Comfort, Satisfaction, and Anxiolysis in Surgical Patients Using a Patient-Adjustable Comfort Warming System: A Prospective Randomized Clinical Trial

O’Brien, Denise; Greenfield, Mary Lou V. H.; Anderson, Jane; Smith, Beverly A.; Morris, Michelle

doi:10.1016/j.jopan.2010.01.008

Cited by 17 publications

(11 citation statements)

References 14 publications

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“…Postoperative satisfaction as determined by EVAN-G score was similar in patients assigned to passive insulation vs active prewarming, suggesting that feeling slightly warmer had little influence on overall satisfaction. This conclusion is consistent with a previous study that evaluated patient satisfaction on the first postoperative day [28].…”

Section: Discussionsupporting

confidence: 93%

A randomized trial of prewarming on patient satisfaction and thermal comfort in outpatient surgery

Akhtar

Hesler

Fiffick

et al. 2016

Journal of Clinical Anesthesia

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Section: Discussionsupporting

confidence: 93%

A randomized trial of prewarming on patient satisfaction and thermal comfort in outpatient surgery

Akhtar

Hesler

Fiffick

et al. 2016

Journal of Clinical Anesthesia

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“…In our study, the thermal compression device also demonstrated higher levels of thermal comfort and equivalent levels of general comfort. This can also be achieved with pre-operative FAW [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

A novel thermal compression device for perioperative warming: a randomized trial for feasibility and efficacy

Maria

Eisenried

et al. 2017

BMC Anesthesiol

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BackgroundInadvertent perioperative hypothermia (IPH) leads to surgical complications and increases length of stay. IPH rates are high with the current standard of care, forced air warming (FAW). Our hypothesis is that a prototype thermal compression device that heats the popliteal fossa and soles of the feet, with lower leg compression, increases perioperative temperatures and reduces IPH compared to the current standard of care.MethodsThirty six female breast surgery patients, at a tertiary academic hospital, were randomized to the device or intraoperative FAW (stage I) with a further 18 patients randomized to the device with a single heating area only (stage II, popliteal fossa or sole of the feet). Stage I: 37 patients recruited (final 36). Stage II: 18 patients recruited (final 18). Inclusion criteria: general anesthesia with esophageal monitoring for over 30 min, legs available and able to fit the device and no contraindications to leg heating or compression. The intervention was: Stage I: Investigational prototype thermal compression device (full device group) or intraoperative FAW. Stage II: Device with only a single heating location. Primary outcomes were perioperative temperatures and incidence of IPH. Secondary outcomes were local skin temperature, general and thermal comfort scores and presence of perioperative complications, including blood loss.ResultsMean temperatures in the full device group were significantly higher than the FAW group in the pre-operative (36.7 vs 36.4 °C, p < 0.001), early intraoperative (36.3 vs 35.9 °C, p < 0.001), intraoperative (36.6 vs 36.2 °C, p < 0.001) and postoperative periods (36.8 vs 36.5 °C, p < 0.001). The incidence of IPH in the device group was also significantly lower (16.7% vs 72.0%, p = 0.001). Thermal comfort scores were significantly higher in the full device group and hypothermia associated wound complications were higher in the FAW group.ConclusionsThe thermal compression device is feasible and has efficacy over the FAW. Further studies are recommended to investigate clinically significant outcomes.Trial registrationclinicaltrials.gov (NCT02155400)Electronic supplementary materialThe online version of this article (doi:10.1186/s12871-017-0395-2) contains supplementary material, which is available to authorized users.

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“…Perioperative hypothermia leads to many problems such as surgical site infection (1-3), delay in recovery (4), increased bleeding and blood transfusion frequency (5), pressure wound (6-10), increased oxygen need (11), prolonged hospital stay (2), decreased patient satisfaction (12), increased costs (2), and increased morbidity and mortality (13). In addition to these problems, hypothermia leads to J Basic Clin Health Sci 2022; 6: 225-237 Tunc-Tuna et al Effect of Heating Methods on Thermal Comfort and Anxiety deterioration in thermal comfort (12,(14)(15)(16) an increased level of anxiety (12,15). Understanding hypothermia and the complications associated with it and taking effective measures is important for all health care professionals (17).…”

Section: Introductionmentioning

confidence: 99%

“…Maintaining body temperature during surgical interventions is an important component of safe and effective perioperative nursing care (18). Researchers have investigated the effect of the prevention of perioperative hypothermia on thermal comfort (12,(14)(15)(16)19) and anxiety using active and/or passive heating methods at different time points in the perioperative period. Studies investigating the effectiveness of heating in reducing anxiety focused on the preoperative period; however, no consensus has yet been reached regarding the potential reduction of anxiety by the prevention of preoperative hypothermia (12,15,19).…”

Section: Introductionmentioning

confidence: 99%

Effect of Active and Passive Heating Methods Used in Different Areas of Perioperative Processes on Thermal Comfort and Anxiety: A Randomized Control Trial

Tuna¹,

Kurşun²,

Kara³

2022

Journal of Basic and Clinical Health Sciences

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This study was aim to determine the effects of active and passive heating methods applied in different parts of the perioperative process on thermal comfort, anxiety, and vital signs. Design: This study is a randomized, pretest-posttest controlled experimental design. The study was conducted with patients admitted for open abdominal surgery between October 1, 2018 and January 10, 2019. Methods: Patients were randomly allocated into three groups as follows: Group A (n = 33), Group B (n = 33), and Group C (control group; n = 33). Intervention Group A and B gowns blowing warm air were used as intervention tools. Active heating was applied to the intervention group. Procedural care (Group C) received routine hospital care. Passive heating was applied to the procedural group. Vital signs, thermal comfort, and anxiety levels of the patients were evaluated. Results: Compared to those in Group B, for patients in Group A, the thermal comfort levels were higher and the anxiety levels were lower. The highest body temperature was seen in the patients in Group A. No difference was noted in blood pressure values between the groups. The pulse values of the patients in Groups A and B were significantly lower. Conclusion:The use of gowns blowing warm air had a positive effect on the patients' anxiety, thermal comfort, and vital signs. In future studies, we suggest investigating vital signs and anxiety for different heating techniques and different sample groups.

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Comfort, Satisfaction, and Anxiolysis in Surgical Patients Using a Patient-Adjustable Comfort Warming System: A Prospective Randomized Clinical Trial

Cited by 17 publications

References 14 publications

A randomized trial of prewarming on patient satisfaction and thermal comfort in outpatient surgery

A randomized trial of prewarming on patient satisfaction and thermal comfort in outpatient surgery

A novel thermal compression device for perioperative warming: a randomized trial for feasibility and efficacy

Effect of Active and Passive Heating Methods Used in Different Areas of Perioperative Processes on Thermal Comfort and Anxiety: A Randomized Control Trial

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