Ok Bun Park; Heejung Choi

doi:10.4040/jkan.2010.40.3.317

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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

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Abstract
NOTES
REFERENCES

Abstract

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.
Keywords: Preoperative care; Body temperature; Anxiety; Pain; Temperature sense

This study is a part of first author's master's thesis.

REFERENCES

1. Andrzejowski J, Hoyle J, Eapen G, Turnbull D. Effect of prewarming on post-induction core temperature and the incidence of inadvertent perioperative hypothermia in patients undergoing general anaesthesia. British Journal of Anaesthesia. 2008;101:627–631.Article PubMed
2. Berman A, Snyder S, Kozier B, Erb G. Kozier & Erb's fundamentals of nursing: Concepts, process, and practice. 2008;8th ed. Upper Saddle River, NJ, Prentice Hall Health.
3. Berti M, Casati A, Torri G, Aldegheri G, Lugani D, Fanelli G. Active warming, not passive heat retention, maitains normothermia during combined epidural-general anesthesia for hip and knee arthroplasty. Journal of Clinical Anesthesia. 1997;9:482–486.Article PubMed
4. Borms S, Engelen S, Himpe D, Suy C, Theunissen W. Bair hugger forced-air warming maintains normothermai more effectively than thermo-lite insulation. Journal of Clinical Anesthesia. 1994;6:303–307.Article PubMed
5. Camus Y, Delva E, Sessler D, Lienhart A. Pre-induction skin-surface warming minimizes intraoperative core hypotheria. Journal of Clinical Anesthesia. 1995;7:384–388.Article PubMed
6. Cooper S. The effect of preoperative warming on patients' postoperative temperatures. AORN Journal. 2006;83:1074–1076. 1079–1084.
7. Fanelli A, Danelli G, Ghisi D, Ortu A, Moschini E, Fanelli G. The efficacy of a resistive heating under-patient blanket versus a forced-air warming system: A randomized controlled trial. Anesthesia and Analgesia. 2009;108:199–201.Article PubMed
8. Fossum S, Hays J, Henson MM. A comparison study on the effects of prewarming patients in the outpatient surgery setting. Journal of Perianesthesia Nursing. 2001;16:187–194.Article PubMed
9. Insler SR, Sessler DI. Perioperative thermoregulation and temperature monitoring. Anesthesiology Clinics. 2006;24:823–837.Article PubMed
10. Kiekkas P, Karga M. Prewarming: Preventing intraoperative hypothermia. British Journal of Perioperative Nursing. 2005;15:444446–447. 449–451.Article PubMed PDF
11. Kim C, Baek W, Hong J, Park J, Kim B. Temperature changes during general anesthesia. Korean Journal of Anesthesiology. 1988;21:27–32.Article
12. Kim JY, Shinn H, Oh YJ, Hong YW, Kwak HJ, Kwak YL. The effect of skin surface warming during anesthesia preparation on preventing redistribution hypothermia in the early operative period of off-pump coronary artery bypass surgery. European Journal of Cardiothoracic Surgery. 2006;29:343–347.Article PubMed
13. Kolcaba K. Comfort theory and practice: A vision for holistic health care and research. 2003;New York, NY, Springer Publishing Co..
14. Lim S, Cho M, Choi K. The effect of preoperative warming on reducing rectal temperature drop in surgical patients. Journal of Korean Academy of Adult Nursing. 1997;9:55–69.
15. Murat I, Berniere J, Constant I. Evaluation of the efficacy of a forced-air wamer (Bair Hugger) during spinal surgery in children. Journal of Clinical Anesthesia. 1994;6:425–429.Article PubMed
16. Negishi C, Hasegawa K, Mukai S, Nakagawa F, Ozaki M, Sessler DI. Resistive-heating and forced-air warmingare comparably effective. Anesthesia and Analgesia. 2003;96:1683–1687.PubMed
17. Odom M. Maintaining intraoperative normothermia: Ameta-analysis of outcomes with costs. AANA Journal. 1999;67:155–164.PubMed
18. Putzu M, Casati A, Berti M, Pagliarini G, Fanelli G. Clinical complications, monitoring and management of perioperative mild hypothermia: Anesthesiological features. Acta Biomedica. 2007;78:163–169.PubMed
19. Robinson S, Benton G. Warm blankets. Geriatric Nursing. 2002;23:320–323.Article PubMed
20. Rose DK, Cohen MM, Soutter DI. Laparoscopic cholecystectomy: The anaesthetist's point of view. Canadian Journal of Anaesthesia. 1992;39:809–815.Article PubMed PDF
21. Sessler DI. Perioperative heat balance. Anesthesiology. 2000;92:578–596.Article PubMed PDF
22. Sessler DI. Temperature monitoring and perioperative thermoregulation. Anesthesiology. 2008;109:318–338.Article PubMed PDF
23. Spielberger C, Gorsuch R, Lushene R, Vagg P, Jacobs G. Manual for the state-trait anxiety inventory for adults. 1983;Palo Alto, CA, Consulting Psychologists Press.
24. Vanni SM, Braz JR, Modolo NS, Amorim RB, Rodrigues GR Jr. Preoperative combined with intraoperative skin-surface warming avoids hypothermia caused by generalanesthesia and surgery. Journal of Clinical Anesthesia. 2003;15:119–125.Article PubMed
25. Wagner D, Byrne M, Kolcaba K. Effects of comfort warming on preoperative patients. AORN Journal. 2006;84:427–448.Article PubMed
26. Wilson L, Kolcaba K. Practical application of comfort theory in the perianesthesia setting. Journal of Perianesthesia Nursing. 2004;19:164–173.Article PubMed

Figure 1

Study design.

Figure 2

Body temperature change for one hour from induction.

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

Figure & Data

REFERENCES

Citations

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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

DOI: https://doi.org/10.4040/jkan.2010.40.3.317

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The Effect of Pre-warming for Patients under Abdominal Surgery on Body Temperature, Anxiety, Pain, and Thermal Comfort

Figure 1 Study design.

Figure 2 Body temperature change for one hour from induction.

Figure 1

Figure 2

The Effect of Pre-warming for Patients under Abdominal Surgery on Body Temperature, Anxiety, Pain, and Thermal Comfort

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

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.