Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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The Effect of Pre-warming for Patients under Abdominal Surgery on Body Temperature, Anxiety, Pain, and Thermal Comfort

Forced-air Warming System을 이용한 수술 전 가온이 복부 수술 환자의 체온, 불안, 통증 및 온도 편안감에 미치는 효과

  • 박옥분 (건국대학교병원 수술간호팀) ;
  • 최희정 (건국대학교 간호학과)
  • Received : 2009.07.22
  • Accepted : 2010.05.19
  • Published : 2010.06.30
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Abstract

Purpose: The purpose of this study was to examine the effect of pre-warming on body temperature, anxiety, pain, and thermal comfort. Methods: Forty patients who were scheduled for abdominal surgery were recruited as study participants and were assigned to the experimental or control group. For the experimental group, a forced air warmer was applied for 45-90 min (M=68.25, SD=15.50) before surgery. Body temperature and anxiety were measured before and after the experiment, but pain and thermal comfort were assessed only after the surgery. Hypotheses were tested using t-test and repeated measured ANOVA. Results: The experimental group showed higher body temperature than the control group from right before induction to two hours after surgery. Post-operative anxiety and pain in the experimental group were less than those of the control group. In addition, the score of thermal comfort was significantly higher in the experiment group. Conclusion: Pre-warming is effective in maintaining body temperature, lowering sensitivity to pain and anxiety, and promoting thermal comfort. Therefore, pre-warming can be recommended as a preoperative nursing intervention.

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References

  1. Andrzejowski, J., Hoyle, J., Eapen, G., & Turnbull, D. (2008). Effect of prewarming on post-induction core temperature and the incidence of inadvertent perioperative hypothermia in patients undergoing general anaesthesia. British Journal of Anaesthesia, 101, 627-631. https://doi.org/10.1093/bja/aen272
  2. Berman, A., Snyder, S., Kozier, B., & Erb, G. (2008). Kozier &Erb's fundamentals of nursing: Concepts, process, and practice (8th ed.). Upper Saddle River, NJ: Prentice Hall Health.
  3. Berti, M., Casati, A., Torri, G., Aldegheri, G., Lugani, D., & Fanelli, G. (1997). Active warming, not passive heat retention, maitains normothermia during combined epidural-general anesthesia for hip and knee arthroplasty. Journal of Clinical Anesthesia, 9, 482-486. https://doi.org/10.1016/S0952-8180(97)00105-0
  4. Borms, S., Engelen, S., Himpe, D., Suy, C., & Theunissen, W. (1994). Bair hugger forced-air warming maintains normothermai more effectively than thermo-lite insulation. Journal of Clinical Anesthesia, 6, 303-307. https://doi.org/10.1016/0952-8180(94)90077-9
  5. Camus, Y., Delva, E., Sessler, D., & Lienhart, A. (1995). Pre-induction skin-surface warming minimizes intraoperative core hypotheria. Journal of Clinical Anesthesia, 7, 384-388. https://doi.org/10.1016/0952-8180(95)00051-I
  6. Cooper, S. (2006). The effect of preoperative warming on patients' postoperative temperatures. AORN Journal, 83, 1074-1076, 1079-1084.
  7. Fanelli, A., Danelli, G., Ghisi, D., Ortu, A., Moschini, E., & Fanelli, G. (2009). The efficacy of a resistive heating under-patient blanket versus a forced-air warming system: A randomized controlled trial. Anesthesia and Analgesia, 108, 199-201. https://doi.org/10.1213/ane.0b013e31818e6199
  8. Fossum, S., Hays, J., & Henson, M. M. (2001). A comparison study on the effects of prewarming patients in the outpatient surgery setting. Journal of Perianesthesia Nursing, 16, 187-194. https://doi.org/10.1053/jpan.2001.24039
  9. Insler, S. R., & Sessler, D. I. (2006). Perioperative thermoregulation and temperature monitoring. Anesthesiology Clinics, 24, 823-837. https://doi.org/10.1016/j.atc.2006.09.001
  10. Kiekkas, P., & Karga, M. (2005). Prewarming: Preventing intraoperative hypothermia. British Journal of Perioperative Nursing, 15, 444, 446-447, 449-451.
  11. Kim, C., Baek, W., Hong, J., Park, J., & Kim, B. (1988). Temperature changes during general anesthesia. Journal of Korean Society Anesthesiology, 21, 27-32.
  12. Kim, J. Y., Shinn, H., Oh, Y. J., Hong, Y. W., Kwak, H. J., & Kwak, Y. L. (2006). The effect of skin surface warming during anesthesia preparation on preventing redistribution hypothermia in the early operative period of off-pump coronary artery bypass surgery. European Journal of Cardiothoracic Surgery, 29, 343-347. https://doi.org/10.1016/j.ejcts.2005.12.020
  13. Kolcaba, K. (2003). Comfort theory and practice: A vision for holistic health care and research. New York, NY: Springer Publishing Co.
  14. Lim, S., Cho, M., & Choi, K. (1997). The effect of preoperative warming on reducing rectal temperature drop in surgical patients. The Journal of Korean Academic Society of Adult Nursing, 9, 55-69.
  15. Murat, I., Berniere, J., & Constant, I. (1994). Evaluation of the efficacy of a forced-air wamer (Bair Hugger) during spinal surgery in children. Journal of Clinical Anesthesia, 6, 425-429. https://doi.org/10.1016/S0952-8180(05)80016-9
  16. Negishi, C., Hasegawa, K., Mukai, S., Nakagawa, F., Ozaki, M., & Sessler, D. I. (2003). Resistive-heating and forced-air warming are comparably effective. Anesthesia and Analgesia, 96, 1683-1687.
  17. Odom, M. (1999). Maintaining intraoperative normothermia: A meta-analysis of outcomes with costs. AANA Journal, 67, 155-164.
  18. Putzu, M., Casati, A., Berti, M., Pagliarini, G., & Fanelli, G. (2007). Clinical complications, monitoring and management of perioperative mild hypothermia: Anesthesiological features. Acta Biomedica, 78, 163-169.
  19. Robinson, S., & Benton, G. (2002). Warm blankets. Geriatric Nursing, 23, 320-323. https://doi.org/10.1067/mgn.2002.130273
  20. Rose, D. K., Cohen, M. M., & Soutter, D. I. (1992). Laparoscopic cholecystectomy: The anaesthetist's point of view. Canadian Journal of Anaesthesia, 39, 809-815. https://doi.org/10.1007/BF03008293
  21. Sessler, D. I. (2000). Perioperative heat balance. Anesthesiology, 92, 578-596. https://doi.org/10.1097/00000542-200002000-00042
  22. Sessler, D. I. (2008). Temperature monitoring and perioperative thermoregulation. Anesthesiology, 109, 318-338. https://doi.org/10.1097/ALN.0b013e31817f6d76
  23. Spielberger, C., Gorsuch, R., Lushene, R., Vagg, P., & Jacobs, G. (1983). Manual for the state-trait anxiety inventory for adults. Palo Alto, CA: Consulting Psychologists Press.
  24. Vanni, S. M., Braz, J. R., Modolo, N. S., Amorim, R. B., & Rodrigues, G. R. Jr. (2003). Preoperative combined with intraoperative skin-surface warming avoids hypothermia caused by general anesthesia and surgery. Journal of Clinical Anesthesia, 15, 119-125. https://doi.org/10.1016/S0952-8180(02)00512-3
  25. Wagner, D., Byrne, M., & Kolcaba, K. (2006). Effects of comfort warming on preoperative patients. AORN Journal, 84, 427-448. https://doi.org/10.1016/S0001-2092(06)63920-3
  26. Wilson, L., & Kolcaba, K. (2004). Practical application of comfort theory in the perianesthesia setting. Journal of Perianesthesia Nursing, 19, 164-173. https://doi.org/10.1016/j.jopan.2004.03.006

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