预热对术后低温,生命体征和热舒适度的影响:一个随机对照试验
Refiye Akpolat1, Sevban Arslan2
1Nursing Department, Faculty of Health Sciences, Kocaeli Health and Technology University, Kocaeli, Turkey.
Therapeutic hypothermia and temperature management
|June 16, 2023
概括
手术前加热可以有效地预防术后低温,并改善患者的舒适度. 活跃加热在维持正常热量和增加手术后的热舒适度方面表现出卓越的结果.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 患者安全 患者安全
背景情况:
- 手术后低温是手术后的一个常见并发症.
- 维持正常热量对于患者的康复和舒适至关重要.
- 研究了手术前升温策略,以减轻低温风险.
研究的目的:
- 评估术前主动和被动加热对术后低温的影响.
- 评估变暖干预措施对生命体征和热舒适度的影响.
- 为了比较选择性开放腹部手术患者的积极变暖,被动变暖和对照组.
主要方法:
- 一项随机对照试验,涉及90名接受选择性开放腹部手术的患者.
- 患者被分为三个组:主动升温,被动升温或对照组.
- 记录了手术前和手术后的体温,生命体征和热舒适感知得分.
主要成果:
- 在各组的手术前体温值中发现了统计学上显著的差异 (p=0.000).
- 术后热舒适感知得分在各组之间有显著差异 (p=0.000).
- 积极升温组报告了比被动升温和对照组更高的术后舒适度得分.
结论:
- 术前加热方法在预防术后低温方面是有效的.
- 活跃的变暖会导致更短的时间到正常热量和改善的生命体征.
- 预热增强了手术患者的术后热舒适感.
更多相关视频
05:00Short-Duration Hypothermia Induction in Rats using Models for Studies examining Clinical Relevance and Mechanisms
Published on: March 3, 2021
3.0K
08:22In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model
Published on: October 27, 2020
3.1K
相关概念视频
Decreased Body Temperature
657
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
657
Factors Affecting Body Temperature
4.5K
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
4.5K
Methods of reducing fever
707
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
707
Temperature and Thermal Equilibrium
6.9K
Heat and temperature are essential concepts for everyone every day. The study of heat and temperature is part of an area of physics known as thermodynamics. It is not always easy to distinguish heat and temperature.
The concept of temperature has evolved from the common concepts of hot and cold. The scientific definition of temperature explains more than just our sense of hot and cold. Temperature is operationally defined as the quantity measured with a thermometer. Furthermore, temperature is...
The concept of temperature has evolved from the common concepts of hot and cold. The scientific definition of temperature explains more than just our sense of hot and cold. Temperature is operationally defined as the quantity measured with a thermometer. Furthermore, temperature is...
6.9K
Peripheral Artery Disease V: Postoperative Nursing Management
13
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
13
Thermoregulation
1.1K
The human body has a sophisticated thermoregulation system that employs negative feedback mechanisms to maintain an optimal core temperature. When the core temperature drops, peripheral and central thermoreceptors send signals to the hypothalamus, activating the heat-promoting center. This center triggers several responses aimed at increasing the core temperature. First, vasoconstriction reduces the flow of warm blood from internal organs to the skin so that the heat is not lost from the skin,...
1.1K
