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Effects of ASPAN's Evidence-based Clinical Practice Guidelines for Promotion of Hypothermia of Patients with Total Knee Replacement Arthroplasty
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Je Bog Yoo, Hyun Ju Park, Ji Yeoun Chae, Eun Ju Lee, Yoo Jung Shin, Justin Sangwook Ko, Nam Cho Kim
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J Korean Acad Nurs 2013;43(3):352-360. Published online June 28, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.3.352
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 Abstract
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Purpose
In this study an examination was done of the effects of the American Society of PeriAnesthesia Nurses (ASPAN) Evidence-Based Clinical Practice Guidelines on body temperature, shivering, thermal discomfort, and time to achieve normothermia in patients undergoing total knee replacement arthroplasty (TKRA) under spinal anesthesia.
Methods
This study was an experimental study with a randomized controlled trial design. Participants (n=60) were patients who underwent TKRA between December 2011 and March 2012. Experimental group (n=30) received active and passive warming measures as described in the ASPAN's guidelines. Control group (n=30) received traditional care. Body temperature, shivering, thermal discomfort, time to achieve normothermia were measured in both groups at 30 minute intervals.
Results
Experimental group had slightly higher body temperature compared to control group (p=.002). Thermal discomfort was higher in the experimental group before surgery but higher in the control group after surgery (p=.034). It decreased after surgery (p=.041) in both groups. Time to achieve normothermia was shorter in the experimental group (p=.010).
Conclusion
ASPAN's guidelines provide guidance on measuring patient body temperature at regular intervals and on individualized and differentiated hypothermia management which can be very useful in nursing care, particularly in protecting patient safety and improving quality of nursing.
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Citations
Citations to this article as recorded by  - Effect of the ASPAN Guideline on Perioperative Hypothermia Among Patients With Upper Extremity Surgery Under General Anesthesia: A Randomized Controlled Trial
Sookyung Kang, Soohyun Park
Journal of PeriAnesthesia Nursing.2020; 35(3): 298. CrossRef - Patient Care Interventions to Reduce the Risk of Surgical Site Infections
Kari L. Love
AORN Journal.2016; 104(6): 506. CrossRef - Effects of Forced Air Warming on Body Temperature, Shivering and Pain in Laparoscopic Cholecystectomy Patients*
Sung Joo Park, Sook Young Kim
Journal of Korean Academy of Fundamentals of Nursing.2015; 22(3): 287. CrossRef - Use of Web-Based Evidence-based Clinical Practice Guidelines for Patients following Gastrectomy: Effects on Body Temperature, Shivering, Perceived Thermal Comfort, and Satisfaction with Temperature Management
Sung-Jung Hong, Eunjoo Lee
Journal of Korean Academy of Fundamentals of Nursing.2014; 21(2): 112. CrossRef - Interventions for treating inadvertent postoperative hypothermia
Sheryl Warttig, Phil Alderson, Gillian Campbell, Andrew F Smith
Cochrane Database of Systematic Reviews.2014;[Epub] CrossRef
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Effects of Nei-Guan Acupressure on Nausea, Vomiting and Level of Satisfaction for Gynecological Surgery Patients Who Are Using a Patient-Controlled Analgesia
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Nam Cho Kim, Je Bog Yoo, Myung Sook Cho, Eun Ju Shin, Tae Soo Hahm
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J Korean Acad Nurs 2010;40(3):423-432. Published online June 30, 2010
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DOI: https://doi.org/10.4040/jkan.2010.40.3.423
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Abstract
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Purpose
This study was done to examine effects of Nei-Guan acupressure on nausea, vomiting and level of satisfaction for gynecological surgery patients who were using a patient-controlled analgesia (PCA).
Methods
For this study, 51 patients were assigned to one of three groups, a control group (17 patients), experimental group 1 (finger acupressure group) (17 patients), and experimental group 2 (relief band group) (17 patients). The data were collected for 24 hr in the recovery room of a university hospital located in Seoul. The 6 hr-intervals including the time of leaving the recovery room were taken into consideration.
Results
The occurrence of nausea between the experimental group with Nei-Guan acupressure treatment and the control group was different. However, there was no difference in nausea and vomiting control or level of patient satisfaction between the finger acupressure group and the relief band group.
Conclusion
Nei-Guan acupressure is recommended for nursing practice as a way for alleviating the opioid-induced nausea and accelerating the recovery of patients who are using PCA after surgery.
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Citations
Citations to this article as recorded by - Effectiveness of Integrated Education to Reduce Postoperative Nausea, Vomiting, and Dizziness after Abdominal Surgery under General Anesthesia
Yoonhee Seok, Eunyoung E. Suh, Soo-Young Yu, JeongYun Park, Hyunjin Park, Eunsil Lee
International Journal of Environmental Research and Public Health.2021; 18(11): 6124. CrossRef - Factors Influencing Satisfaction with Patient-Controlled Analgesia Among Postoperative Patients Using a Generalized Ordinal Logistic Regression Model
Wonhee Baek, Yeonsoo Jang, Chang Gi Park, Mir Moon
Asian Nursing Research.2020; 14(2): 73. CrossRef - Contemporary acupressure therapy: Adroit cure for painless recovery of therapeutic ailments
Piyush Mehta, Vishwas Dhapte, Shivajirao Kadam, Vividha Dhapte
Journal of Traditional and Complementary Medicine.2017; 7(2): 251. CrossRef - Effectiveness of Ginger Essential Oil on Postoperative Nausea and Vomiting in Abdominal Surgery Patients
Yu Ri Lee, Hye Sook Shin
The Journal of Alternative and Complementary Medicine.2017; 23(3): 196. CrossRef - Comparing Effects of Two Different Types of Nei-Guan Acupuncture Stimulation Devices in Reducing Postoperative Nausea and Vomiting
Hanna Oh, Bo Hwan Kim
Journal of PeriAnesthesia Nursing.2017; 32(3): 177. CrossRef - Effect of Evidence-based Clinical Practice Guidelines for Promotion of Postoperative Nausea and Vomiting of Patients with Laparoscopic Hysterectomy
Sung-Hee Lee, Sung-Jung Hong, Hwa Sun Kim, Younghoon Jeon
Korean Journal of Adult Nursing.2015; 27(5): 481. CrossRef - Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting
Anna Lee, Simon KC Chan, Lawrence TY Fan
Cochrane Database of Systematic Reviews.2015;[Epub] CrossRef - Efficacy of Nei-Guan acupressure on Nausea and Vomiting in Patients undergoing laparoscopic prostatectomy with Intravenous Patient Controlled Analgesia
Mi Young Shin, Ju Young Ha
Journal of Korean Academy of Fundamentals of Nursing.2014; 21(2): 131. CrossRef - The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery
Sun Hee Park, Hee Jung Jang
The Journal of the Korea Contents Association.2014; 14(11): 378. CrossRef - Cost Analysis of Post Operative Pain Management for Surgical Patients using PCA
Sung-Jung Hong, Eunjoo Lee
Journal of Korean Academy of Fundamentals of Nursing.2013; 20(2): 137. CrossRef - Combination Effects of Capsicum Plaster at the Korean Hand Acupuncture Points K-D2 with Prophylactic Antiemetic on Postoperative Nausea and Vomiting after Gynecologic Laparoscopy
Hyun Jung Jung, Sang Youn Park
Journal of Korean Academy of Nursing.2013; 43(2): 215. CrossRef - The Effects of P6 Acupressure and Guided Imagery on Nausea, Vomiting, Retching and Anorexia of the Patients with Thyroid Cancer Undergoing Radioactive Iodine Therapy
Mi Kyung Kang, Eunyoung, E. Suh
Asian Oncology Nursing.2013; 13(4): 184. CrossRef - Effects of Postoperative Oral Care Using Cold Therapy on Nausea, Vomiting and Oral Discomfort in Patients with Laparoscopic Myomectomy
Mi-Young Jung, Hyo-Sun Choi, Kyung-Yeon Park
Journal of Korean Academy of Fundamentals of Nursing.2012; 19(3): 292. CrossRef - RECENT LITERATURE
Focus on Alternative and Complementary Therapies.2010; 15(4): 324. CrossRef
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