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Original Articles
The Effect on Pain of Buzzy® and ShotBlocker® during the Administration of Intramuscular Injections to Children: A Randomized Controlled Trial
Birsen Sivri Bilgen, Serap Balcı
J Korean Acad Nurs 2019;49(4):486-494.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.486
AbstractAbstract PDF
Abstract Purpose

To investigate the effect of Buzzy® and ShotBlocker® on reducing pain induced by intramuscular penicillin injections in children.

Methods

This was a randomized controlled study. A total of 150 Turkish children aged 7~12 years who presented to our pediatric emergency clinic and met the inclusion criteria were recruited. The children were randomly assigned to each group (control=50, Buzzy®=50, ShotBlocker®=50). Data were collected using an information form, the State-Trait Anxiety Inventory for Children, Visual Analog Scale, and Faces Pain Scale-Revised.

Results

The children in the control group had significantly higher pain scores during the penicillin injection than the children in the ShotBlocker® and Buzzy® groups. The children in the Buzzy® group had significantly less pain than the children in both the ShotBlocker® and control groups (p<.001).

Conclusion

Buzzy® was more effective compared with ShotBlocker® in this study.

Citations

Citations to this article as recorded by  
  • Effects of BuzzyⓇ and ShotBlockerⓇ on Pain and Anxiety During Immunization in Children: A Randomized Controlled Trial
    Dilek Sari, Hatice Erdem Onder, Nihal Taskiran, Figen Yardimci, Seyma Kislali Tas
    Pain Management Nursing.2025;[Epub]     CrossRef
  • Comparison of Different Methods for Reducing Pain during Vaccination: A Randomized Study with Placebo and Control Groups
    Zeliha Cengiz, Mürşide Zengin, Emriye Hilal Yayan, Elanur Vicnelioğlu
    Etkili Hemşirelik Dergisi.2025; 18(1): 111.     CrossRef
  • Buzzing Away Pain: Efficacy of Buzzy® in Reducing Pain During Canakinumab Treatment for Familial Mediterranean Fever
    Nebahat Zeynep Özaslan, Betül Öksel, Nihal Sahin, Hafize E Sönmez
    Cureus.2025;[Epub]     CrossRef
  • The effect of Buzzy application on pain and comfort level during heel stick in newborns: a randomized controlled study
    Mehmet Bulduk, Nesrullah Ayşin, Veysel Can, Jiyan Tan Ayşin, Yusuf Dilbilir, Emine Kurt Can
    Anatolian Current Medical Journal.2025; 7(2): 170.     CrossRef
  • Effectiveness and safety of Buzzy device in needle-related procedures for children under twelve years of age: A systematic review and meta-analysis
    Faguang Jin, Xiaofang Wang, Maomao Qi, Wenhua Zhang, Yongfeng Zhang
    Medicine.2024; 103(15): e37522.     CrossRef
  • Effect of the Helfer skin tap technique on pain, anxiety, and fear in children undergoing intramuscular injection: An open-label randomized controlled study
    Aylin Kurt, Fatma Dinç, Betül Akkoç
    Archives de Pédiatrie.2024; 31(2): 148.     CrossRef
  • Utilization of local pressure devices in pain management during injections: scoping review
    Jefferson Wildes da Silva Moura, Aline de Souza Bitencourt, Thiago Lopes Silva, Andréia Cristina Feitosa do Carmo, Luciano Marques dos Santos, Patrícia Kuerten Rocha
    Revista Brasileira de Enfermagem.2024;[Epub]     CrossRef
  • The effect of new device on pain and comfort levels in individuals undergoing peripheral intravenous cannula insertion
    Tuba Karabey, Şerife Karagözoğlu
    The Journal of Vascular Access.2024; 25(2): 432.     CrossRef
  • Comparison of the effect of intramuscular injection from two different sites on pain and fear in children: a randomized controlled study
    Öznur Tiryaki, Dilek Menekşe, Öner Özdemir, Nursan Çınar, Bahri Elmas
    Revista da Associação Médica Brasileira.2024;[Epub]     CrossRef
  • Utilização de dispositivos de pressão local no manejo da dor durante injeções: revisão de escopo
    Jefferson Wildes da Silva Moura, Aline de Souza Bitencourt, Thiago Lopes Silva, Andréia Cristina Feitosa do Carmo, Luciano Marques dos Santos, Patrícia Kuerten Rocha
    Revista Brasileira de Enfermagem.2024;[Epub]     CrossRef
  • Effects of ShotBlocker® and the Helfer skin tap technique on pain and fear experienced during intramuscular injection among children aged 6–12 years in pediatric emergency units: A randomized controlled trial
    Duygu Sönmez Düzkaya, Atiye Karakul, İrem Akoy, Senem Andi
    International Emergency Nursing.2024; 76: 101502.     CrossRef
  • The Impact of Cold Spray and Ice Application During Intravenous Access on Pain and Fear in Children Aged 7-15 Years in the Pediatric Emergency Unit: A Randomized Controlled Trial
    Elif Günal Çelik, Duygu Sönmez Düzkaya
    Journal of Emergency Nursing.2024; 50(2): 264.     CrossRef
  • Temporal Dynamics of Pain: Examining the Relationship Between Intramuscular Injection Duration and Pain Perception: A Crossover Randomized Controlled Trial
    Yusuf Acarlioglu, Leman Senturan, Saleh Salimi
    Cureus.2024;[Epub]     CrossRef
  • Effectiveness of ShotBlocker application on reducing the pain of needle-related procedures in children: A systematic review and meta-analysis
    Zahide İyi, Ayşegül İşler, Zeynep Özer
    Journal of Pediatric Nursing.2024; 78: e438.     CrossRef
  • Shotblocker or Cold Application; Which One is More Effective in Reducing Anxiety and Pain Associated with the Intramuscular Injection in Children?: A Randomized Controlled Trial
    Diler AYDIN YILMAZ, Selen ÖZAKAR AKÇA, Havva Nur PELTEK KENDİRCİ
    Bezmialem Science.2024; 12(1): 98.     CrossRef
  • Local anaesthetic to reduce injection pain in patients who are prescribed intramuscular benzathine penicillin G: a systematic review and meta-analysis
    Ferruccio Pelone, Bessie Kwok, Sabahat Ahmed, Yakup Kilic, Syed Ahsan Ali, Nida Ahmed, Mahmood Ahmad, Jonathan JH. Bray, Farhad Shokraneh, Miryan Cassandra, David S. Celermajer, Eloi Marijon, Rui Providencia
    eClinicalMedicine.2024; 76: 102817.     CrossRef
  • The effect of buzzy®, DistrACTION® cards on reducing pediatric pain and fear during blood collection in the rheumatology polyclinic: A randomized controlled trial
    B. Bilgen Sivri, Y.S. Feng, C. Michler, J. Kuemmerle-Deschner, C. Mahler
    Journal of Pediatric Nursing.2023; 73: e446.     CrossRef
  • Effects of two different ball types on pain and anxiety during venous blood draw in children: A randomized controlled study
    Zeynep Yurdakul, Figen Işık Esenay
    Journal of Pediatric Nursing.2023; 72: e201.     CrossRef
  • The Effect of Virtual Reality and Buzzy on First Insertion Success, Procedure-Related Fear, Anxiety, and Pain in Children during Intravenous Insertion in the Pediatric Emergency Unit: A Randomized Controlled Trial
    Büşra Güliz Yıldırım, Gülçin Özalp Gerçeker
    Journal of Emergency Nursing.2023; 49(1): 62.     CrossRef
  • Comparison of pain levels developed during intramuscular injections to laterofemoral and ventrogluteal regions in children: a randomized controlled study
    Serap Balci, Birsen Bilgen Sivri
    Revista da Associação Médica Brasileira.2023; 69(1): 85.     CrossRef
  • Effects of applications manual pressure and shotblocker to reduce needle-related pain and fear in children with type 1 diabetes mellitus
    Burcu Aykanat Girgin, İlknur Göl, Duygu Gözen, Fatma Çarikçi, Heves Kirmizibekmez
    Journal of Pediatric Nursing.2023; 73: 84.     CrossRef
  • The Effectiveness of the Buzzy Device in Reducing Pain in Children Undergoing Venipuncture
    Elisa Simoncini, Giulia Stiaccini, Elena Morelli, Elisa Trentini, Diego G. Peroni, Maria Di Cicco
    Pediatric Emergency Care.2023;[Epub]     CrossRef
  • The Effect of 3 Methods (Buzzy, ShotBlocker, and DistrACTION Cards) Used While Taking Blood Samples From Children with Pain and Anxiety
    Birsen Bilgen Sivri, Serap Balci, Gülümser Dolgun
    Pediatric Emergency Care.2023; 39(8): 600.     CrossRef
  • Medical devices, smart drug delivery, wearables and technology for the treatment of Diabetes Mellitus
    Daniel A. Domingo-Lopez, Giulia Lattanzi, Lucien H. J. Schreiber, Eimear J. Wallace, Robert Wylie, Janice O'Sullivan, Eimear B. Dolan, Garry P. Duffy
    Advanced Drug Delivery Reviews.2022; 185: 114280.     CrossRef
  • Comparison of cold spray and shotblocker to reduce intramuscular injection pain: A randomized controlled trial
    Züleyha Gürdap, Zeliha Cengiz
    Journal of Clinical Pharmacy and Therapeutics.2022; 47(8): 1249.     CrossRef
  • The Effect of Buzzy Application on Pain Level During Vaccine Injection in Infants
    Özge Şıktaş, Gülzade Uysal
    Journal of Nursing Care Quality.2022;[Epub]     CrossRef
  • A Comparison of Two Different Tactile Stimulus Methods on Reducing Pain of Children During Intramuscular Injection: A Randomized Controlled Study
    Mürşide Zengin, Emriye Hilal Yayan
    Journal of Emergency Nursing.2022; 48(2): 167.     CrossRef
  • The Effect of Helfer Skin Tap Technique and ShotBlocker Application on Pain in Deltoid Muscle Injection
    Tuba KARABEY, Şerife KARAGÖZOĞLU
    Clinical and Experimental Health Sciences.2021; 11(4): 721.     CrossRef
  • Minimizing immunization injection pain in children
    Emily Jang, Ekaterina Zhimanov, Bridget Parsh
    Nursing.2021; 51(3): 13.     CrossRef
  • Shotblocker Use in Emergency Care
    Dilek Yildirim, Berna Dinçer
    Advanced Emergency Nursing Journal.2021; 43(1): 39.     CrossRef
  • Pain Control
    Janice Selekman, Dawn Lambert
    Journal of Pediatric Surgical Nursing.2020; 9(2): 59.     CrossRef
  • 582 View
  • 30 Download
  • 24 Web of Science
  • 31 Crossref
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Effects of Postpartum Massage Program on Stress response in the Cesarean section Mothers
Sung Hee Lee
Journal of Korean Academy of Nursing 2000;30(2):488-497.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.2.488
AbstractAbstract PDF

The purpose of this study was to explore the effect of a postpartum massage program on stress response in the Cesarean section mothers. The study focused on evaluating the effect of postpartum massage program on mood, anxiety, skin temperature and concentration of saliva and breast milk immunoglobulin A in the Cesarean section mothers. This study was designed as a nonequivalent control group pretest-posttest quasi-experimental study. Twenty-eight Cesarean section mothers were selected as experimental group, whereas twenty- seven were control group. The postpartum massage program consisted of 20 minutes of warm-up, massage and ending phases and used once a day. During each program, there were 4 minutes of warm-up, 14 minutes of massage on back, axillary and breasts, and 2 minutes of ending. Massage were used for the experimental group by the same investigator 20 times per minute. The massage technique used were efflurage, petrissage, accupressure, kneading and vibration. Skin temperature was monitored with YSI Tele-thermometer(Simpson electric Co., USA) before and after massage program. The concentration of immunoglobulin A in saliva and breast milk was analyzed by immunoturbididimeter assay(Cobas INTEGRA, Roche, Swiss) before and after massage program. Also at this time mood and anxiety were measured by self-report. The data were analyzed using SPSS version 7.5 and hypothesis was tested with ANCOVA analysis and Pearson coefficient correlation. The results were as follows : 1) Score of mood increased significantly after use of postpartum massage program. 2) Level of anxiety decreased significantly after use of postpartum massage program. 3) Skin temperature increased significantly after use of postpartum massage program. 4) Concentration of saliva immunoglobulin A increased significantly after use of postpartum massage program. 5) Concentration of breast milk immunoglobulin A did not change significantly after use of postpartum massage program. 6) After use of postpartum massage program, there was significant correlation between psychological stress response and physiological stress response. The results suggest that postpartum massage program can be effective nursing intervention to reduce stress response in the postpartum mothers under stress.

Citations

Citations to this article as recorded by  
  • Effects of Meridian Acupressure Massage on Body Composition, Edema, Stress, and Fatigue in Postpartum Women
    Geum-Sook Jung, In-Ryoung Choi, Hee-Young Kang, Eun-Young Choi
    The Journal of Alternative and Complementary Medicine.2017; 23(10): 787.     CrossRef
  • Effects of Laughter Therapy on Immune Responses in Postpartum Women
    Kyung Hee Ryu, Hye Sook Shin, Eun Young Yang
    The Journal of Alternative and Complementary Medicine.2015; 21(12): 781.     CrossRef
  • 149 View
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  • 2 Crossref
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A comparison of the Effects of Intravenous Fluid Warming and Skin Surface Warming on Peri-operative Body Temperature and Acid Base Balance of Elderly Patients with Abdominal Surgery
Hyosun Park, Haesang Yoon
Journal of Korean Academy of Nursing 2007;37(7):1061-1072.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.7.1061
AbstractAbstract PDF

PURPOSE: The purpose of this study was to compare the effects of intravenous fluid warming and skin surface warming on peri-operative body temperature and acid base balance of abdominal surgical patients under general anesthesia. METHOD: Data collection was performed from January 4th, to May 31, 2004. The intravenous fluid warming(IFW) group(30 elderly patients) was warmed through an IV line by an Animec set to 37 degrees C. The skin surface warming(SSW) group(30 elderly patients) was warmed by a circulating-water blanket set to 38 degrees C under the back and a 60W heating lamp 40 cm above the chest. The warming continued from induction of general anesthesia to two hours after completion of surgery. Collected data was analyzed using Repeated Measures ANOVA, and Bonferroni methods. RESULTS: SSW was more effective than IFW in preventing hypothermia(p= .043), preventing a decrease of HCO3-(p= .000) and preventing base excess(p= .000) respectively. However, there was no difference in pH between the SSW and IFW(p= .401) groups. CONCLUSION: We conclude that skin surface warming is more effective in preventing hypothermia, and HCO3- and base excess during general anesthesia, and returning to normal body temperature after surgery than intravenous fluid warming; however, skin surface warming wasn't able to sustain a normal body temperature in elderly patients undergoing abdominal surgery under general anesthesia.

Citations

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  • Effects of Heated-Humidified Anesthetic Gas in the Elderly Patients with Colorectal Cancer during Laparoscopic Surgery: Randomized Controlled Trial
    Hyo-Sun Park, Younhee Kang
    Korean Journal of Adult Nursing.2018; 30(2): 206.     CrossRef
  • Anesthetic Management of Transapical Off-Pump Mitral Valve Repair With NeoChord Implantation
    Ali Sait Kavakli, Nilgun Kavrut Ozturk, Raif Umut Ayoglu, Mustafa Emmiler, Lutfi Ozyurek, Kerem Inanoglu, Sadik Ozmen
    Journal of Cardiothoracic and Vascular Anesthesia.2016; 30(6): 1587.     CrossRef
  • Core Temperature Evaluation in Different Body Parts in Patients Undergoing Laparoscope Surgery under Total Intravenous Anesthesia*
    Tae Soo Hahm, Won Ho Kim, Nam Cho Kim, Je Bog Yoo
    Journal of Korean Academy of Fundamentals of Nursing.2015; 22(4): 379.     CrossRef
  • Factors Affecting Intraoperative Body Temperature in Surgical Patients with Laparotomy under General Anesthesia
    Seohyun Lee, Haesang Yoon
    Journal of Korean Biological Nursing Science.2015; 17(3): 236.     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
  • Methods of Patient Warming during Abdominal Surgery
    Li Shao, Hong Zheng, Feng-Ju Jia, Hui-Qin Wang, Li Liu, Qi Sun, Meng-Ying An, Xiu-Hua Zhang, Hao Wen, Sara Cheng
    PLoS ONE.2012; 7(7): e39622.     CrossRef
  • Comparison of Antifebrile Effects of Hypothermia Blanket and Rectal Antipyretics for Infants after Open Heart Surgery
    Eun-Jung Kim, Myoung-Hee Kim
    Journal of Korean Academy of Child Health Nursing.2012; 18(4): 164.     CrossRef
  • Power Analysis in Experimental Designs with t test Analysis
    Jeong-Hee Kang, Kyung-Sook Bang, Sung-Hee Ko
    The Journal of Korean Academic Society of Nursing Education.2009; 15(1): 120.     CrossRef
  • 178 View
  • 3 Download
  • 8 Crossref
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Effects of SP-6 Acupressure on Dysmenorrhea, Skin Temperature of CV2 Acupoint and Temperature, in the College Students
Eun Mi Jun
Journal of Korean Academy of Nursing 2004;34(7):1343-1350.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1343
AbstractAbstract PDF
Purpose

The purpose of this study was to identify effects of the SP-6 acupressure on dysmenorrhea, the skin temperature of the CV2 acupoint and oral temperatures in the college students.

Method

Data was collected from May 1 to August 31, 2002. A total of 58 students from two universities ticipated in the study. Both groups were pretested before the intervention for three variables', the intensity of dysmenorrhea, skin temperature of the CV2 acupoint and oral temperature. Then, SP-6 acupressure was provided for 20 minutes for students in the experimental group. The instruments used in this study included the Visual Analogue Scale developed by Johnson & Rice(1974), Menstrual Attitudes Questionnaire Scale developed by Brooks-Gunn & Ruble(1980), and a Stress scale developed by Cheun and Kim(1991).

Result

There were statistically significant differences in the intensity of dysmenorrhea 30minutes after the intervention. The experimental group had a lower intensity than the control group. There were not statistically significant differences in skin temperature of the CV2 acupoint and oral temperature 30minutes after the intervention with the experimental group.

Conclusion

SP-6 acupressure reduced the subjective perception of dysmenorrhea.

Citations

Citations to this article as recorded by  
  • Acupuncture for dysmenorrhoea
    Caroline A Smith, Mike Armour, Xiaoshu Zhu, Xun Li, Zhi Yong Lu, Jing Song
    Cochrane Database of Systematic Reviews.2016;[Epub]     CrossRef
  • Effects of Artemisia A. Smoke(Ssukjahun) on Menstrual Distress, Dysmenorrhea, and Prostaglandin F2α
    Kwang Ok Lee, Sue Kim, Soon Bok Chang, Ji Soo Yoo
    Korean Journal of Women Health Nursing.2009; 15(2): 150.     CrossRef
  • The Effects of Meridian Massage on Menopausal Symptoms and Shin-Hur in Middle-aged Menopausal Women
    Kyung-Hee Yang, Kum-Sook Park, Jeong-Ran Lee
    Journal of Korean Academy of Nursing.2008; 38(1): 131.     CrossRef
  • The Alteration of Pain Sensitivity at Disease-Specific Acupuncture Points in Premenstrual Syndrome
    Younbyoung Chae, Hee-Young Kim, Hwa-Jin Lee, Hi-Joon Park, Dae-Hyun Hahm, Kyungeh An, Hyejung Lee
    The Journal of Physiological Sciences.2007; 57(2): 115.     CrossRef
  • 139 View
  • 1 Download
  • 4 Crossref
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The Effects of 30-Minutes of Pre-Warming on Core Body Temperature, Systolic Blood Pressure, Heart Rate, Postoperative Shivering, and Inflammation Response in Elderly Patients with Total Hip Replacement under Spinal Anesthesia: A Randomized Double-blind Controlled Trial
You Mi Cheon, Haesang Yoon
J Korean Acad Nurs 2017;47(4):456-466.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.4.456
AbstractAbstract PDF
Abstract Purpose

This study was designed to determine the effects of pre-warming on core body temperature (CBT) and hemodynamics from the induction of spinal anesthesia until 30 min postoperatively in surgical patients who undergo total hip replacement under spinal anesthesia. Our goal was to assess postoperative shivering and inflammatory response.

Methods

Sixty-two surgical patients were recruited by informed notice. Data for this study were collected at a 1,300-bed university hospital in Incheon, South Korea from January 15 through November 15, 2013. Data on CBT, systemic blood pressure (SBP), and heart rate were measured from arrival in the pre-anesthesia room to 3 hours after the induction of spinal anesthesia. Shivering was measured for 30 minutes post-operatively. C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) were measured pre-operatively, and 1 and 2 days postoperatively. The 62 patients were randomly allocated to an experimental group (EG), which underwent pre-warming for 30 minutes, or a control group (CG), which did not undergo pre-warming.

Results

Analysis of CBT from induction of spinal anesthesia to 3 hours after induction revealed significant interaction between group and time (F=3.85, p=.008). In addition, the incidence of shivering in the EG was lower than that in the CG (χ2=6.15, p=.013). However, analyses of SBP, heart rate, CRP, and ESR did not reveal significant interaction between time and group.

Conclusion

Pre-warming for 30 minutes is effective in increasing CBT 2 and 3 hours after induction of spinal anesthesia. In addition, pre-warming is effective in decreasing post-operative shivering.

Citations

Citations to this article as recorded by  
  • Effect of Prewarming on Postoperative Hypothermia, Vital Signs, and Thermal Comfort: A Randomized Controlled Trial
    Refiye Akpolat, Sevban Arslan
    Therapeutic Hypothermia and Temperature Management.2024; 14(2): 89.     CrossRef
  • Immediate fever during anaesthesia recovery after surgical procedure with scoliosis: A case report and literature review
    Limin Zhou, Xiumei Cui, Guixi Mo, Jingsong Wei, Meizhen Mo, Yiyue Zhong
    International Journal of Surgery Case Reports.2024; 121: 110027.     CrossRef
  • Effects of Forced-Air Warming Therapy on Anxiety, Pain, and Body Temperature of Patients under Local Anesthesia during Surgery: A Quasi-Experimental Study
    Jeongmin Lee, Yeojin Yi
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 206.     CrossRef
  • Effects of a preoperative forced-air warming system for patients undergoing video-assisted thoracic surgery
    Yan Xiao, Rui Zhang, Na Lv, Chunmiao Hou, Chunguang Ren, Huiying Xu
    Medicine.2020; 99(48): e23424.     CrossRef
  • Physiological Factor Evaluation of the Warm Humidification of Anesthetic Gas Nursing Care
    Hyosun Park, Nayeon Shin
    Asia-Pacific Journal of Oncology Nursing.2019; 6(4): 397.     CrossRef
  • Effects of perioperative warm socks‐wearing in maintaining core body temperature of patients undergoing spinal surgery
    Hui Yeon Lee, Gaeun Kim, Yeonghee Shin
    Journal of Clinical Nursing.2018; 27(7-8): 1399.     CrossRef
  • 306 View
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  • 6 Crossref
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Effects of ASPAN's Evidence-based Clinical Practice Guidelines for Promotion of Hypothermia of Patients with Total Knee Replacement Arthroplasty
Je Bog Yoo, Hyun Ju Park, Ji Yeoun Chae, Eun Ju Lee, Yoo Jung Shin, Justin Sangwook Ko, Nam Cho Kim
J Korean Acad Nurs 2013;43(3):352-360.   Published online June 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.3.352
AbstractAbstract PDF
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.

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
  • 391 View
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  • 5 Crossref
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Accuracy, Precision, and Validity of Fever Detection using Non-invasive Temperature Measurement in Adult Coronary Care Unit Patients with Pulmonary Catheters
Gaeul Joo, Kyeong-Yae Sohng
J Korean Acad Nurs 2012;42(3):424-433.   Published online June 29, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.3.424
AbstractAbstract PDF
Purpose

To investigate the accuracy, precision and validity of fever detection of tympanic membrane (TM), temporal artery (TA) and axillary temperature (AT) compared with pulmonary artery temperature (PA).

Methods

Repeated-measures design was conducted for one year on 83 adult cardiac care unit patients with pulmonary artery catheters after open heart surgery. Sequential temperature measurements were taken three times at 20-minute intervals. Accuracy, precision, repeatability, and validity of fever detection were analyzed.

Results

Mean pulmonary artery temperature was 37.04℃ (SD 0.70℃). The mean (SD) offsets from PA, with the mean reflecting accuracy and SD reflecting precision, were -1.31℃ (0.75℃) for TA, -0.20℃ (0.24℃) for TM, and -0.97℃ (0.64℃) for AT. Percentage of pairs with differences within ±0.5℃ was 9.6% for TA, 19.7% for AT, and 91.6% for TM. Repeated measurements with all three methods had mean SD values within 0.04℃. Sensitivity, specificity, and positive and negative predictive values of tympanic measurements were 0.76, 1.0, and 1.0, and 0.90, respectively.

Conclusion

Results show that TM best reflects PA, and is most consistent, accurate, and precise. AT tends to underestimate PA, and TA is least accurate and precise. Therefore tympanic membrane measurement is a reliable alternative to other non-invasive methods of measuring temperatures.

Citations

Citations to this article as recorded by  
  • Axillary temperature measurements based on smart wearable thermometers in South Korean children: comparison with tympanic temperature measurements
    Younglee Choi, Hye Young Ahn
    Child Health Nursing Research.2022; 28(1): 62.     CrossRef
  • Smart Patch for Skin Temperature: Preliminary Study to Evaluate Psychometrics and Feasibility
    Heejung Kim, Sunkook Kim, Mingoo Lee, Yumie Rhee, Sungho Lee, Yi-Rang Jeong, Sunju Kang, Muhammad Naqi, Soyun Hong
    Sensors.2021; 21(5): 1855.     CrossRef
  • Core Temperature Evaluation in Different Body Parts in Patients Undergoing Laparoscope Surgery under Total Intravenous Anesthesia*
    Tae Soo Hahm, Won Ho Kim, Nam Cho Kim, Je Bog Yoo
    Journal of Korean Academy of Fundamentals of Nursing.2015; 22(4): 379.     CrossRef
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  • 3 Crossref
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Effects of Self-Foot Reflexology on Stress, Fatigue, Skin Temperature and Immune Response in Female Undergraduate Students
Young-Mee Lee
J Korean Acad Nurs 2011;41(1):110-118.   Published online February 28, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.1.110
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effects of self-foot reflexology on stress (perceived stress, urine cortisol level, and serum cortisol level), fatigue, skin temperature and immune response in female undergraduate students.

Methods

The research design was a nonequivalent control group pretest-post test design. Participants were 60 university students: 30 in the experiment group and 30 in the control group. The period of this study was from April to June 2010. The program was performed for 1 hr a session, three times a week for 6 weeks. The data were analyzed using the SPSS/WIN 17.0 program.

Results

The results showed that self-foot reflexology was effective in reducing perceived stress and fatigue, and raised skin temperature in female undergraduate students. But cortisol levels and immune response were not statistically significant different.

Conclusion

The results of this study indicate that self-foot reflexology is an effective nursing intervention in reducing perceived stress and fatigue and, in improving skin temperature. Therefore, it is recommended that this be used in clinical practice as an effective nursing intervention for in female undergraduate students.

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The Effect of Pre-warming for Patients under Abdominal Surgery on Body Temperature, Anxiety, Pain, and Thermal Comfort
Ok Bun Park, Heejung Choi
J Korean Acad Nurs 2010;40(3):317-325.   Published online June 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.3.317
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effect of pre-warming on body temperature, anxiety, pain, and thermal comfort.

Methods

Forty patients who were scheduled for abdominal surgery were recruited as study participants and were assigned to the experimental or control group. For the experimental group, a forced air warmer was applied for 45-90 min (M=68.25, SD=15.50) before surgery. Body temperature and anxiety were measured before and after the experiment, but pain and thermal comfort were assessed only after the surgery. Hypotheses were tested using t-test and repeated measured ANOVA.

Results

The experimental group showed higher body temperature than the control group from right before induction to two hours after surgery. Post-operative anxiety and pain in the experimental group were less than those of the control group. In addition, the score of thermal comfort was significantly higher in the experiment group.

Conclusion

Pre-warming is effective in maintaining body temperature, lowering sensitivity to pain and anxiety, and promoting thermal comfort. Therefore, pre-warming can be recommended as a preoperative nursing intervention.

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