Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Effectiveness of Active Warming Intervention for Women Undergoing Cesarean Section: A Systematic Review and Meta-analysis

제왕절개 환자에서 적극적 가온 요법의 효과: 체계적 문헌고찰 및 메타분석

  • Choi, Jung Eun (Graduate School, College of Nursing, Korea University) ;
  • Kim, Mee Sun (Department of Nursing, Korea University Anam Hospital) ;
  • Song, Jin Ran (Department of Nursing, Korea University Anam Hospital)
  • 최정은 (고려대학교 간호대학 대학원) ;
  • 김미선 (고려대학교 안암병원) ;
  • 송진란 (고려대학교 안암병원)
  • Received : 2017.05.26
  • Accepted : 2017.08.15
  • Published : 2017.08.31
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Abstract

Purpose: The aim of this study was to synthesize the best available evidence for active warming interventions during cesarean section. Methods: A database search was done for randomized controlled trials utilizing active warming interventions. Maternal temperature, shivering and neonatal temperature were evaluated as outcome variables. Data were analyzed using Cochrane Review Manager software Version 5.3. Results: Thirteen studies including 1306 patients were reviewed. The degree of lowering of maternal temperature decreased in the warmed fluids (MD 0.51; p=.004) and warming mattress interventions (MD 0.22; p<.001) compared with control groups. Incidence of shivering was also lower in the active warming group (OR 0.55; p=.003). There was no statistically significant difference in maternal temperature with a forced air warming intervention (MD 0.64; p=.15) or in neonatal temperature (MD 0.12; p=.26). Conclusion: Findings show that with warmed fluids and warming mattresses applied during cesarean sections maternal temperature decline was reduced and also the incidence of shivering declined, but no significant effect was observed for forced air warming interventions. These findings provide a basis for developing a warming guideline for women having a cesarean section and will help to improve the quality of care for cesarean section patients.

Keywords

References

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