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The Effect of Using a Normothermia Checklist on Awakening Time From Anesthesia and Coagulation Disorder: A Randomized
Pinar Yilmaz Eker1, Meryem Yilmaz2
1PhD, RN, Assistant Professor, Department of Nursing, Health College, Sivas Cumhuriyet University, Sivas, Turkey.
The Journal of Nursing Research : JNR
|November 28, 2023
Summary
A new normothermia checklist (NC) effectively prevents inadvertent perioperative hypothermia (IPH) in surgical patients. This evidence-based practice significantly reduces anesthesia awakening times and minimizes coagulation disorders, enhancing patient safety.
Area of Science:
- Anesthesiology
- Surgical Nursing
- Patient Safety
Background:
- Inadvertent perioperative hypothermia (IPH) is a prevalent complication in surgical settings.
- Continuous patient monitoring and adherence to evidence-based guidelines are crucial for maintaining normothermia.
- IPH increases the risk of various postoperative complications.
Purpose of the Study:
- To evaluate the efficacy of a researcher-developed normothermia checklist (NC) in preventing IPH.
- To assess the impact of the NC on anesthesia emergence time.
- To determine the effect of the NC on the incidence of coagulation disorders in surgical patients.
Main Methods:
- A randomized controlled trial involving 30 surgical patients.
- Patients were allocated to either an experimental group (receiving NC-guided nursing interventions) or a control group.
- Nursing interventions were systematically applied based on the developed normothermia checklist.
Main Results:
- The normothermia checklist (NC) interventions proved effective in preventing inadvertent perioperative hypothermia (IPH).
- Patients in the experimental group exhibited significantly shorter anesthesia emergence times (3.77 ± 1.10 minutes) compared to the control group (11.03 ± 2.51 minutes).
- A statistically significant reduction in coagulation disorders was observed in the experimental group compared to the control group.
Conclusions:
- Implementing nursing interventions guided by the developed normothermia checklist (NC) is effective in preventing inadvertent perioperative hypothermia (IPH).
- The NC contributes to improved patient outcomes by shortening anesthesia emergence time and reducing coagulation issues.
- Nurses can utilize this evidence-based checklist to enhance surgical patient safety and mitigate complication risks.

