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

1Head Nurse, Operation Room, Konkuk University Hospital, Seoul, Korea.

2Professor, Department of Nursing, Konkuk University, Chungju, Korea.

Address reprint requests to: Park, Ok Bun. Operation Room, Konkuk University Hospital, 4-12 Hwayang-dong, Gwangjin-gu, Seoul 143-729, Korea. Tel: 82-2-2030-5463, Fax: 82-2-2030-5422, bada@kuh.ac.kr
• Received: July 22, 2009   • Accepted: May 19, 2010

Copyright © 2010 Korean Society of Nursing Science

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  • 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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Figure 1
Study design.
jkan-40-317-g001.jpg
Figure 2
Body temperature change for one hour from induction.
jkan-40-317-g002.jpg
Table 1
Homogeneity between Experimental Group and Control Group
jkan-40-317-i001.jpg

STAI=State-Trait Anxiety Inventory; VAS=Visual analogue scale.

Table 2
Mean differences in Body Temperature (℃), Anxiety, Pain and Thermal Comfort
jkan-40-317-i002.jpg

*The number of person who was taken the additional pain medicine for 2 hr since end of surgery.

VAS=Visual analogue scale; STAI=State-Trait Anxiety Inventory.

Table 3
Repeated Measure ANOVA of Intra-operative Body Temperature
jkan-40-317-i003.jpg

Figure & Data

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        The Effect of Pre-warming for Patients under Abdominal Surgery on Body Temperature, Anxiety, Pain, and Thermal Comfort
        J Korean Acad Nurs. 2010;40(3):317-325.   Published online June 30, 2010
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      The Effect of Pre-warming for Patients under Abdominal Surgery on Body Temperature, Anxiety, Pain, and Thermal Comfort
      Image Image
      Figure 1 Study design.
      Figure 2 Body temperature change for one hour from induction.
      The Effect of Pre-warming for Patients under Abdominal Surgery on Body Temperature, Anxiety, Pain, and Thermal Comfort

      Homogeneity between Experimental Group and Control Group

      STAI=State-Trait Anxiety Inventory; VAS=Visual analogue scale.

      Mean differences in Body Temperature (℃), Anxiety, Pain and Thermal Comfort

      *The number of person who was taken the additional pain medicine for 2 hr since end of surgery.

      VAS=Visual analogue scale; STAI=State-Trait Anxiety Inventory.

      Repeated Measure ANOVA of Intra-operative Body Temperature

      Table 1 Homogeneity between Experimental Group and Control Group

      STAI=State-Trait Anxiety Inventory; VAS=Visual analogue scale.

      Table 2 Mean differences in Body Temperature (℃), Anxiety, Pain and Thermal Comfort

      *The number of person who was taken the additional pain medicine for 2 hr since end of surgery.

      VAS=Visual analogue scale; STAI=State-Trait Anxiety Inventory.

      Table 3 Repeated Measure ANOVA of Intra-operative Body Temperature


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