保暖措施對等候手術病人體溫改善成效

Effects of a Warming Strategy on the Temperature of Patients Waiting for Surgery

背景：手術等候區病人的低體溫症狀是手術室重要護理問題，提供術前保溫措施，不但可控制病人體溫，亦可增加病人舒適感，故管理病人體溫是手術室團隊之重要工作目標之一。 目的：旨在探討外套保暖措施對手術等候區病人體溫之影響。 方法：本類實驗研究以60位手術病人為樣本，分派為實驗組（予保暖外套措施）與對照組（予常規措施）各30位。收集病人前測、介入五分鐘、介入十分鐘的冷感受、耳溫、病人末梢肢體顏色與大理石斑，並分析其變化。 結果：相較於常規保暖措施的病人，使用外套保暖可使病人進入手術等候區冷感受的程度下降（介入第五分鐘p < .001），顯著減少大理石斑出現（介入第五分鐘p < .001）；在穿上外套第五分鐘，使用外套保暖病人較常規保暖措施病人的耳溫顯著上升（p = .026）、末梢肢體顏色顯著較常規保暖措施病人保持紅潤（p = .016）。 實務應用 此實證研究結果，可作為手術室護理人員提供病人保暖體溫控制措施之參考依據。

Background: Patient hypothermia is a critical nursing problem in the preoperative room. Applying an appropriate temperature control strategy prior to surgery helps patients maintain body temperature and physical comfort. Purpose: This project assessed the temperature effects of a coat warming strategy on preoperative patients. Methods: This quasi-experimental study invited 60 participants who were divided into two groups, namely an experimental group (n = 30) that used a coat temperature control strategy and a control group (n = 30) that used a routine strategy. We analyzed changes in patient-perceived temperature, auricular temperature, skin color at the distal end of extremities, and Dali lithosporic at the upper arm. Measurements were taken once at pretest and at 5 and 10 minutes after intervention. Results: Compared with the control group, experimental group patients reported feeling significantly less cold (p < .001, 5 minutes after intervention; p = .001) and had lower Dali lithosporic (p < .001, 5 minutes after intervention), higher auricular temperature (p = .026, 5 minutes after intervention) and pinker skin color at the distal end of their extremities (p = .016, 5 minutes after intervention). Conclusions / Implications for practice: This evidence-based result offers nurses a suggested strategy for effective control of patient temperature.