以质量求发展，以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (5): 30-34.doi: 10.16460/j.issn1008-9969.2019.05.030

Previous Articles     Next Articles

Evidence-based Nursing of Inadvertent Intraoperative Hypothermia for Patients with Liver Tumor

HUANG Pei-pei1, SHI Ping1, MI Yuan-yuan2, ZHANG Qiong, WU Bai-nv1, YANG Xi-qun, BAO Ying-xue, CHEN Xiao-min   

  1. 1. School of Nursing, Huzhou University, Huzhou 313000, China;
    2. Dept. of Critical Care Medicine, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China;
    3a. Operating Room; 3b. Dept. of Nursing Administration, Zhejiang Provincial People's Hospital, People's Hospital Affiliated to Hangzhou Medical College, Hangzhou 310014, China;
  • Received:2018-10-21 Published:2020-07-14

PDF (PC)

187

Like

Abstract: Objective To explore the effect of evidence-based nursing of inadvertent intraoperative hypothermia among patients with liver tumor. Methods The review standard of inadvertent intraoperative hypothermia was established based on the theoretical framework of evidence-based nursing practice transformation model of John Hopkins, the best evidence and clinical scenario and it was then implemented and evaluated in the operating room. The online and offline training were provided for nursing staff. The knowledge and implementation of the best evidence of the nursing staff before and after the application of the best evidence were compared. Results After the application of the best evidence, the body temperature of the patients with liver tumors 30, 60 and 90min after anesthesia and the hemoglobin value was higher (all P<0.05), and the nurses' awareness rate and execution rate of the best evidence were significantly higher than those before the training. Conclusion Evidence-based nursing reduces the rate of hypothermia and improves patience satisfaction and quality of clinical nursing.

Key words: hypothermia, cancer, surgery, evidence-based nursing

CLC Number: 

  • R473.73
[1] Kelly Putnam.Prevention of Unplanned Patient Hypothermia[J]. AORN Journal, 2015, 102(4):11-12. DOI:10.1016 /S0001-2092(15)00821-2.
[2] Kim P, Taghon T, Fetzer M, et al.Perioperative Hypothermia in the Pediatric Population:a Quality Improvement Project[J]. Am J Med Qual,2013,28(5):400-406.DOI:10.1177/1062860612473350.
[3] Yi J, Zhan L, Lei Y, et al.Establishment and Validation of a Prediction Equation to Estimate Risk of Intraoperative Hypothermia in Patients Receiving General Anesthesia[J]. Sci Rep, 2017,7(1):1-8.DOI:10.1038/s41594-017-12997-x.
[4] 徐彦,陈茜,陆建平,等. 术后苏醒室低体温发生率及危险因素[J]. 复旦学报(医学版), 2016,43(3):302-307.
[5] 董妞,商临萍,付秀荣,等. 手术室护士围术期非计划性低体温防护知信行调查及分析[J]. 中国护理管理, 2017,17(10):1414-1417.DOI:10.3969/j.issn.1672-1756.2017.10.028.
[6] Karem K, Giuliano, Jane Hendricks.Inadvertent Perioperative Hypothermia: Current Nursing Knowledge[J]. AORN Journal, 2017,105(5):453-463.
[7] National Institute for Health and Clinical Excellence. The Management of Inadvertent Perioperative hypothermia in Adults [CG65][EB/OL][2017-11-24].https://www.nice.org.uk/guidance/cg65.
[8] Hopper V D, Chard R, Clifford T, et al.ASPAN's Evidence-based Clinical Practice Guideline for the Promotion of Perioperative Normothermia[J]. J Perianesth Nurs, 2010,25(2):271-287.DOI:10.1016/j.jopan.2009.09.001.
[9] 马正良,易杰. 围手术期患者低体温防治专家共识(2017)[J]. 协和医学杂志, 2017, 8(6):258-352.DOI:10.3969/j. is sn.1674-9081.2017.06.007.
[10] Galvão C M, Marck P B, Sawada N O, et al.A Systematic Review of the Effectiveness of Cutaneous Warming Systems to Prevent Hypothermia[J]. J Clin Nurs, 2009,18(5):627-636.DOI://10.1111/j.1365-2702.2008.02668.x.
[11] Lopes I G, Magalhães A M S, de Sousa A L A, et al. Preventing Perioperative Hypothermia: An Integrative Literature Review[J].Revista De Enfermagem Referência, 2015,4(4):147-155.DOI:10.12707/RIV14027.
[12] Birch D W, Dang J T, Switzer N J, et al.Heated Insufflation with or without Humidification for Laparoscopic Abdominal Surgery (Review)[J]. Cochrane Database of Syst Rev, 2016,10(10):1-102.DOI:10.1002/1465185.CD007821.pub3.
[13] Moola S, Lockwood C.The Effectiveness of Strategies for the Management and/or Prevention of Hypothermia within the Adult Perioperative Environment: Systematic Review[J]. JbI Libr of Syst Rev, 2011,8(19):752-792. DOI:10. 11124/01 938924-201008190-00001.
[14] Honours S M B M, Craig Lockwood. Effectiveness of Strategies for the Management and/or Prevention of Hypothermia within the Adult Perioperative Environment[J]. Int J Evid Based Health, 2011,9(4):337-345. DOI:10.1111/j.174416 09.2011.00227.x.
[15] Pu Y, Cen G, Sun J, et al.Warming with an Underbody Warming System Reduces Intraoperative Hypothermia in Patients undergoing Laparoscopic Gastrointestinal Surgery: A Randomized Controlled Study[J].Int J of Nurs Stu, 2014,51(2):181-189.DOI:10.1016/j.ijnurstu.2013.05.013.
[16] Erdling A, Johansson A.Core Temperature-the Intraoperative Difference between Esophageal versus Nasopharyngeal Temperatures and the Impact of Prewarming, Age, and Weight: A Randomized Clinical Trial[J]. AANA J, 2015,83(2):99-105.
[17] Wu Q, Zhang Y, Yang Y, et al.Intraoperative Infusion of Branched-chain Amino Acids in Patients undergoing Gastrointe Stinal Tumor Surgery[J]. World J Surg Oncol, 2015,13(1):336-342. DOI:10. 1186 /s12957-015-0751-y.
[18] Fujita T, Okada N, Kanamori J, et al.Thermogenesis Induced by Amino Acid Administration Prevents Intraoperative Hypothermia and Reduces Postoperative Infectious Complications after Thoracoscopic Esophagectomy[J]. Dis Esophagus, 2017,30(1):1-7.DOI:10.1111/dote.12460.
[19] Huh J, Cho Y B, Yang M K, et al.What Influence does Intermittent Pneumatic Compression of the Lower Limbs Intraoperatively Have on Core Hypothermia[J]. Surg Endosc, 2013, 27(6):2087-2093.DOI:10.1007/s00464-012-2715-4.
[20] Brouwers M C, Kho M E, Browman G P, et al.AGREE II: Advancing Guideline Development, Reporting and Evaluation in Health Care[J]. CMAJ, 2010,182(18):839-842.DOI:101503/cmaj.090449.
[21] 熊俊,陈日新. 系统评价/Meta分析方法学质量的评价工具AMSTAR[J]. 中国循证医学杂志, 2011,11(9):1084-1089.
[22] The Joanna Briggs Institute (JBI)/Critical Appraisal Tools[EB/OL].[2017-11-24].http://joannabriggs.org/research/critical-apprasial-tools.html.
[23] 黄培培,米元元,吴白女,等.肿瘤患者术中非计划性低体温预防及管理的证据总结[J].护理学报,2018,25(21):33-39.DOI:10.16460/j.issn1008-9969.2018.21.033.
[24] 卞薇,Kim Bissett,田旭,等.Johns Hopkins循证护理实践模式的研究进展[J].护理学报,2017,24(7):26-29.DOI:10.16460/j.issn100-9969.2017.07.026.
[25] 覃文杰,尹东,黄宇,等. 全髋关节置换术中保温干预对围手术期出血的影响[J]. 中国矫形外科杂志, 2015,23(17):1542-1545.DOI:10.3977/j.issn.1005-8478.2015.17.02.
[26] 米元元,沈月,郝彬,等. ICU患者肠内营养支持并发腹泻的循证护理实践[J]. 中华护理杂志, 2017,52(11):1291-1298.DOI:10.3761/j.issn.0254-1769.2017.11.002.
[27] 王季芳,洪怡莉,周行涛,等. 眼科日间手术术前管理的循证实践[J]. 中华护理杂志, 2018,53(3):267-271.
[1] GUO Lin-fang, ZHANG Pei-li, HOU Xiao-ya, LI Ying, CAO Min, GAO Chao-yue. Construction of online and offline nutrition intervention program for liver cancer patients undergoing chemotherapy [J]. Journal of Nursing, 2025, 32(4): 1-5.
[2] CAI Ying-ying, LING Chen, LIU Mian-zhu, ZHOU Jie, ZHANG Jun-feng, CHEN Lian-hua, TIAN Xiao-fei, LUO Bin, CHEN Meng-yun. Methodological quality assessment of guidelines for assessment and management of adult cancer pain [J]. Journal of Nursing, 2025, 32(4): 34-40.
[3] GONG Zu-hua, SUN Li, TAN Xuan, ZHANG Yue, SHI Dan, CHENG Juan-juan. Effect of basic sign collection-comparison-recognition model for occult change after hepatobiliary surgery [J]. Journal of Nursing, 2025, 32(4): 74-78.
[4] LI Ruo-Yu, LIU Xin, LIN Ping, CHEN Dan, LIN Hua. Best evidence summary for medication safety management for discharged patients [J]. Journal of Nursing, 2025, 32(3): 50-55.
[5] YANG Xiao-juan, MAO Xiao-rong, WANG Jing, JIANG Hua, LI Rong, FAN Yu, WEN Qing, LI Lin-zhang, CHEN Xiao-rong. Best evidence summary for early enteral nutrition management in adults with severe burns [J]. Journal of Nursing, 2025, 32(3): 56-61.
[6] WEI Li, ZHAO Xing-ying, LIU Jia, HE Yu-xuan, CHEN Xiao-mei, YANG Xue, XIAN Ji-shu, YANG Yan-ni. Care burden of family caregivers of severe inpatients in neurosurgery department and its influencing factors [J]. Journal of Nursing, 2025, 32(2): 1-6.
[7] CAO Min, ZHANG Pei-li, HOU Xiao-ya, GAO Chao-yue, GUO Lin-fang, LI Ying. Nutritional care experience of caregivers of colorectal cancer patients undergoing chemotherapy based on ABC-X model: a qualitative study [J]. Journal of Nursing, 2025, 32(2): 13-18.
[8] LIU Shuo-yi, XIONG Li-juan, LI Ling, WANG Yu-mei, HE Jia, LI Xin, YUAN Shi-lei, GUO Xue-qin, WANG Yang-jing, ZHANG Hui-juan. Quality evaluation and content analysis of clinical practice guidelines for prevention and management of frailty in elderly hospitalized patients [J]. Journal of Nursing, 2025, 32(2): 50-55.
[9] BI Ya-xin, DUAN Ye, HE Li-jun, XU Miao, GONG Rong-hua. Best evidence summary for prevention and management of osteoporosis after metabolic, bariatric surgery [J]. Journal of Nursing, 2025, 32(1): 44-49.
[10] CHEN Jie, MENG Qing-tong, LIU Jing-jin, WU Yan-ni. Development of guideline-based exercise rehabilitation handbook for patients with chronic heart failure [J]. Journal of Nursing, 2024, 31(9): 36-41.
[11] FU Lu-lu, XIE Yi-xuan, WANG Yue, WEI Wei, ZHANG Chuan-ying, ZHU Yu. Evidence summary for auditory stimulation intervention for procedural pain in neonates [J]. Journal of Nursing, 2024, 31(9): 42-47.
[12] HUA Jing, ZHANG Qing-yue, WANG Yan, CHENG Chang, ZHANG Xiu-li, ZHANG Ai'ai. Application of question prompt list in patients undergoing breast cancer surgery [J]. Journal of Nursing, 2024, 31(8): 18-22.
[13] CHEN Si-qi, LIU Ning, HOU Xiao-min, LU Shu-ying. Best evidence summary for perioperative nursing management of enhanced recovery after surgery in robotic surgery for gastric cancer [J]. Journal of Nursing, 2024, 31(8): 31-36.
[14] JI Rui-ting, LIN Dan-na, LIU Xiao-cheng, LI Ting-ting, XIE Ying-mei, HU Bing, YING Wen-juan. Best evidence for colostrum as oral immune therapy in premature infants [J]. Journal of Nursing, 2024, 31(8): 37-42.
[15] HUANG Jia-ying, ZHANG Jing, LIANG Li-chan, MENG Jiang-nan, YE Hong-yu, WANG Wei-jie, SHI Lei. Translation of Mini Symptom Screening in pediatrics tool and its validation in cancer children aged 4~7 [J]. Journal of Nursing, 2024, 31(8): 55-59.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!