The Development of Clinical Nursing Practice Guidelines for Prevention and Management Hypothermia in Patients Who undergo Operation at a Private Hospital
Keywords:
Keywords: anesthesia, clinical nursing practice guidelines, hypothermia, prevention and management, operationAbstract
Background: Hypothermia is a common incidence in
patients who underwent surgery under anesthesia, which
may result in various complications. Therefore it is necessary
to develop nursing practice guidelines to prevent
hypothermia.
Objective: To develop and evaluate the effectiveness of
clinical nursing practice guideline (CNPG) for prevention
and management hypothermia in patients who underwent
operation at Bangkok Hospital Hatyai.
Methods: The clinical nursing practice guideline was
developed by using an evidence-based practice. Its
contents include hypothermia risk assessment, nursing
management during pre-operation; peri-operation and
post-operativon were validated by three experts. The first
draft CNPG was tested and evaluated for its possibility
before the finally CNPG was implemented in the hospital.
An incidence of hypothermia was continuously monitored.
Data were analyzed using descriptive statistic; frequency,
percentage and mean.
Results: There was no hypothermia case during the pilot
time. After implemented this CNPG, the incidence of
hypothermia in surgical patients was decreased from 39.5
to 3.1-5.0 percent. Nurses reported that the CNPG was
easy to use, practical and highly satisfied.
Conclusion: The clinical nursing practice guideline for
prevention and management hypothermia is suitable and
effective to reduce hypothermia in patients undergoing
surgery in Bangkok Hospital Hatyai.
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