Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Factors Influencing Body Temperature in Elderly Surgical Patients

가온요법을 받은 노인 수술 환자의 체온과 영향요인

  • Received : 2013.04.09
  • Accepted : 2013.05.27
  • Published : 2013.05.31
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Abstract

Purpose: The purpose of this study was to identify the factors that affect body temperature in elderly operation patients using a warming method and to examine differences in post operative body temperature by characteristics of the patients. Methods: Data were collected from 200 patients, aged 65 years or more undergoing surgery with a warming method. The data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test and multiple regression with the SPSS 18.0 Program. Results: The mean score for body temperature of elderly operation patients using a warming method after surgery was $36.1{\pm}0.6^{\circ}C$ including 74 patients with hypothermia and 126 patients with normal body temperature. The body temperature according to general characteristics differed by age and whether the surgery was emergency surgery or not. The body temperature according to surgery-related factors differed by anesthesia type, length of operation, anesthesia time, magnitude of surgical procedure, amount of fluid, transfusion requirements, and preoperative body temperature. Factors influencing body temperature were age, BMI, transfusion requirements and preoperative body temperature. Conclusion: The results indicate that age, BMI, transfusion requirements and preoperative body temperature significantly influenced on body temperature after surgery. Thus preoperative body temperature needs to be maintained through pre-warming as a nursing intervention.

Keywords

References

  1. Allison, S. P., & Lobo, D. N. (2004). Fluid and electrolytes in the elderly. Current Opinion in Clinical Nutrition and Metabolic Care, 7(1), 27-34. https://doi.org/10.1097/00075197-200401000-00006
  2. Biazzotto, C. B., Brudniewski, M., Schmidt, A. P., & Auler Jr., J. O. C. (2006). Hipotermia no periodo peri-operatorio. Revista Brasileira De Anestesiologia, 56(1), 89-106.
  3. Burns, S. M., Piotrowski, K., Caraffa, G., & Wojnakowski, M. (2010). Incidence of postoperative hypothermia and the relationship to clinical variables. Journal of PeriAnesthesia Nursing, 25, 286-289. https://doi.org/10.1016/j.jopan.2010.07.001
  4. Dirkmann, D., Hanke, A. A., Görlinger, K., & Peters, J. (2008). Hypothermia and acidosis synergistically impair coagulation in human whole blood. Anesthesia & Analgesia, 106, 1627-1632. doi: 10.1213/ane.0b013e31817340ad
  5. Felfernig, M., Blaiche, A., Kettner, S. C., Felfernig, D., Acimovic, S., & Kozek-Langenecker, S. A. (2001). Effects of temperature on partial thromboplastin time in heparinized plasma in vitro. European Journal of Anaesthesiology, 18, 467-470. https://doi.org/10.1097/00003643-200107000-00006
  6. Fernandes, L. A., Braz, L. G., Koga, F. A., Kakuda, C. M., Modolo, N. S. P., de Carvalho, L. R., & Braz, J. R. C. (2012). Comparison of peri-operative core temperature in obese and non-obese patients. Anaesthesia, 67, 1364-1369. https://doi.org/10.1111/anae.12002.x
  7. Frank, S. M., Raja, S. N., Bulcao, C., & Goldstein, D. S. (2000). Age-related thermoregulatory differences during core cooling in humans. American Journal of Physiology - Regulatory, Integrative and Comparative Physiology, 279, R349-R354.
  8. Hong, S. J., & Lee, J. M., & Kim, Y. K. (2010). The effect of warming methods on the vital signs and thermal discomfort of the patient with gastrectomy. Journal of Korean Biological Nursing Science, 12, 81-88.
  9. Horn, E.-P., Bein, B., Böhm, R., Steinfath, M., Sahili, N., & Hocker, J. (2012). The effect of short time periods of pre-operative warming in the prevention of peri-operative hypothermia. Anaesthesia, 67, 612-617. doi: 10.1111/j.1365-2044.2012.07073.x
  10. Jin, F., & Chung, F. (2001). Minimizing perioperative adverse events in the elderly. British Journal of Anaesthesia, 87, 608-624. doi:10.1093/bja/87.4.608
  11. Jo, E. J., Lee, K. S., Hong, S. J. (2007). Comparison of core temperature changes during prolonged laparoscopic and open surgery. Korean Journal of Anesthesiology, 52, 150-155. https://doi.org/10.4097/kjae.2007.52.2.150
  12. Karalapillai, D., Story, D. A., Calzavacca, P., Licari, E., Liu, Y. L., & Hart, G. K. (2009). Inadvertent hypothermia and mortality in postoperative intensive care patients: Retrospective audit of 5050 patients. Anaesthesia, 64, 968-972. https://doi.org/10.1111/j.1365-2044.2009.05989.x
  13. Kasai, T., Hirose, M., Matsukawa, T., Takamata, A., & Tanaka, Y. (2003). The vasoconstriction threshold is increased in obese patients during general anaesthesia. Acta Anaesthesiologica Scandinavica, 47, 588-592. https://doi.org/10.1034/j.1399-6576.2003.00097.x
  14. Kasai, T., Hirose, M., Yaegashi, K., Matsukawa, T., Takamata, A., & Tanaka, Y. (2002). Preoperative risk factors of intraoperative hypothermia in major surgery under general anesthesia. Anesthesia and Analgesia, 95, 1381-1383. https://doi.org/10.1097/00000539-200211000-00051
  15. Kiekkas P., & Karga M. (2005). Prewarming: Preventing intraoperative hypothermia. British Journal of Perioperative Nursing, 15, 444-451. https://doi.org/10.1177/175045890501501004
  16. Kim, E. J (2007). Preoperative risk factors and risk model of intraoperative hypothermia in abdominal surgery. Unpublished master's thesis, Gachon University of Medicine & Science, Incheon.
  17. Kim, S. M., & So, H. Y., & Lee, M. H., & Park, M. Y., & Kwon, M. J. (2011). Factors influencing length of stay at the recovery room among elderly patients undergone general anesthesia. Korean Journal of Adult Nursing, 23, 87-99.
  18. Kongsayreepong, S., Chaibundit, C., Chadpaibool, J., Komoltri, C., Suraseranivongse, S., Suwannanonda, P., Parakkamodom, S. (2003). Predictor of core hypothermia and the surgical intensive care unit. Anesthesia and Analgesia, 96, 826-833.
  19. Kumar, S., Wong, P. F., Melling, A. C., & Leaper, D. J. (2005). Effects of perioperative hypothermia and warming in surgical practice. International Wound Journal, 2, 193-204. https://doi.org/10.1111/j.1742-4801.2005.00102.x
  20. Macario, A., & Dexter, F. (2002). What are the most important risk factors for a patient's developing intraoperative hypothemia? Anesthesia and Analgesia, 94, 215-220.
  21. Mullany, L. C., Katz, J., Khatry, S. K., LeClerq, S. C., Darmstadt, G. L., & Tielsch, J. M. (2010). Incidence and seasonality of hypothermia among newborns in southern nepal. Archives of Pediatrics & Adolescent Medicine, 164, 71-77. https://doi.org/10.1001/archpediatrics.2009.239
  22. Parodi, D., Tobar, C., Valderrama, J. X., Sauthier, E., Besomi, J., Lo, Ilic, J. P. (2012). Hip arthroscopy and hypothermia. Arthroscopy, 28, 924-928. https://doi.org/10.1016/j.arthro.2011.12.012
  23. Pearce, B., Christensen, R., & Voepel-Lewis, T. (2010). Perioperative hypothermia in the pediatric population : Prevalence, risk factors and outcomes. Journal of Anesthesia & Clinical Research, 1(1), 102. dol; 10.4172/2155-6148.1000102
  24. Poveda, V. B., Galvão, C., & Santos, C. B. (2009). Factors associated to the development of hypothermia in the intraoperative period. Revista Latino-Americana De Enfermagem (RLAE), 17, 228-233. https://doi.org/10.1590/S0104-11692009000200014
  25. Reynolds, L., Beckmann, J., & Kurz, A. (2008). Perioperative complications of hypothermia. Best Practice & Research. Clinical Anaesthesiology, 22, 645-657. https://doi.org/10.1016/j.bpa.2008.07.005
  26. Tiruvoipati, R., Ong, K., Gangopadhyay, H., Arora, S., Carney, I., & Botha, J. (2010). Hypothermia predicts mortality in critically ill elderly patients with sepsis. BMC Geriatrics, 10, 70. https://doi.org/10.1186/1471-2318-10-70
  27. Yang, R., Wolfson, M., & Lewis, M. C. (2011). Unique aspects of the elderly surgical population: An Anesthesiologist's perspective. Geriatric Orthopaedic Surgery & Rehabilitation, 2, 56-64. doi: 10.1177/2151458510394606.

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