control groups were warmed with a warming bed during the surgery.

FINDINGS

In this study, the first entry temperature to the operating room after anesthesia induction and the mean body temperature of the patients in the intervention group were higher than the control group. The mean comfort score of the patients in the intervention group was higher than the control group.

CONCLUSIONS

As a result of this study, we found that the combination of preoperative prewarming and intraoperative warming reduced the decrease in the patient's body temperature and increased the comfort.

摘要

目的

本研究旨在确定主动升温对全膝关节置换术前术中体温及舒适度的影响。

设计

本研究是一项根据《报告试验的统一标准》设计的随机对照试验。

方法

本研究在土耳其一家公立医院的54名患者中进行。在研究中,干预组患者在手术前进行30分钟的预升温。干预组和对照组患者在手术期间使用升温床进行升温。

结果

在本研究中,麻醉诱导后进入手术室的初始体温以及干预组患者的平均体温均高于对照组。干预组患者的平均舒适度评分高于对照组。

结论

作为本研究的结果,我们发现术前预升温与术中升温相结合可减少患者体温下降并提高舒适度。

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