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Original Article
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
Journal of Korean Academy of Nursing 2013;43(3):352-360.
DOI: https://doi.org/10.4040/jkan.2013.43.3.352
Published online: June 28, 2013

1Post Anesthetic Care Unit, Samsung Medical Center, Seoul, Korea.

2Operating Room, Samsung Medical Center, Seoul, Korea.

3Department of Anesthesiology & Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

4College of Nursing, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to: Kim, Nam Cho. College of Nursing, The Catholic University of Korea, 505 Seocho-gu, Banpo-dong, Seoul 137-701, Korea. Tel: +82-2- 2258-7405, Fax: +82-2-2258-7772, kncpjo@catholic.ac.kr
• Received: October 19, 2012   • Accepted: March 15, 2013

© 2013 Korean Society of Nursing Science

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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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Table 1
ASPAN's Evidence-Based Clinical Practice Guidelines
jkan-43-352-i001.jpg

IV=Intravenous.

Table 2
Homogeneity Test of General Characteristics between Experimental and Control Groups (N=60)
jkan-43-352-i002.jpg

Exp.=Experimental group; Cont.=Control group.

*Fisher's exact test.

Table 3
Homogeneity Test of Operation related Factors between Experimental and Control Groups (N=60)
jkan-43-352-i003.jpg

Exp.=Experimental group; Cont.=Control group.

*Fisher's exact test.

Table 4
Change of Body Temperature, Shivering, Thermal Discomfort
jkan-43-352-i004.jpg

Exp.=Experimental group; Cont.=Control group; NM=Not measured.

Table 5
Time to Achieve Normal Body Temperature (N=30)
jkan-43-352-i005.jpg

Exp.=Experimental group; Cont.=Control group.

Figure & Data

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        Effects of ASPAN's Evidence-based Clinical Practice Guidelines for Promotion of Hypothermia of Patients with Total Knee Replacement Arthroplasty
        J Korean Acad Nurs. 2013;43(3):352-360.   Published online June 28, 2013
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      Effects of ASPAN's Evidence-based Clinical Practice Guidelines for Promotion of Hypothermia of Patients with Total Knee Replacement Arthroplasty
      Effects of ASPAN's Evidence-based Clinical Practice Guidelines for Promotion of Hypothermia of Patients with Total Knee Replacement Arthroplasty

      ASPAN's Evidence-Based Clinical Practice Guidelines

      IV=Intravenous.

      Homogeneity Test of General Characteristics between Experimental and Control Groups (N=60)

      Exp.=Experimental group; Cont.=Control group.

      *Fisher's exact test.

      Homogeneity Test of Operation related Factors between Experimental and Control Groups (N=60)

      Exp.=Experimental group; Cont.=Control group.

      *Fisher's exact test.

      Change of Body Temperature, Shivering, Thermal Discomfort

      Exp.=Experimental group; Cont.=Control group; NM=Not measured.

      Time to Achieve Normal Body Temperature (N=30)

      Exp.=Experimental group; Cont.=Control group.

      Table 1 ASPAN's Evidence-Based Clinical Practice Guidelines

      IV=Intravenous.

      Table 2 Homogeneity Test of General Characteristics between Experimental and Control Groups (N=60)

      Exp.=Experimental group; Cont.=Control group.

      *Fisher's exact test.

      Table 3 Homogeneity Test of Operation related Factors between Experimental and Control Groups (N=60)

      Exp.=Experimental group; Cont.=Control group.

      *Fisher's exact test.

      Table 4 Change of Body Temperature, Shivering, Thermal Discomfort

      Exp.=Experimental group; Cont.=Control group; NM=Not measured.

      Table 5 Time to Achieve Normal Body Temperature (N=30)

      Exp.=Experimental group; Cont.=Control group.


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