Postoperative Hypothermia, Thermal Comfort, Body Temperature Changes
Conditions
Keywords
fluid infusion, postoperative hypothermia, nursing, active warming
Brief summary
Purpose: This study was conducted to examine the effect of warmed intravenous fluids (WIVF) on the core body temperature and the patients' thermal comforts during the postoperative period in patients undergoing transurethral resection of the prostate (TURP). Design: This was a prospective, randomized controlled experimental study. Methods: A total of 105 male patients undergoing TURP surgery and bladder irrigation were randomized to one of either room temperature (n=51) or warmed intravenous fluids (n=54) groups in postanesthesia care unit. The fluids in the experimental group were warmed until the body temperature was reached 36.0°C.
Detailed description
Purpose: This study was conducted to examine the effect of warmed intravenous fluids (WIVF) on the core body temperature and the patients' thermal comforts during the postoperative period in patients undergoing transurethral resection of the prostate (TURP). Design: This was a prospective, randomized controlled experimental study. Methods: A total of 105 male patients undergoing TURP surgery and bladder irrigation were randomized to one of either room temperature (n=51) or warmed intravenous fluids (n=54) groups in postanesthesia care unit. The fluids in the experimental group were warmed until the body temperature was reached 36.0°C. The intravenous (IV) fluid given to the two groups was 1000 ml of 0.9% isotonic sodium chloride solution.
Interventions
OTHERWarmed Fluids
The IV fluid given to the patients in the intervention group was heated to 36ºC using the medical heating device.
Sponsors
Ege University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
The intervention and measurements were carried out by the first researcher, and the patients discovered their own groups when the postoperative warming intervention was applied to them. Because of the nature of the intervention, blinding could not be performed
Intervention model description
This was a prospective, randomized controlled experimental study.
Eligibility
Sex/Gender
MALE
Age
37 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* patients who age bigger than18, * patients who were undergoing general anesthesia, to whom voluntary hypothermia was not applied during the operation, * patients who were hemodynamically stable, * patients who had a physician's order for 1000 ml of 0.9% Isotonic Sodium Chloride IV fluid treatment, * patients were undergoing bladder irrigation were included in the study. * patients the sense, expression of heat by the patient in recovery, * patient who accepted to participate to the study
Exclusion criteria
* patients have any infection, fever * patients have underlying diseases (hypothyroidism, hyperthyroidism, diabetes, cardiovascular disease or kidney failure) * patients who had mental deficiency that could prevent communication, * patients who had visual or hearing impairments, * patients who were receiving mechanical ventilation support, were sedated, * patients were the need for open surgery or any reason for returning the patient to the operating room, * patients need for postoperative blood transfusions, * patients have intra-abdominal infection, * patients have an unexpected allergy to anesthetic drugs, * patients have a temperature higher than 36.0ºC, * patients have for cardiopulmonary resuscitation, * patients have severe hemodynamic changes during the operation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Thermal Comfort Scale (TCS) | 6 months | Thermal Comfort Scale (TCS): This is a Likert type scale which was developed by Wagner et. al. (2006) and the validity and reliability in Turkish was tested by Özsaban (2017). The evaluation of thermal comfort was made by the face to face interview method for all patients. The TCS evaluates the patient's temperature comfort perception subjectively. The scale consists of 13 items in total, and each item is scored between 1 and 6 points. A high score indicates a high temperature comfort level. |
Countries
Turkey (Türkiye)
Outcome results
None listed