손발보온이 부인과 복강경 수술 환자의 체온,전율 및 온도편안감에 미치는 효과

Abstract

Purpose: This study aimed to investigate the effects of warming hands and feet using cotton wrappers during the perioperative period on body temperature, shivering, and thermal comfort in gynecological laparoscopic surgery patients. Methods: In a randomized controlled pre-post design, 66 patients undergoing gynecological laparoscopic surgery were randomly assigned to either the experimental group or comparison group. The same routine thermal care was applied to both groups during the perioperative period, and hands and feet warming using cotton wrappers was additionally provided to the experimental group during the perioperative period. The outcome measures were included the tympanic body temperature, shivering, thermal comfort, and provision of additional warming. The collected data were analyzed using descriptive statistics, x 2 -test, t-test, and repeated measures ANOVA. Results: During the entire perioperative period, a significant difference in the body temperature between the experimental group (n=30) and comparison group (n=30) (F=10.70, p<.001). The experimental group had a significantly less occurrence of shivering, more thermal comfort, and less need of additional warming after surgery compared to the comparison group. Conclusion: Perioperative warming hands and feet using cotton wrappers for patients undergoing surgery can reduce body temperature changes during surgery and shivering, increase thermal comfort, and less need additional warming. Implementing perioperative thermal care can improve physical conditions for patients undergoing surgery.