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conferenceseries
.com
Volume 6, Issue 4 (Suppl)
J Nurs Care, an open access journal
ISSN: 2167-1168
Euro Nursing 2017
October 26-28, 2017
32
nd
EURO
NURSING AND MEDICARE SUMMIT
October 26-28, 2017 | Paris, France
Effect of active warming on unplanned hipotermia for newborns and children during intraoperative
period
Ganime Esra Soysal, Arzu Ilce, Ummuhan Yigit, Hulya Oztürk
and
Murat Bilgi
Abant Izzet Baysal University, Turkey
T
his study is the investigate in the implementation of active heatingmethod to examine the effects on unplanned hypothermia
in newborns and children in the perioperative period and examining the effects of hypothermia on the waking up at the end
of the operation, pain, shivering and hospitalization. This study comprised of patients aged 18 years and below who underwent
surgical operation in the Department of Pediatric Surgery in İzzet Baysal Education and Research Hospital, Abant İzzet Baysal
University. Two groups of 30 patients were planned randomly but patients who did not want to participate were excluded
from the groups. For this reason; control group consisted of 28 patients and experimental group consisted of 28 patients. The
first group of patients was actively heated during the surgery (Istanbul Medical- Medwarm rezistive system-W-500D + 80 *
50 cm or 120*50), And secand group were followed as a control group. Datas were collected by face to face interviews with
researchers and patient follow-up. In data analysis SPSS (Statistical Package for the Social Sciences) coded from the program of
20.0; it was analyzed with number, percentage, t test ve Mann- Whitney U tests. When body temperature is examined in the
preoperative period; There was no statistically significant difference between the body temperatures in the control group (X:
36, 88±0.43) and the active warming group (X: 36, 80±0.35), indicating that the groups were homogeneous ( t(55) :.817; p≥.05).
When body temperature is examined in the intraoperative period; there was no significant difference between the groups at
the first 15 minutes of operation (p ≥ 0.05); but the mean rank of the active warming group was significantly higher than the
control group in 30th , 45th , 60th minutes,. (P ≤ 0.001). When body temperature is examined in the postoperative period;
active warming groups’ body temperature mean rank was significantly higher than the mean rank of control group at the 15th,
30th, 45th and 60th minutes (p ≤ 0.05).
When pain is examined in the postoperative period; It was observed that the mean rank of the control group was significantly
higher than the mean rank of the experiment group only in the 15th minute (Mann- Whitney U: 237,500; p ≤0.05). Tremors
were observed in 44.8% of patients in the control group and 3.6% of patients in the active heating group and the difference
between the groups was significant(X2:13.086; p≤.001). It was determined that patients in the control group had a higher stay
in the hospital ((Mann- Whitney U: 281000; p ≤0.05) and the waking up at the end of the anesthesia was shorter in the active
heating group than in the control group ( t(55) :2,832; p≤.05). In a nutshell; active heating with a carbon fiber resistive system
was found to be an effective method to prevent unplanned hypothermia in newborns and children. It was also determined
that there was less shivering, the waking up at the end of the anesthesia were faster and discharge times were shorter in active
warming group.
Biography
Ganime Esra Soysal
: She is a research assistant in Bolu School of Health in Abant Izzet Baysal University in Bolu. She completed his master's degree in
Programme of Hospital Administration, Department of Social Sciences in Gazi University in 2013and ,she she had graduated from second master program in 2016,
at Surgical Nursing field in Faculty of Health Sciences, Abant Izzet Baysal University. She is now continuing her Ph.D.
Arzu Ilce
: She had graduated PhD from Ege University in 2007, at Surgical Nursing field . She is now the Director of the School of Health Sciences in Abant Izzet
Baysal University in Bolu. She has published 15 papers in international indexed journals and a total of 25 articles in reputed journals
geyuzden@gmail.comGanime Esra Soysal et al., J Nurs Care 2017, 6:4(Suppl)
DOI: 10.4172/2167-1168-C1-061