Ameliyat sırası vücut sıcaklığının sürdürülmesinde hava üflemeli battaniyelerin etkinliğini belirleme: Randomize kontröllü çalışma
Küçük Resim Yok
Tarih
2024
Yazarlar
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Cilt Başlığı
Yayıncı
Trakya Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş ve Amaç: Bu araştırma, ameliyat sırası vücut sıcaklığının sürdürülmesinde hava üflemeli battaniyelerin etkinliğini belirlemek amacıyla yapıldı. Gereç ve Yöntemler: Araştırma bir eğitim ve araştırma hastanesinin Ameliyathane, Kulak Burun Boğaz ve Plastik Cerrahi Servislerinde 01.01.2023-01.10.2023 tarihleri arasında planlı olarak rinoplasti girişimi uygulanan 84 hastanın (42 deney, 42 kontrol) katılımı ile randomize kontrollü deneysel bir araştırma olarak gerçekleştirildi. Veri toplama aracı olarak ''Hasta Tanıtım Formu'' ve ''Hasta İzlem Formu'' kullanıldı. Bireysel, kurumsal ve etik kurul izinleri alındı. Deney grubundaki hastalara hava üflemeli battaniye, kontrol grubundaki hastalara cerrahi steril örtüler kullanıldı. Verilerin analizinde tanımlayıcı istatistiklerin yanı sıra Kolmogorov- Smirnov, Shapiro Wilk, Mann Whitney U, Bağımsız iki örnek t testi, Friedman, Dunn, Bonferroni ve Pearson ki kare testi, Tekrarlı ölçüm analizi ve Yates düzeltmesi kullanıldı. Sonuçlar; %95 güven aralığında istatiksel anlamlılık ise p<0,05 altında değerlendirildi. Bulgular: Hastaların % 64,2'nin (n=54) kadın ,%63,1'nin (n=53) Kulak Burun Boğaz, %36,9'nun (n=31) Plastik cerrahi servisinde yattığı belirlendi. Deney grubundaki hastaların vücut sıcaklığı monitörizasyon ve timpanik ölçüm bulgularında ve ayılma odası ölçüm bulgularından kontrol grubuna göre istatistiksel olarak anlamlı oranda yüksek belirlendi (p<0,001).Deney grubundaki hastaların vücut sıcaklığının 180'ci dakikaya kadar, kontrol grubundaki hastaların vücut sıcaklığının 90'cı dakikaya kadar normal sınırlarda devam ettiği belirlendi. Sonuç: Hava üflemeli battaniyeler rinoplasti ameliyatı uygulanan hastalarda, ameliyat sırası vücut sıcaklığının sürdürülmesinde etkili bulundu. Rinoplasti ameliyatı uygulanan hastalarda vücut sıcaklığının sürdürülmesinde hava üflemeli battaniyelerin kullanılmasını önermekteyiz. Anahtar kelimeler: rinoplasti, ameliyat sırası, hava üflemeli battaniye.
Background and Aim: This study was conducted to determine the effectiveness of the forced-air warming blankets in maintaining the intraoperative body temperature. Material and Methods: The study was carried out in the form of a randomized controlled trial with the participation of 84 patients (42 treatment group and 42 controls) who had rhinoplasty procedure in a planned manner at Operating Theater, Otorhinolaryngology and Plastic Surgery Inpatient Units of a training and research hospital between 01.01.2023 and 01.10.2023. "Patient Presentation Form" and "Patient Monitoring Form" were used as data collection tools. Individual, institutional and ethical committee approvals were obtained. Forced-air warming blanket was used for treatment group and sterile surgical covers for control group. In analyzing the data, Kolmogorov- Smirnov, Shapiro Wilk, Mann Whitney U, Independent two samples t-test, Friedman, Dunn, Bonferroni and Pearson's chi-square test, Repeated measures analysis and Yates' correction were used as well as the descriptive statistics. Results were found to be within a confidence interval of 95% while statistical significance was below 0,05 (p<0,05). Results: It was determined that 62,2% of the patients (n=54) were female while 63,1% (n=53) and 36,9% (n=31) were in-patient in the Otorhinolaryngological Inpatient Unit and Plastic Surgery Inpatient Unit, respectively. The body temperature monitorization and tympanic measure results of the trial group were found to be higher than measure results of the control group, as taken in recovery room (p<0,001). It was found that the body temperature of the patients of treatment group was maintained within normal range for about 180'th minute and that of the patients of control group were within normal range for about 90'th minute. Conclusion: In conclusion, the air-forced warming blankets were determined to be effective in maintaining intraoperative body temperature of the patients who had rhinoplasty. We recommend the use of air-forced warming blankets for maintaining the body temperature in the patients in who rhinoplasty is performed. Keywords: rhinoplasty, intraoperative, air-forced warming blanket.
Background and Aim: This study was conducted to determine the effectiveness of the forced-air warming blankets in maintaining the intraoperative body temperature. Material and Methods: The study was carried out in the form of a randomized controlled trial with the participation of 84 patients (42 treatment group and 42 controls) who had rhinoplasty procedure in a planned manner at Operating Theater, Otorhinolaryngology and Plastic Surgery Inpatient Units of a training and research hospital between 01.01.2023 and 01.10.2023. "Patient Presentation Form" and "Patient Monitoring Form" were used as data collection tools. Individual, institutional and ethical committee approvals were obtained. Forced-air warming blanket was used for treatment group and sterile surgical covers for control group. In analyzing the data, Kolmogorov- Smirnov, Shapiro Wilk, Mann Whitney U, Independent two samples t-test, Friedman, Dunn, Bonferroni and Pearson's chi-square test, Repeated measures analysis and Yates' correction were used as well as the descriptive statistics. Results were found to be within a confidence interval of 95% while statistical significance was below 0,05 (p<0,05). Results: It was determined that 62,2% of the patients (n=54) were female while 63,1% (n=53) and 36,9% (n=31) were in-patient in the Otorhinolaryngological Inpatient Unit and Plastic Surgery Inpatient Unit, respectively. The body temperature monitorization and tympanic measure results of the trial group were found to be higher than measure results of the control group, as taken in recovery room (p<0,001). It was found that the body temperature of the patients of treatment group was maintained within normal range for about 180'th minute and that of the patients of control group were within normal range for about 90'th minute. Conclusion: In conclusion, the air-forced warming blankets were determined to be effective in maintaining intraoperative body temperature of the patients who had rhinoplasty. We recommend the use of air-forced warming blankets for maintaining the body temperature in the patients in who rhinoplasty is performed. Keywords: rhinoplasty, intraoperative, air-forced warming blanket.
Açıklama
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Anahtar Kelimeler
Hemşirelik, Nursing
