POSTOPERATIVE HYPOTHERMIA CONTROL: EFFECT OF ELECTRIC AND WOOLLEN BLANKET

Yıl 2024, Cilt: 13 Sayı: 3, 1056 - 1065, 26.09.2024

Esra Ertemür , Sevilay Şenol Çelik , Fethiye Erdil

https://doi.org/10.37989/gumussagbil.1321887

Öz

Postoperative hypothermia is very common in elderly patients. It causes severe surgical complications resulting in depletion of reserves in total knee arthroplasty(TKA) patients. Normothermia should, therefore, be maintained in those patients. Purpose was to determine the effect of using both electric and woolen blankets on the management of postoperative hypothermia in TKA patients. This experimental study was conducted in a public hospital in Turkey. The study sample consisted of 46 patients equally divided into two groups. Experimental participants used both electric and wool blankets while control participants received routine care. Body temperature, feeling cold, and shivering were repeatedly measured before and after surgery. Control participants had significantly higher body temperatures in their rooms after surgery and in the first 15 minutes than experimental participants. Experimental participants showed a more rapid rise in body temperature than control participants. Using both wool and electric blankets increased body temperature.

Anahtar Kelimeler

Hypothermia, postoperative period, heating method, aged.

AMELİYAT SONRASI HİPOTERMİ KONTROLÜ: ELEKTRİKLİ VE YÜN BATTANİYE ETKİSİ

Öz

Postoperatif hipotermi yaşlı hastalarda çok yaygındır. Total diz artroplastisi (TDA) hastalarında rezervlerin tükenmesine neden olan ciddi cerrahi komplikasyonlara neden olur. Bu nedenle bu hastalarda normotermi korunmalıdır. Amaç, TDA hastalarında postoperatif hipoterminin yönetiminde hem elektrikli hem de yün battaniye kullanımının etkisini belirlemekti. Bu deneysel çalışma Türkiye'de bir devlet hastanesinde yapılmıştır. Çalışmanın örneklemini eşit olarak iki gruba ayrılan 46 hasta oluşturdu. Deneysel katılımcılar hem elektrikli hem de yün battaniye kullanırken, kontrol katılımcıları rutin bakım aldı. Vücut ısısı, üşüme ve titreme ameliyattan önce ve sonra tekrar tekrar ölçüldü. Kontrol katılımcıları, ameliyattan sonra ve ilk 15 dakikada odalarında deney katılımcılarına göre önemli ölçüde daha yüksek vücut sıcaklıklarına sahipti. Deneysel katılımcılar, vücut sıcaklığında kontrol katılımcılarına göre daha hızlı bir artış gösterdi. Hem yün hem de elektrikli battaniye kullanmak vücut ısısını artırdı.

Anahtar Kelimeler

Hipotermi, postoperatif dönem, ısıtma yöntemi, yaşlı.

Kaynakça

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