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Abstract：
OBJECTIVE: 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).
CONCLUSIONS: 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.
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).
CONCLUSIONS: 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.
摘要：
目的：在这项研究中，对美国麻醉护士协会（ASPAN）循证临床实践指南对体温的影响进行了检查，颤抖,热不适，在脊髓麻醉下接受全膝关节置换术（TKRA）的患者达到正常体温的时间。
方法：本研究是一项随机对照试验设计的实验研究。参与者（n=60）是2011年12月至2012年3月期间接受TKRA的患者。实验组（n=30）接受ASPAN指南中所述的主动和被动加温措施。对照组(n=30)接受传统护理。体温,颤抖,热不适，两组均以30分钟为间隔测量达到正常体温的时间.
结果：实验组的体温比对照组稍高（p=0.002）。手术前实验组的热不适较高，但手术后对照组较高（p=0.034）。两组术后均下降（p=0.041）。实验组达到正常体温的时间较短（p=.010）。
结论：ASPAN的指南为定期测量患者体温以及个性化和差异化的低体温管理提供了指导，这在护理中非常有用，特别是在保护患者安全和提高护理质量方面。
方法：本研究是一项随机对照试验设计的实验研究。参与者（n=60）是2011年12月至2012年3月期间接受TKRA的患者。实验组（n=30）接受ASPAN指南中所述的主动和被动加温措施。对照组(n=30)接受传统护理。体温,颤抖,热不适，两组均以30分钟为间隔测量达到正常体温的时间.
结果：实验组的体温比对照组稍高（p=0.002）。手术前实验组的热不适较高，但手术后对照组较高（p=0.034）。两组术后均下降（p=0.041）。实验组达到正常体温的时间较短（p=.010）。
结论：ASPAN的指南为定期测量患者体温以及个性化和差异化的低体温管理提供了指导，这在护理中非常有用，特别是在保护患者安全和提高护理质量方面。
