Incidence of postoperative hypothermia and factors effecting the development of hypothermia in patients undergoing abdominal surgery


Aldemir Atmaca K., Gürkan A., Taşkın Yılmaz F.

International Journal of Caring Sciences, cilt.14, sa.2, ss.983-990, 2021 (Hakemli Dergi)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 14 Sayı: 2
  • Basım Tarihi: 2021
  • Dergi Adı: International Journal of Caring Sciences
  • Derginin Tarandığı İndeksler: EBSCO Education Source
  • Sayfa Sayıları: ss.983-990
  • Marmara Üniversitesi Adresli: Evet

Özet

Purpose: The research is conducted in order to determine the incidence of involuntary hypothermia developed at the patients after abdominal surgery in the postoperative period and the factors affecting the development of the undesired hypothermia. Methodology: In this research that is conducted in descriptive and sectional style, 189 patients who had abdominal surgery in the general surgery and urology clinics of a university hospital in between 2nd of May – 2 nd of October 2019, who are in preoperative period with body temperature 36°C and above. These data are collected via patient identification forms and hypothermia evaluation form and individuals with body temperature below 36°C are considered as in hypothermia. In the evaluation of the data average, percentage distribution and chi-square test are used. Findings: The ratios of incidence in the postoperative period are determined as 62.4% in 0th postop hour, 42.9% at 1st postop hour, 33.9% at 2nd postop hour, 22.2% at postop 3rd hour and 13.2% at 4th postop hour. The lowest body temperature is measured as (35.69±0.66) at 0th postop hour. In patients with operation time our two hours and in risk classification II and above of the American Society of Anesthesiologists, the ratios of incidence of hypothermia are determined to be significantly higher (p<0.05). Results: In this study, it is determined that the hypothermia incidence in the postoperative period of the patients who had abdominal surgery is high, in the patients with long operation time and who are over risk classification II and above of the American Anesthesiologists Association, the hypothermia is seen more frequently.

Keywords: Hypothermia, postoperative, abdominal surgery