Page 103 - 健康與建築Vol.4 No.2

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全身麻醉病人術後介入保暖措施改善低體溫之成效探討
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The Impact of Postoperative Warming of General Anesthesia

Patients on Prevention of Postoperative Hypothermia

Huang, Chiung-Hui1 Wu, Chen-Hui 2 Chang, I-Hua3 Chai, Ru-Chyung4

Chang, Hsuan-Chi5Hong, Shiao-Pei6*

1,2,3,4,5Nurse, Department of Healthcare Administration, Taipei Veterans General Hospital

6Head Nurse, Department of Nursing, Taipei Veterans General Hospital

Abstract

Background: Postoperative hypothermia and chills are common problems in surgical patients, and they may

lead to an increase in postoperative complications, wound healing time, infection rate and tissue oxygen

consumption generated by shaking.

Purposes: To explore the relationship between postoperative body temperature and comfort after general

anesthesia with abdominal surgery, and by the intervention measures of using air blower warm blanket or

warm lamps, to improve postoperative hypothermia after general anesthesia with abdominal surgery.

Methods: The quasi-experimental study was designed to investigate 127 postoperative patients in a recovery

center of a medical center in Taipei City. The body temperature was measured every 15 minutes and the
thermal comfort scale was used. All data were analyzed with SPSS 22.0.

Results: The study shows that air blower warm blanket is better than warm lamps for the patients after
general anesthesia with abdominal surgery. At 30 minutes after the start of the experiment, the cumulative

percentage of patients in the air blower warm blanket group at the temperature above 36C and the thermal

comfort level of 4 points was higher than the cumulative percentage of warm lamps.

Conclusions/Implications for Practice: The results showed that appropriate warm care measures will

reduce postoperative hypothermia, prevent postoperative complications at least, and ensure quality care.

J
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Keywords: hypothermia, general anesthesia, Abdominal surgery, Warm lamps, air blower warm blanket.
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Accepted for publication: October 1 , 2017
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Corresponding author : Hong, Shiao-Pei
Arc
Address : 3F APOR, No.201, Sec. 2, Shipai Rd., Beitou District, Taipei City, Taiwan (R.O.C),112 hit
ect
Tel : 0922347006
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E-mail : sphong@vghtpe.gov.tw
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