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Determination of the Incidence of Inadvertent Perioperative Hypothermia, Thermal Comfort, and Factors Affecting Thermal Comfort in Patients Undergoing Elective Surgery: A Cross-Sectional Study

Yıl 2024, Cilt: 13 Sayı: 4, 1797 - 1806, 25.12.2024

Sema Serpil Kılıç , Aynur Koyuncu , Ayla Yava

https://doi.org/10.37989/gumussagbil.1412478

Öz

ABSTRACT
The aim of this study is to determine the incidence of hypothermia, thermal comfort, and factors affecting thermal comfort in patients undergoing elective surgery during the perioperative period.
Conducted between October 1, 2020, and March 1, 2021, this cross-sectional study, approved ethically, involved 306 elective surgery patients. Data, collected during nine perioperative periods (T0-T8) by nurses in surgical wards and operating rooms, used a literature-based form. The reporting of the study utilized the STROBE checklist Statistical analysis with SPSS 22.0 set a significance level of p<0.05.
The mean age of the patients was 41.81±16.00, and 74.8% of them were female. The average body temperature of the patients was as follows: during the intraoperative period (T3, T4, T5) (35.87±0.52, 35.31±0.58, 35.64±0.51, respectively) and in the recovery room (T6) (35.56±0.51). Additionally, there was a statistically significant difference between the mean body temperature of T3, T4, T5, and T6, and the mean temperature during the preoperative period (T0) (p<0.05). Patients' thermal comfort was compromised during their stay in the recovery room. Factors contributing to the deterioration of patients' thermal comfort included inadequate clothing, insufficient covers, absence of socks on their feet, and frequent uncovering for treatment and care procedures.
The findings of this study indicate that patients undergoing elective surgery experienced hypothermia in the intraoperative setting as well as in the recovery room, which can be attributed to impaired thermal comfort during their stay in the recovery room.
Keywords: Inadvertent Perioperative Hypothermia, Nursing, Body Temperature, Thermal Comfort, Shivering

Anahtar Kelimeler

Inadvertent Perioperative Hypothermia Nursing Body Temparature Thermal Comfort Shivering

Etik Beyan

Araştırmaya başlamadan önce Hasan Kalyoncu Üniversitesi Girişimsel Olmayan Araştırmalar etik kurulundan onay alınmıştır (Onay No:2020/70).

Destekleyen Kurum

Araştırma herhangi bir kurum tarafından desteklenmemiştir.

Proje Numarası

1111

Kaynakça

  • 1. The Turkish Anaesthesiology and Reanimation Society Guidelines for the prevention of inadvertent perioperative hypothermia. (2013). Turkish journal of anaesthesiology and reanimation, 41(5), 188–190. https://doi.org/10.5152/TJAR.2013.64
  • 2. Akers, J. L., Dupnick, A. C., Hillman, E. L., Bauer, A. G., Kinker, L. M., & Hagedorn Wonder, A. (2019).”Inadvertent Perioperative Hypothermia Risks and Postoperative Complications: A Retrospective Study”. AORN journal, 109(6), 741–747. https://doi.org/10.1002/aorn.12696
  • 3. Burns, S. M., Wojnakowski, M., Piotrowski, K., & Caraffa, G. (2009). “Unintentional hypothermia: implications for perianesthesia nurses”. Journal of perianesthesia nursing: official journal of the American Society of PeriAnesthesia Nurses, 24(3), 167–176. https://doi.org/10.1016/j.jopan.2009.03.003
  • 4. Lynch, S., Dixon, J., & Leary, D. (2010). “Reducing the risk of unplanned perioperative hypothermia”. AORN journal, 92(5), 553–565. https://doi.org/10.1016/j.aorn.2010.06.015
  • 5. Knaepel A. (2012). “Inadvertent perioperative hypothermia: a literature review”. Journal of perioperative practice, 22(3), 86–90. https://doi.org/10.1177/175045891202200302
  • 6. Vural, F., Çelik, B., Deveci, Z., & Yasak, K. (2018). “Investigation of inadvertent hypothermia incidence and risk factors”. Turkish journal of surgery, 34(4), 300–305. https://doi.org/10.5152/turkjsurg.2018.3992
  • 7. Hooper, V. D., Chard, R., Clifford, T., Fetzer, S., Fossum, S., Godden, B., Martinez, E. A., Noble, K. A., O'Brien, D., Odom-Forren, J., Peterson, C., Ross, J., Wilson, L., & ASPAN (2010). “ASPAN's evidence-based clinical practice guideline for the promotion of perioperative normothermia: second edition”. Journal of perianesthesia nursing: official journal of the American Society of PeriAnesthesia Nurses, 25(6), 346–365. https://doi.org/10.1016/j.jopan.2010.10.006
  • 8. Alderson, P., Campbell, G., Smith, A. F., Warttig, S., Nicholson, A., & Lewis, S. R. (2014). “Thermal insulation for preventing inadvertent perioperative hypothermia”. The Cochrane database of systematic reviews, 2014(6), CD009908. https://doi.org/10.1002/14651858.CD009908.pub2
  • 9. McSwain JR., Yared M., Doty JW and Wilson SH (2015). “Perioperative hypothermia: Causes, consequences, and treatment”. World J Anesthesiol. 27; 4: 58-65. DOI: 10.5313/wja.v4.i3.58
  • 10. Kurz, A., Sessler, D. I., & Lenhardt, R. (1996). “Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization”. Study of Wound Infection and Temperature Group. The New England journal of medicine, 334(19), 1209–1215. https://doi.org/10.1056/NEJM199605093341901
  • 11. Yılmaz, H., & Khorshid, L. (2023). “The Effects of Active Warming on Core Body Temperature and Thermal Comfort in Patients After Transurethral Resection of the Prostate: A Randomized Clinical Trial”. Clinical nursing research, 32(2), 313–322. https://doi.org/10.1177/10547738221090593
  • 12. De Mattia, A. L., Barbosa, M. H., De Mattia Rocha, A., Farias, H. L., Santos, C. A., & Santos, D. M. (2012). “Hipotermia em pacientes no período perioperatório [Hypothermia in patients during the perioperative period]”. Revista da Escola de Enfermagem da U S P, 46(1), 60–66. https://doi.org/10.1590/s0080-62342012000100008
  • 13. Kang, S., & Park, S. (2020). “Effect of the ASPAN Guideline on Perioperative Hypothermia Among Patients With Upper Extremity Surgery Under General Anesthesia: A Randomized Controlled Trial”. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 35(3), 298–306. https://doi.org/10.1016/j.jopan.2019.11.004
  • 14. Karalapillai, D., Story, D. A., Calzavacca, P., Licari, E., Liu, Y. L., & Hart, G. K. (2009). “Inadvertent hypothermia and mortality in postoperative intensive care patients: retrospective audit of 5050 patients”. Anaesthesia, 64(9), 968–972. https://doi.org/10.1111/j.1365-2044.2009.05989.x
  • 15. Giuliano, K. K., & Hendricks, J. (2017). “Inadvertent Perioperative Hypothermia: Current Nursing Knowledge”. AORN journal, 105(5), 453–463. https://doi.org/10.1016/j.aorn.2017.03.003
  • 16. Emanuel, E. J., Wendler, D., Killen, J., & Grady, C. (2004). “What makes clinical research in developing countries ethical? The benchmarks of ethical research”. The Journal of infectious diseases, 189(5), 930–937. https://doi.org/10.1086/381709
  • 17. World Medical Association (2013). “World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects”. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053
  • 18. Sessler D. I. (2009). “Thermoregulatory defense mechanisms”. Critical care medicine, 37(7 Suppl), S203–S210. https://doi.org/10.1097/CCM.0b013e3181aa5568
  • 19. Davis, L. L., & Grant, J. S. (1993). “Guidelines for using psychometric consultants in nursing studies”. Research in Nursing & Health, 16(2), 151–155. https://doi.org/10.1002/nur.4770160210
  • 20. Link T. (2020). “Guidelines in Practice: Hypothermia Prevention”. AORN journal, 111(6), 653–666. https://doi.org/10.1002/aorn.13038
  • 21. Bashaw M. A. (2016). “Guideline Implementation: Preventing Hypothermia”. AORN journal, 103(3), 305–313. https://doi.org/10.1016/j.aorn.2016.01.009
  • 22. Ireland, S., Murdoch, K., Ormrod, P., Saliba, E., Endacott, R., Fitzgerald, M., & Cameron, P. (2006). “Nursing and medical staff knowledge regarding the monitoring and management of accidental or exposure hypothermia in adult major trauma patients”. International journal of nursing practice, 12(6), 308–318. https://doi.org/10.1111/j.1440-172X.2006.00589.x
  • 23. Rajagopalan, S., Mascha, E., Na, J., & Sessler, D. I. (2008). “The effects of mild perioperative hypothermia on blood loss and transfusion requirement”. Anesthesiology, 108(1), 71–77. https://doi.org/10.1097/01.anes.0000296719.73450.52
  • 24. Torossian, A., Bräuer, A., Höcker, J., Bein, B., Wulf, H., & Horn, E. P. (2015). “Preventing inadvertent perioperative hypothermia”. Deutsches Arzteblatt international, 112(10), 166–172. https://doi.org/10.3238/arztebl.2015.0166
  • 25. Hart, S. R., Bordes, B., Hart, J., Corsino, D., & Harmon, D. (2011). “Unintended perioperative hypothermia”. Ochsner journal, 11(3), 259–270.

Determination of the Incidence of Inadvertent Perioperative Hypothermia, Thermal Comfort, and Factors Affecting Thermal Comfort in Patients Undergoing Elective Surgery: A Cross-Sectional Study

Yıl 2024, Cilt: 13 Sayı: 4, 1797 - 1806, 25.12.2024

Sema Serpil Kılıç , Aynur Koyuncu , Ayla Yava

https://doi.org/10.37989/gumussagbil.1412478

Öz

ABSTRACT
The aim of this study is to determine the incidence of hypothermia, thermal comfort, and factors affecting thermal comfort in patients undergoing elective surgery during the perioperative period.
Conducted between October 1, 2020, and March 1, 2021, this cross-sectional study, approved ethically, involved 306 elective surgery patients. Data, collected during nine perioperative periods (T0-T8) by nurses in surgical wards and operating rooms, used a literature-based form. The reporting of the study utilized the STROBE checklist Statistical analysis with SPSS 22.0 set a significance level of p<0.05.
The mean age of the patients was 41.81±16.00, and 74.8% of them were female. The average body temperature of the patients was as follows: during the intraoperative period (T3, T4, T5) (35.87±0.52, 35.31±0.58, 35.64±0.51, respectively) and in the recovery room (T6) (35.56±0.51). Additionally, there was a statistically significant difference between the mean body temperature of T3, T4, T5, and T6, and the mean temperature during the preoperative period (T0) (p<0.05). Patients' thermal comfort was compromised during their stay in the recovery room. Factors contributing to the deterioration of patients' thermal comfort included inadequate clothing, insufficient covers, absence of socks on their feet, and frequent uncovering for treatment and care procedures.
The findings of this study indicate that patients undergoing elective surgery experienced hypothermia in the intraoperative setting as well as in the recovery room, which can be attributed to impaired thermal comfort during their stay in the recovery room.
Keywords: Inadvertent Perioperative Hypothermia, Nursing, Body Temperature, Thermal Comfort, Shivering

Anahtar Kelimeler

Inadvertent Perioperative Hypothermia Nursing Body Temparature Thermal Comfort Shivering

Proje Numarası

1111

Kaynakça

  • 1. The Turkish Anaesthesiology and Reanimation Society Guidelines for the prevention of inadvertent perioperative hypothermia. (2013). Turkish journal of anaesthesiology and reanimation, 41(5), 188–190. https://doi.org/10.5152/TJAR.2013.64
  • 2. Akers, J. L., Dupnick, A. C., Hillman, E. L., Bauer, A. G., Kinker, L. M., & Hagedorn Wonder, A. (2019).”Inadvertent Perioperative Hypothermia Risks and Postoperative Complications: A Retrospective Study”. AORN journal, 109(6), 741–747. https://doi.org/10.1002/aorn.12696
  • 3. Burns, S. M., Wojnakowski, M., Piotrowski, K., & Caraffa, G. (2009). “Unintentional hypothermia: implications for perianesthesia nurses”. Journal of perianesthesia nursing: official journal of the American Society of PeriAnesthesia Nurses, 24(3), 167–176. https://doi.org/10.1016/j.jopan.2009.03.003
  • 4. Lynch, S., Dixon, J., & Leary, D. (2010). “Reducing the risk of unplanned perioperative hypothermia”. AORN journal, 92(5), 553–565. https://doi.org/10.1016/j.aorn.2010.06.015
  • 5. Knaepel A. (2012). “Inadvertent perioperative hypothermia: a literature review”. Journal of perioperative practice, 22(3), 86–90. https://doi.org/10.1177/175045891202200302
  • 6. Vural, F., Çelik, B., Deveci, Z., & Yasak, K. (2018). “Investigation of inadvertent hypothermia incidence and risk factors”. Turkish journal of surgery, 34(4), 300–305. https://doi.org/10.5152/turkjsurg.2018.3992
  • 7. Hooper, V. D., Chard, R., Clifford, T., Fetzer, S., Fossum, S., Godden, B., Martinez, E. A., Noble, K. A., O'Brien, D., Odom-Forren, J., Peterson, C., Ross, J., Wilson, L., & ASPAN (2010). “ASPAN's evidence-based clinical practice guideline for the promotion of perioperative normothermia: second edition”. Journal of perianesthesia nursing: official journal of the American Society of PeriAnesthesia Nurses, 25(6), 346–365. https://doi.org/10.1016/j.jopan.2010.10.006
  • 8. Alderson, P., Campbell, G., Smith, A. F., Warttig, S., Nicholson, A., & Lewis, S. R. (2014). “Thermal insulation for preventing inadvertent perioperative hypothermia”. The Cochrane database of systematic reviews, 2014(6), CD009908. https://doi.org/10.1002/14651858.CD009908.pub2
  • 9. McSwain JR., Yared M., Doty JW and Wilson SH (2015). “Perioperative hypothermia: Causes, consequences, and treatment”. World J Anesthesiol. 27; 4: 58-65. DOI: 10.5313/wja.v4.i3.58
  • 10. Kurz, A., Sessler, D. I., & Lenhardt, R. (1996). “Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization”. Study of Wound Infection and Temperature Group. The New England journal of medicine, 334(19), 1209–1215. https://doi.org/10.1056/NEJM199605093341901
  • 11. Yılmaz, H., & Khorshid, L. (2023). “The Effects of Active Warming on Core Body Temperature and Thermal Comfort in Patients After Transurethral Resection of the Prostate: A Randomized Clinical Trial”. Clinical nursing research, 32(2), 313–322. https://doi.org/10.1177/10547738221090593
  • 12. De Mattia, A. L., Barbosa, M. H., De Mattia Rocha, A., Farias, H. L., Santos, C. A., & Santos, D. M. (2012). “Hipotermia em pacientes no período perioperatório [Hypothermia in patients during the perioperative period]”. Revista da Escola de Enfermagem da U S P, 46(1), 60–66. https://doi.org/10.1590/s0080-62342012000100008
  • 13. Kang, S., & Park, S. (2020). “Effect of the ASPAN Guideline on Perioperative Hypothermia Among Patients With Upper Extremity Surgery Under General Anesthesia: A Randomized Controlled Trial”. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 35(3), 298–306. https://doi.org/10.1016/j.jopan.2019.11.004
  • 14. Karalapillai, D., Story, D. A., Calzavacca, P., Licari, E., Liu, Y. L., & Hart, G. K. (2009). “Inadvertent hypothermia and mortality in postoperative intensive care patients: retrospective audit of 5050 patients”. Anaesthesia, 64(9), 968–972. https://doi.org/10.1111/j.1365-2044.2009.05989.x
  • 15. Giuliano, K. K., & Hendricks, J. (2017). “Inadvertent Perioperative Hypothermia: Current Nursing Knowledge”. AORN journal, 105(5), 453–463. https://doi.org/10.1016/j.aorn.2017.03.003
  • 16. Emanuel, E. J., Wendler, D., Killen, J., & Grady, C. (2004). “What makes clinical research in developing countries ethical? The benchmarks of ethical research”. The Journal of infectious diseases, 189(5), 930–937. https://doi.org/10.1086/381709
  • 17. World Medical Association (2013). “World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects”. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053
  • 18. Sessler D. I. (2009). “Thermoregulatory defense mechanisms”. Critical care medicine, 37(7 Suppl), S203–S210. https://doi.org/10.1097/CCM.0b013e3181aa5568
  • 19. Davis, L. L., & Grant, J. S. (1993). “Guidelines for using psychometric consultants in nursing studies”. Research in Nursing & Health, 16(2), 151–155. https://doi.org/10.1002/nur.4770160210
  • 20. Link T. (2020). “Guidelines in Practice: Hypothermia Prevention”. AORN journal, 111(6), 653–666. https://doi.org/10.1002/aorn.13038
  • 21. Bashaw M. A. (2016). “Guideline Implementation: Preventing Hypothermia”. AORN journal, 103(3), 305–313. https://doi.org/10.1016/j.aorn.2016.01.009
  • 22. Ireland, S., Murdoch, K., Ormrod, P., Saliba, E., Endacott, R., Fitzgerald, M., & Cameron, P. (2006). “Nursing and medical staff knowledge regarding the monitoring and management of accidental or exposure hypothermia in adult major trauma patients”. International journal of nursing practice, 12(6), 308–318. https://doi.org/10.1111/j.1440-172X.2006.00589.x
  • 23. Rajagopalan, S., Mascha, E., Na, J., & Sessler, D. I. (2008). “The effects of mild perioperative hypothermia on blood loss and transfusion requirement”. Anesthesiology, 108(1), 71–77. https://doi.org/10.1097/01.anes.0000296719.73450.52
  • 24. Torossian, A., Bräuer, A., Höcker, J., Bein, B., Wulf, H., & Horn, E. P. (2015). “Preventing inadvertent perioperative hypothermia”. Deutsches Arzteblatt international, 112(10), 166–172. https://doi.org/10.3238/arztebl.2015.0166
  • 25. Hart, S. R., Bordes, B., Hart, J., Corsino, D., & Harmon, D. (2011). “Unintended perioperative hypothermia”. Ochsner journal, 11(3), 259–270.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Akut Bakım, Cerrahi Hastalıklar Hemşireliği, Yoğun Bakım Hemşireliği, Hemşirelik (Diğer)
Bölüm Makaleler
Yazarlar

Sema Serpil Kılıç 0000-0002-6740-9025

Aynur Koyuncu 0000-0003-3486-458X

Ayla Yava 0000-0003-3468-6779

Proje Numarası 1111
Yayımlanma Tarihi 25 Aralık 2024
Gönderilme Tarihi 31 Aralık 2023
Kabul Tarihi 11 Mayıs 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 13 Sayı: 4

Kaynak Göster

APA Kılıç, S. S., Koyuncu, A., & Yava, A. (2024). Determination of the Incidence of Inadvertent Perioperative Hypothermia, Thermal Comfort, and Factors Affecting Thermal Comfort in Patients Undergoing Elective Surgery: A Cross-Sectional Study. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 13(4), 1797-1806. https://doi.org/10.37989/gumussagbil.1412478
AMA Kılıç SS, Koyuncu A, Yava A. Determination of the Incidence of Inadvertent Perioperative Hypothermia, Thermal Comfort, and Factors Affecting Thermal Comfort in Patients Undergoing Elective Surgery: A Cross-Sectional Study. Gümüşhane Sağlık Bilimleri Dergisi. Aralık 2024;13(4):1797-1806. doi:10.37989/gumussagbil.1412478
Chicago Kılıç, Sema Serpil, Aynur Koyuncu, ve Ayla Yava. “Determination of the Incidence of Inadvertent Perioperative Hypothermia, Thermal Comfort, and Factors Affecting Thermal Comfort in Patients Undergoing Elective Surgery: A Cross-Sectional Study”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13, sy. 4 (Aralık 2024): 1797-1806. https://doi.org/10.37989/gumussagbil.1412478.
EndNote Kılıç SS, Koyuncu A, Yava A (01 Aralık 2024) Determination of the Incidence of Inadvertent Perioperative Hypothermia, Thermal Comfort, and Factors Affecting Thermal Comfort in Patients Undergoing Elective Surgery: A Cross-Sectional Study. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13 4 1797–1806.
IEEE S. S. Kılıç, A. Koyuncu, ve A. Yava, “Determination of the Incidence of Inadvertent Perioperative Hypothermia, Thermal Comfort, and Factors Affecting Thermal Comfort in Patients Undergoing Elective Surgery: A Cross-Sectional Study”, Gümüşhane Sağlık Bilimleri Dergisi, c. 13, sy. 4, ss. 1797–1806, 2024, doi: 10.37989/gumussagbil.1412478.
ISNAD Kılıç, Sema Serpil vd. “Determination of the Incidence of Inadvertent Perioperative Hypothermia, Thermal Comfort, and Factors Affecting Thermal Comfort in Patients Undergoing Elective Surgery: A Cross-Sectional Study”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13/4 (Aralık 2024), 1797-1806. https://doi.org/10.37989/gumussagbil.1412478.
JAMA Kılıç SS, Koyuncu A, Yava A. Determination of the Incidence of Inadvertent Perioperative Hypothermia, Thermal Comfort, and Factors Affecting Thermal Comfort in Patients Undergoing Elective Surgery: A Cross-Sectional Study. Gümüşhane Sağlık Bilimleri Dergisi. 2024;13:1797–1806.
MLA Kılıç, Sema Serpil vd. “Determination of the Incidence of Inadvertent Perioperative Hypothermia, Thermal Comfort, and Factors Affecting Thermal Comfort in Patients Undergoing Elective Surgery: A Cross-Sectional Study”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 13, sy. 4, 2024, ss. 1797-06, doi:10.37989/gumussagbil.1412478.
Vancouver Kılıç SS, Koyuncu A, Yava A. Determination of the Incidence of Inadvertent Perioperative Hypothermia, Thermal Comfort, and Factors Affecting Thermal Comfort in Patients Undergoing Elective Surgery: A Cross-Sectional Study. Gümüşhane Sağlık Bilimleri Dergisi. 2024;13(4):1797-806.
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