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복부 수술 환자의 저체온 예방 중재 프로그램
Rewarming Intervention Program for Abdominal Surgery Patients

안혜영    (을지대학교 간호대학   ); 엄미란    (목포대학교 간호학과  );
  • 초록

    Purpose: This study was done to identify differences in three groups of operative patients (Forced Air Warming, Electrical Blanketrol, Control) for discomfort and pattern of body temperature during surgery and post operatively. Methods: The sample consisted of 3 randomized 3 groups of abdominal surgery patients admitted to an university hospital in D-city : The Bair Hugger and upper body blanket were used with the first group, electrical blanketrol with PVC Film with the second, and the third group was the control. ANOVA was used with the WIN SPSS 17.0 program to analyze the data. Results: Significant differences were found among the three groups for tympanic and esophageal body temperature at 1 hour after starting surgery. There was significant difference in tympanic body temperature during the 15 minute stay in the post anesthetic room. There were no significant differences in thermal discomfort while in the post anesthetic room. or There among the three groups for serum cortisol during surgery. Conclusion: According to the results of this study, application of a Bair Hugger or electrical blanketrol improves maintenance of body temperature of operative patients as well as body temperature of post operative patients, and is a clinically significant warming method providing a more consistent body temperature.


  • 주제어

    저체온 .   체온 .   전율.  

  • 참고문헌 (27)

    1. Brauer, A., English, M. J., Steinmetz, N., Lorenz, N., Perl, T., Weyland, W., et al. (2007). Efficacy of forced-air warming systems with full body blankets. Canadian Journal of Anesthesia, 54(1), 34-41. 
    2. Cho, S. H. (2005). The effects of aroma hand massage on stress response in hospitalized elderly patients. Unpublished doctoral dissertation, Kosin University, Busan. 
    3. Choi, K. H. (2007). Comparison of the effects of warming methods on body temperature change, shivering, and postanesthesia recovery in a recovery room. Unpublished master's thesis, Dong Eui University, Busan. 
    4. Chung, S. W. (2007). The effects of relaxation music on cortisol of stress response. Unpublished master's thesis, Sookmyoung Women's University, Seoul. 
    5. Collins, V. J. (1996). Temperature regulation and heat problems. in Collins, V. J. (Eds), Physiologic and pharmacologic bases of anesthesia, Baltimore, MD: Williams & Wilkins. 
    6. Defina, J., & Lincoln, J. (1998). Prevalence of inadvertent hypothermia during the peri operative period: a quality assurance and performance improvement study. Journal of PeriAnesthesia Nursing, 13(4), 229-235. 
    7. Just, B., Trevien, V., Delva, E., & Lienhart, A. (1993). Prevention of Intraoperative hypothermia by preoperative skin-surface warming, Anesthesiology, 79(2), 214-218. 
    8. Kim, C. G., Baek, W. Y., Hong, J. G., Park, J. W., & Kim, B. K. (1988). Temperature changes during general anesthesia. Korean Journal of Anesthesiology, 21(1), 27-32. 
    9. Kim, M. G. (2006). Comparison of warming methods on body temperature change and thermal discomfort in abdominal surgery patients. Unpublished master's thesis, Dong Eui University, Busan. 
    10. Kongsayreepong, S., Gunnaleka, P., Suraseranivongse, S., Pirayavarapom, S., Chowvanayotin, S., Montapaneewat, T., et al (2002). A reusable, custom-made warming blanket prevents core hypothermia during major neonatal surgery. Canadian Journal of Anesthesia, 49(6), 605-609. 
    11. Lee, S. O. (2008). The effects of warming interventions on body temperature and thermal discomfort in LA VH patients. Unpublished master's thesis, Eulji University, Daejeon. 
    12. Martin, J. H., & Hind, B. S. C. (1994), An investigation into factors that esophageal temperature during surgery not involving body cavities, Anesthesiology, 32, 102-107. 
    13. Miller R. D. (2005). Anesthesia 6th ed. Philadelphia: Elsevier. 
    14. Morris, R. H, (1971). Operating room temperature and the anesthetized, paralyzed patient. Archives of Surgery, 102(2), 95-97. 
    15. Murat, I, $Bemi\grave{e}re$, J., & Constant, I (1994). Evaluation of the efficacy of a forced-air warmer (Bair Hugger) during spinal surgery in children. Journal of Clinical Anesthesia 6(5), 425-429. 
    16. Park, Y. W. (1998), The effect of pre-and intraoperative warming on tympanic temperature and thermal-discomfort of the patients with gastrectomy. Unpublished master's thesis, Yonsei University, Seoul. 
    17. Roberts, A. (1989). Hypothermia. Nursing times, 85(6), 59-62. 
    18. Seo, Y. G. (2001). The effect of warming method for prevention of hypothermia of perioperative pediatric patients. Unpublished master's thesis, Seoul National University, Seoul. 
    19. Sessler, D. I., McGuire, I., Hynson, I., Moayeri, A., & HeIer, T. (1992). Thermoregulatory vasoconstriction during isoflurane anesthesia minimally decreases cutaneous heat loss. Anesthesiology, 76(5), 670-675. 
    20. Slotman, G. J., Jed, E. H., & Burchard, K. W. (1985). Adverse effects of hypothermia in postoperative patients, The American Journal of Surgery, 149(4), 495-501. 
    21. Vogelsang, J. (1994). Patients talk about their postanesthesia shaking experiences. Journal of post anesthesia nursing, 9(4), 214-218. 
    22. Wilkerson, J. E., Raven, P. B., Bolduan, N. W., & Horvath, S. M. (1974). Adaptations in man's adrenal function in response to acute cold stress. Journal of Applied Physiology, 36(2), 183-189. 
    23. Yi, J. W., & Choi, Y. K. (2003). The hemodynamic changes and stress hormone responses to mild intraoperative hypothermia during intravenous anesthesia. Korean Journal of Anesthesiology, 45(6), 702-709. 
    24. Lamke, L. O., Lennquist, S., Liljedahl, S. O., & Wedin, B. (1972). The influence of cold stress on catecholamine excretion and oxygen uptake of normal persons. Scandinavian Journal of Clinical and Laboratory Investigation, 30(1), 57-62. 
    25. Lehot, J. J., Villard, J., Piriz, H., Philbin, D. M., Carry, P, Y., Gauquelin, G., et al. (1992), Hemodynamic and hormonal responses to hypothermic and normothermic cardiopulmonary bypass. Journal of Cardiothoracic and Vascular Anesthesia, 6(2), 132-139. 
    26. Wagner, K., Swanson, E., Raymond, C. J., & Smith, C. E. (2008). Comparison of two convective warming systems during major abdominal and orthopedic surgery. Canadian Journal of Anesthesia, 55(6), 358-363. 
    27. White, H. E., Thurston, N. E., & Blackmore, K. A., Green, S. E., & Hannah, K. J. (1987). Body temperature in elderly surgical patients. Research in Nursing & Health, 10(5), 317-321. 
  • 이 논문을 인용한 문헌 (2)

    1. Lim, Nan-Young ; Jeong, Hyeon-Cheol ; Lee, Seung-Won ; Kim, Woo-Jin 2011. "Effect of Heat Therapy to Superficial and Deep Body Temperatures according to Applying Dry and Moist Heats on Shoulder and Thigh" 기초간호자연과학회지 = Journal of Korean biological nursing science, 13(3): 269~275     
    2. Park, Sung Joo ; Kim, Sook Young 2015. "Effects of Forced Air Warming on Body Temperature, Shivering and Pain in Laparoscopic Cholecystectomy Patients" 기본간호학회지 = Journal of Korean Academy of Fundamentals of Nursing, 22(3): 287~296     

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