Normothermia and Patient Comfort: A Comparative Study in an Outpatient Surgery Setting

Leeth, Dianne; Mamaril, Myrna; Oman, Kathleen S.; Krumbach, Barbara

doi:10.1016/j.jopan.2010.03.010

Cited by 39 publications

(30 citation statements)

References 18 publications

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“…The patients were asked to complete the comfort assessment when admitted into the PACU (Leeth et al . ). When a patient had undergone shivering or complained of feeling cold, the comfort score appeared low.…”

Section: Research Toolsmentioning

confidence: 97%

“…Leeth et al . () studied the warming devices given to 150 postoperative patients. They found at least 30 minutes was required before the thermal comfort of the patient was acceptable and appreciated.…”

Section: Literature Researchmentioning

confidence: 99%

“…These methods are often complemented by the use of cotton cloth; however, the cloth must be replaced regularly and often five or more cloths are required to provide adequate comfort for the patient (Leeth et al . ). The comfort and effectiveness of designed heat‐preserving postoperative thermal gowns are rarely studied.…”

Section: Introductionmentioning

confidence: 97%

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The effectiveness of the newly designed thermal gown on hypothermic patients after spinal surgery

Lee

Shih

et al. 2015

Journal of Clinical Nursing

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Aims and objectives To develop the newly designed thermal gown to test the effectiveness in relieving postoperative hypothermia as compared to traditional cotton cloth. Background Hypothermia is a common problem after spinal surgery. A patient's safety and comfort are significant. Currently, most research is focused on instruments that relieve a patient's hypothermia. Studies have rarely considered a patient's comfort while caring for their body temperature. Design This study employed an experimental design. The participants were assigned randomly to two groups: the experimental group (N = 50) and the control group (N = 50). Methods The experimental group received the newly designed thermal gown intervention. The control group received the standard postanaesthesia care unit re‐warming intervention. The material used to collect data included demographic data, postoperative management and comfort level. Nurses measured patients' vital signs and asked for patients' subjective comfort level on admission to the postanaesthesia care unit every 10 minutes until their discharge from the postanaesthesia care unit. Result The accumulated percentage for thermal gown group patients in reaching 36 °C during the first 20 minutes of admission was significantly higher than that of the cotton cloth group. The thermal gown group individuals showed significantly higher comfort levels (score = 4) at 10 minutes, when compared to the cotton cloth group. Conclusion Results suggested that the newly designed thermal gown had effectively improved postoperative temperature and comfort level with an evidence‐based intervention. Relevance to clinical practice Maintaining a patient's body temperature is a major task for nurses working in the post‐anaesthesia care unit. With the newly designed thermal gown, the duration of a patient's stay in the postanaesthesia care unit was shortened and the patient's comfort was increased.

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Section: Research Toolsmentioning

confidence: 97%

Section: Literature Researchmentioning

confidence: 99%

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The effectiveness of the newly designed thermal gown on hypothermic patients after spinal surgery

Lee

Shih

et al. 2015

Journal of Clinical Nursing

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“…In addition, hypothermia can cause cardiac dysrhythmias 2 . Other adverse effects associated with hypothermia in the OR are postoperative shivering and decreased patient comfort 3‐5 …”

Section: Statement Of Purposementioning

confidence: 99%

A Comparison of Warming Interventions on the Temperatures of Inpatients Undergoing Colorectal Surgery

Nicholson

2013

AORN Journal

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This study compared the effects of two different warming interventions in the preoperative setting on the preoperative, intraoperative, and postoperative temperatures of patients undergoing colorectal surgery in an inpatient setting. The study was performed to determine whether prewarming patients for at least 30 minutes would result in postoperative temperatures of 36° C (96.8° F) or higher within 15 minutes of their arrival in the postanesthesia care unit. The results indicated that prewarming devices did not result in reduced proportions of patients who subsequently experienced hypothermia. One reason may be that all the patients were warmed with a forced-air warming device before induction in the OR. Our study does not recommend a specific intervention for a prewarming strategy but indicates that prewarming may contribute to normothermia in the immediate postoperative period.

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“…This type of numeric rating scale has been used effectively in other studies on thermal comfort [26,27]. Participants will be asked, using a standardised script, to score how comfortable they are with their body temperature on a scale from 0 to 10 with zero being very comfortable (neither too hot nor cold) and 10 being very uncomfortable (too hot or cold).…”

Section: Methodsmentioning

confidence: 99%

Preventing hypothermia in elective arthroscopic shoulder surgery patients: a protocol for a randomised controlled trial

et al. 2012

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BackgroundPatients having arthroscopic shoulder surgery frequently experience periods of inadvertent hypothermia. This common perioperative problem has been linked to adverse patient outcomes such as myocardial ischaemia, surgical site infection and coagulopathy. International perioperative guidelines recommend patient warming, using a forced air warming device, and the use of warmed intraoperative irrigation solutions for the prevention of hypothermia in at-risk patient groups. This trial will investigate the effect of these interventions on patients’ temperature, thermal comfort, and total recovery time.Method/DesignThe trial will employ a randomised 2 x 2 factorial design. Eligible patients will be stratified by anaesthetist and block randomised into one of four groups: Group one will receive preoperative warming with a forced air warming device; group two will receive warmed intraoperative irrigation solutions; group three will receive both preoperative warming and warmed intraoperative irrigation solutions; and group four will receive neither intervention. Participants in all four groups will receive active intraoperative warming with a forced air warming device. The primary outcome measures are postoperative temperature, thermal comfort, and total recovery time. Primary outcomes will undergo a two-way analysis of variance controlling for covariants such as operating room ambient temperature and volume of intraoperative irrigation solution.DiscussionThis trial is designed to confirm the effectiveness of these interventions at maintaining perioperative normothermia and to evaluate if this translates into improved patient outcomes.Australian New Zealand Clinical Trials Registry numberACTRN12610000591055

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Normothermia and Patient Comfort: A Comparative Study in an Outpatient Surgery Setting

Cited by 39 publications

References 18 publications

The effectiveness of the newly designed thermal gown on hypothermic patients after spinal surgery

The effectiveness of the newly designed thermal gown on hypothermic patients after spinal surgery

A Comparison of Warming Interventions on the Temperatures of Inpatients Undergoing Colorectal Surgery

Preventing hypothermia in elective arthroscopic shoulder surgery patients: a protocol for a randomised controlled trial

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