使用正常体温检查表对麻醉和凝血障碍苏醒时间的影响:一项随机对照试验。

Pinar Yilmaz Eker, Meryem Yilmaz
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引用次数: 0

摘要

背景:意外围手术期低体温(IPH)是外科患者的常见问题。为了避免这一问题,患者应在整个围手术期持续监测。根据相关指南的循证实践对于维持正常生育是必要的。目的:本研究旨在确定使用为预防IPH而制定的对照清单对手术患者麻醉和凝血障碍苏醒时间的影响。方法:采用随机对照研究,根据研究者制定的正常体温检查表(NC)对患者进行护理干预,预防IPH。结果:本研究将30例患者分别分为实验组和对照组。根据对照检查表进行护理干预对预防IPH有效。实验组麻醉苏醒时间(3.77±1.10 min)明显短于对照组(11.03±2.51 min);P < 0.05)。对照组出血倾向高于实验组,凝血功能障碍组间差异有统计学意义(p < 0.05)。结论/实践意义:本循证研究的结果表明,实施符合发达NC的护理干预措施对预防IPH是有效的。预防IPH是护士的一项重要责任,IPH增加了手术患者许多并发症的风险。护士可以采用本研究提出的NC,以更好地确保手术患者的安全性,并将并发症的风险降至最低。
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The Effect of Using a Normothermia Checklist on Awakening Time From Anesthesia and Coagulation Disorder: A Randomized Controlled Trial.

Background: Inadvertent perioperative hypothermia (IPH) is a common issue in surgical patients. To avoid this issue, the patient should be monitored continuously throughout the perioperative process. Evidence-based practices in line with relevant guidelines are necessary to maintain normothermia.

Purpose: This study was developed to determine the effect of using a control list developed for preventing IPH on time of awakening from anesthesia and coagulation disorder in surgical patients.

Methods: In this randomized controlled study, nursing interventions were applied to patients in accordance with the normothermia checklist (NC) developed by the researchers to prevent IPH.

Results: In this study, 30 patients were respectively assigned to the experimental and control groups. Conducting nursing interventions in accordance with the control checklist was found to be effective in preventing IPH. Moreover, time of awakening from anesthesia was significantly shorter in the experimental group (3.77 ± 1.10 minutes) than the control group (11.03 ± 2.51 minutes; p < .05). Furthermore, tendency to bleed was higher in the control group than the experimental group, and a statistically significant between-group difference in coagulation disorders was found ( p < .05).

Conclusions/implications for practice: The results of this evidence-based study indicate that implementing nursing interventions in line with the developed NC is effective in preventing IPH. Preventing IPH, which increases the risk of numerous complications in surgical patients, is an important responsibility of nurses. Nurses may employ the NC proposed in this study to better secure the safety and minimize the risk of complications in surgical patients.

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