Body Temperature Changes and Early Postoperatıve Pressure Sore

Hitit University

Status: Completed

Conditions: Orthopedic Disorder; Hypothermia; Pressure Sore; Nursing Caries

Treatments: Procedure: woolen blanket

Study type: Interventional

Funder types: Other

Identifiers

NCT05552599

HititZ

Details and patient eligibility

About

This study aims to determine effect of body temperature changes during total knee arthroplasty surgery on early postoperative pressure sore formation.

Full description

BACKGROUND: Intraoperative hypothermia for a prolonged period increases the risk of hospital-acquired pressure sores.

PURPOSE: This study aims to determine effect of body temperature changes during total knee arthroplasty surgery on early postoperative pressure sore formation.

METHODS: This experimental study was performed with experimental-control group (N=122) patients. Data were collected with "Personal Information Form", "Body and Ambient Temperature Record Form", "Braden Risk Assessment Scale". Experimental group participants were covered with a wool blanket, and control group was given standard care.

Enrollment: 122 patients

Sex: All

Ages: 20 to 85 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Aged 20-85 years
• Hospitalized for at least four days and accepted to participate were included in the study.

Exclusion criteria

• Under the age of 20 - over 85,
• Pregnant and having comorbid diseases,
• Spinal cord injuries,
• Skin problems in areas where there is a risk of pressure loss,
• Undergoing hemodialysis,
• Having creatinine and serum albumin levels higher than 3 mg/dl,
• Having immobility, incontinence, anemic, having malignant tumor(s),
• BMI <19 or BMI >40,
• Hemoglobin level below 10 g/dl,
• Infection,
• American Society of Anesthesiology (ASA) score of 3 or more,
• Experiencing friction, tearing and shearing,
• Undergoing more than one surgical intervention,
• Having conditions requiring the use of non-normal anesthetic agents and sedation,
• Using vasoconstrictive drugs,
• Using positioning devices,
• Undergoing prolonged surgical intervention,
• Having arterial pressure lower than 32 mmHg,
• Having diabetes mellitus requiring insulin therapy.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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122 participants in 2 patient groups

woolen blanket

Experimental group

Description:

Preoperative pressure sore risk was assessed with the Braden Risk Assessment Scale. The patient's room temperature was recorded on the day of surgery before the patient was admitted for the operation. Body temperature was measured before the patient wore surgical gown. Before leaving the room, patient's body was covered with a woolen blanket. The temperature of the operating room was recorded. Body temperature was stabilized under normothermic conditions with a woolen blanket until the operation began. Body temperature was measured before anesthesia was given. Body temperature was measured in the 1st, 2nd and 3rd hour after anesthesia was given. The patient was evaluated with the Braden Risk Assessment Scale on the first, second and third postoperative days.

Treatment:

Procedure: woolen blanket

standard of care

No Intervention group

Description:

Preoperative pressure sore risk was assessed with the Braden Risk Assessment Scale. The patient's room temperature was recorded on the day of surgery before the patient was taken to the operation. Body temperature was measured before the patient wore surgical clothes. The temperature of the operating room was recorded. Body temperature was measured before anesthesia was givenBody temperature was measured at the 1st, 2nd and 3rd hour after anesthesia was given. The patient was evaluated with the Braden Risk Assessment Scale on the first, second and third postoperative days.