EFFECT OF WARMED VERSUS ROOM TEMPERATURE FLUID ADMINISTRATION ON POSTOPERATIVE HYPOTHERMIA AND SHIVERING AMONG ELECTIVE ABDOMINAL SURGERY PATIENTS

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dc.contributor.authorHamad, Ahmad
dc.date.accessioned2024-11-03T09:56:01Z
dc.date.available2024-11-03T09:56:01Z
dc.date.issued2024-09-26
dc.descriptionThis Thesis is Submitted in Partial Fulfillment of the Requirements for the Degree of Intensive Care Nursing, Faculty of Graduate Studies, An-Najah National University, Nablus - Palestine.
dc.description.abstractBackground: Intraoperative hypothermia is one of the common complications associated with significant postsurgical complications and negative outcomes. The aim of this study to evaluate the effect of delivering warmed intravenous fluid to the patient undergoing elective abdominal surgery, on minimizing hypothermia and shivering. Methods: Interventional research was done to assess the impact of administering warm intravenous fluids on reducing post-anesthesia shivering and hypothermia in patients undergoing elective abdominal surgery upon entering the operating room. The study was conducted in one of the main surgical hospitals in the West Bank, Palestine. In this study, a total of 118 elective abdominal surgery patients were assessed for eligibility. Of those, 90 were randomized into the intervention (n = 45) and control (n = 45) groups. Of those, half (50%) received warmed fluids (intervention group) and half (50%) received unwarmed fluids. The temperature of the elective abdominal surgery patients was assessed preoperatively, intraoperatively, upon admission, and 30 min after admission to the post anesthesia care unit. The Bedside Shivering Scale was used to evaluate elective abdominal surgery patients' shivering levels. Results: The elective abdominal surgery patients in the control group had significantly lower heart rate (p = 0.044), intraoperative body temperature (p = 0.003), and more moderate and severe Bedside Shivering Scale ratings (p = 0.043) compared to the patients who received warmed intravenous fluids. On the other hand, the elective abdominal surgery patients in the control group lost significantly more (p = 0.020) blood compared to the elective abdominal surgery patients in the intervention group. At admission to the post anesthesia care unit, the elective abdominal surgery patients in the control group had significantly lower heart rate (p = 0.046), body temperature (p = 0.018), and more moderate and severe Bedside Shivering Scale ratings (p = 0.036) compared to the elective abdominal surgery patients who received warmed intravenous fluids. Similarly, 30 min after admission to the post anesthesia care unit, the elective abdominal surgery patients in the control group had significantly lower heart rate (p = 0.048), body temperature (p = 0.031), and more moderate and severe Bedside Shivering Scale ratings (p = 0.018) compared to the elective abdominal surgery patients who received warmed intravenous fluids. Conclusions: Overall, the provision of heated intravenous fluids effectively decreases the occurrence of hypothermia and shivering in elective abdominal surgery patients who are having clean open abdominal surgery. This simple but impactful technique improves elective abdominal surgery patients outcomes, shortens recovery time, and lowers the occurrence of surgical site infections. Introducing the use of heated intravenous fluids in surgical procedures might enhance the quality of care during the perioperative period, emphasizing the significance of this intervention in improving elective abdominal surgery patients safety and comfort.
dc.identifier.urihttps://hdl.handle.net/20.500.11888/19682
dc.language.isoen
dc.publisherAn-Najah National University
dc.supervisorQaddomi, Jamal
dc.titleEFFECT OF WARMED VERSUS ROOM TEMPERATURE FLUID ADMINISTRATION ON POSTOPERATIVE HYPOTHERMIA AND SHIVERING AMONG ELECTIVE ABDOMINAL SURGERY PATIENTS
dc.title.alternativeتأثير اعطاء السوائل الدافئة مقارنة مع السوائل على درجة حرارة الغرفة في انخفاض درجة حرارة الجسم بعد عمليات البطن المقررة
dc.typeThesis
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