Investigation of the Effect of Inadvertent Perioperative Hypothermia of a Thermal Care Bundle in Transplant Recipients

Project no. 22736 · Status: Kapanmış · 2021

Summary

<p>This research is a non-parallel cohort study to investigate the effect of inadvertent perioperative hypothermia (IPH) of a thermal care bundle in transplant recipients. 71 organ transplant recipients aged 18 and over, who were admitted to the Ege University Organ Transplant Center between September 1, 2020 and May 31, 2022, who agreed to participate in the study, were included in the study. The research protocol consisted of three phases. In the first phase, observations were made to determine the existing problem and the steps that were disrupted in the practices were determined. In the second phase, the parameters to be included in the care bundle were determined, and education was given to perioperative team members regarding IPH management and thermal care bundle. In the third phase, the effect of thermal care bundle on IPH in organ transplant recipients was examined. Data analysis was performed by SPSS Version 25.0 and R package program. Statistical significance was accepted as p&lt;0.05.</p><p>The full compliance of the perioperative team members with all the parameters was determined as 78.4%. The full compliance of the perioperative team members with all the parameters in the post-bundle period was higher than in the pre-bundle (p&lt;0.01). While IPH was observed in 100% of the patients in the pre-bundle, this rate was 61.1% in the post-bundle. The incidence of IPH in the post-bundle decreased compared to the pre-bundle(p&lt;0.01). It was found that the intraoperative lowest body temperature (p&lt;0.05), arrival temperature to the intensive unit (p&lt;0.01), and postoperative lowest body temperature (p&lt;0.01) in the post-bundle period were higher than the pre-bundle.</p><p>As a result of this research, it was determined that the thermal care bundle prepared in line with evidence-based practices decreases the rate of IPH and increased body temperatures.&nbsp;</p>

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