Sağlık Çalışanlarının İstemsiz Perioperatif Hipotermi Hakkındaki Bilgi ve Uygulamaları

Yıl 2024, Cilt: 7 Sayı: 1, 244 - 254, 25.03.2024

Özlem Şahin Akboğa

https://doi.org/10.38108/ouhcd.1284783

Öz

Amaç: Bu çalışma, sağlık çalışanlarının istemsiz perioperatif hipotermi (İPH) hakkındaki bilgi düzeylerini ve İPH’yi önleme uygulamalarını belirlenmeyi amaçladı.
Yöntem: Araştırma, tanımlayıcı-kesitsel olarak, 26.01.2023-05.03.2023 tarihleri arasında, bir üniversitenin uygulama ve araştırma merkezinin ameliyathane ve cerrahi kliniklerinde görev yapan 107 sağlık çalışanı ile yürütüldü. Veriler, “Tanımlayıcı Bilgi Formu” ve “İPH Bilgi ve Uygulamalar Formu” ile toplandı.
Bulgular: Araştırmada, katılımcıların İPH ile ilgili bilgi puan ortalamasının orta düzeyde (8.04±1.65) olduğu, İPH bilgi puan ortalaması ile cinsiyet, görev/unvan ve eğitim durumu arasında anlamlı bir fark olduğu saptandı (p<0.05). Sağlık çalışanların çoğunluğun İPH’yi önlemeye yönelik pre ve post-operatif vücut sıcaklığı takibi yaptığı ancak, katılımcıların ameliyat sırası İPH’yi önleme müdahalelerini oldukça düşük oranlarda uyguladığı ve cerrahi klinik çalışanlarının yaklaşık yarısının özellikle ameliyat sırası İPH’yi önlemeye yönelik uygulamaları bilmediği belirlendi.
Sonuç: Sağlık çalışanlarının İPH hakkındaki bilgi düzeyinin artırılması için, düzenli olarak eğitim verilmelidir. İPH’yi önleme müdahalelerinin kontrol edildiği check-listler oluşturulmalıdır.

Anahtar Kelimeler

bilgi, cerrahi hemşireliği, hipotermi, sağlık çalışanı

Teşekkür

Ankete katılan sağlık çalışanlarına teşekkür ederiz.

Knowledge and Practices of Healthcare Professionals about Involuntary Perioperative Hypothermia

Öz

Objective: This study aimed to determine the level of knowledge of healthcare professionals about inadvertent perioperative hypothermia (IPH) and the frequency of their practices to prevent IPH.
Methods: The study was conducted as a descriptive-cross-sectional study, between 26.01.2023 and 05.03.2023, with 107 healthcare professionals working in the operating room and surgical clinics of a university application and research center. The data were collected with "Descriptive Information Form" and "Applications and Information on Inadvertent Perioperative Hypothermia".
Results: In the study, it was determined that the participants' mean knowledge score about IPH was at a moderate level (8.04±1.65), and there was a significant difference between the mean knowledge score of IPH and gender, job/title, and educational status (p<0.05). It was determined that the majority of healthcare workers monitor pre- and post-operative body temperature to prevent IPH, but the participants implemented intraoperative IPH prevention interventions at very low rates and approximately half of the surgical clinic workers did not know the practices to prevent IPH, especially intraoperative IPH.
Conclusion: To increase the knowledge level of healthcare professionals about IPH, regular training should be given. Checklists should be created for interventions to prevent IPH.

Anahtar Kelimeler

healthcare worker, knowledge, surgical nursing, hypothermia

Kaynakça

• Agresa N, Rahayu H, Limson L. (2018). The relationship between the level of nursing knowledge on prevention of hypothermia post-operation of general anesthesia in the St. Vincentius Hospital year 2017. Scientific Journal of Nursing Resarch, 1(1), 15-21.
• Akers JL, Dupnick AC, Hillman EL, Bauer AG, Kinker LM, Hagedorn Wonder A. (2019). Inadvertent perioperative hypothermia risks and postoperative complications: a retrospective Study. Association of Operating Room Nurses Journal, 109(6), 741–747.
• Alderson P, Campbell G, Smith AF, Warttig S, Nicholson A, Lewis SR. (2014). Thermal insulation for preventing inadvertent perioperative hypothermia. Cochrane Database of Systematic Reviews Journal, 6, 1-57.
• Ayhan S, Ballı SS, Fırat AC, Kayhan Z. (2018). Is hypothermıa preventable durıng cesarean sectıon under spınal anesthesıa?. Journal of Anesthesia. 26(4), 238–244.
• Bender M, Self B, Schroeder E, Giap B. (2015). Comparing new-technology passive warming versus traditional passive warming methods for optimizing perioperative body core temperature. Association of Operating Room Nurses Journal. 102(2), 183.e1-8.
• Bilgin H. (2017). Inadverdent perioperative hypothermia. Turkish Journal of Anaesthesiology and Reanimation, 45(3), 124-126.
• Coello PA, Gatell RJ, Rodriguez FG, Garcia LM, Orrego C, Comas DR. (2010). Clinical practice quideline for the patients safety at surgery setting. Ministry of Science and Innovation. Spain.
• Çoşkun R, Altunışık R, Bayraktaroğlu S, Yıldırım E. (2015). Research methods in social sciences - SPSS applied. 8th Edition. Sakarya, Sakarya Publishing.
• Fathy Mahmoud N, Said Tah, A, Mohammed Hamed S. (2021). Effect of educational program regarding perioperative hypothermia on nurses performance and abdominal surgery patients outcomes. Journal of Nursing Science Benha University, 2(2), 652-670.
• Giuliano KK, Hendricks J. (2017). Inadvertent perioperative hypothermia: Current nursing knowledge. Association of Operating Room Nurses Journal, 105(5), 453-463.
• Guideline for Prevention of Unplanned Patient Hypothermia. (2019). In: Guidelines for perioperative practice. Association of Operating Room Nurses Journal, 567-590. Erişim tarihi:14.11.2021, https://www.aorn.org/guidelines/about-aorn-guidelines/evidence-tables.
• Hegarty J, Walsh E, Burton A, Murphy S, O’Gorman F, McPolin G. (2009). Nurses’ knowledge of inadvertent hypothermia. Association of Operating Room Nurses Journal, 89(4), 701-713.
• Honkavuo L, Loe SAK. (2020). Nurse Anesthetists' and operating theater nurses' experiences with ınadvertent hypothermia in clinical perioperative nursing care. Journal of Perianesthesia Nursing, 35, 676-681. https://doi.org/10.1016/j.jopan.2020.03.011.
• Hooper VD, Chard R, Clifford T, Fetzer S, Fossum S, Godden B, et al. (2010). ASPAN's evidence-based clinical practice guideline for the promotion of perioperative normothermia: Second edition. Journal of Perianesthesia Nursing, 25(6), 346-365.
• Iden T, Höcker J. (2017). Prevention of perioperative hypothermia-guidelines for daily clinical practice. Anasthesiol Intensivmed Notfallmed Schmerzther, 52(7-8), 554-562.
• Karagöz Y, Bardakçı S. (2020). Measurement tools used in scientific research and scale development, Ankara, Nobel Academic.
• Koyuncu A, Güngör S, Yava A. (2023). Knowledge and practices of surgical nurses on inadvertent perioperative hypothermia. Florence Nightingale Journal of Nursing, 31(1), 18-25.
• Mendoza IYQ, Peniche ADCG, Püschel VADA. (2012). Knowledge of hypothermia in nursing professionals of surgical center. Revista da Escola de Enfermagem da USP, 46, 123-129.
• National Institute for Health and Clinical Excellence (NİCE). (2021). Inadvertent perioperative hypothermia overview. Erişim tarihi:20.11.2021, https://pathways.nice.org.uk/pathways/inadvertent-perioperative-hypothermia#path=view%3A /pathways/inadvertent-perioperative-hypothermia /inadvertent-perioperative-hypothermia-overview .xml&content=view-node%3Anodes-intraoperative-phase.
• Putnam K. (2015). Prevention of unplanned patient hypothermia. Association of Operating Room Nurses Journal, 102(4), 10-12.
• Şenol T, Yıldız T. (2020). Effects of a training programme on the awareness of inadvertent perioperative hypothermia among surgical nurses. Current Health Studies, Chapter III. 27.
• Steelman Victoria M, Graling Paula R, Perkhounkova Y. (2013). Priority patient safety ıssues ıdentified by perioperative nurses. Association of Operating Room Nurses Journal, 97(4), 402-418.
• Tamer F, Karadağ M. (2020). Determining the knowledge and interventions by surgical nurses for inadvertent perioperative hypothermia care. Turkiye Klinikleri Journal of Nursing Science, 12(1), 19–29.
• Turkish Anesthesia and Reanimation Association (TARD). (2013). Anesthesia practice guidelines: Guidelines for the prevention of undesirable perioperative hypothermia. Turkish Journal of Anaesthesiology and Reanimation, 41, 188-190.