지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Purpose: The aim of this study was to synthesize the best available evidence for active warming interventions during cesarean section. Methods: A database search was done for randomized controlled trials utilizing active warming interventions. Maternal temperature, shivering and neonatal temperature were evaluated as outcome variables. Data were analyzed using Cochrane Review Manager software Version 5.3. Results: Thirteen studies including 1306 patients were reviewed. The degree of lowering of maternal temperature decreased in the warmed fluids (MD 0.51; p=.004) and warming mattress interventions (MD 0.22; p<.001) compared with control groups. Incidence of shivering was also lower in the active warming group (OR 0.55; p=.003). There was no statistically significant difference in maternal temperature with a forced air warming intervention (MD 0.64; p=.15) or in neonatal temperature (MD 0.12; p=.26). Conclusion: Findings show that with warmed fluids and warming mattresses applied during cesarean sections maternal temperature decline was reduced and also the incidence of shivering declined, but no significant effect was observed for forced air warming interventions. These findings provide a basis for developing a warming guideline for women having a cesarean section and will help to improve the quality of care for cesarean section patients.
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REFERENCES
참고문헌 (30)
참고문헌 신청
National Institute for Health and Care Excellence. Clinical practice guideline: The management of inadvertent perioperative hypothermia in adults [Internet]. UK: National Collaborating Centre for Nursing and Supportive Care commissioned by National Institute for Health and Clinical Excellence (NICE); 2008 [cited 2017 May 18]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK53788/
Kumar S, Wong PF, Melling AC, Leaper DJ. Effects of perioperative hypothermia and warming in surgical practice. International Wound Journal. 2005;2(3):193-204. https://doi.org/10.1111/j.1742-4801.2005.00102.x
Andrzejowski J, Hoyle J, Eapen G, Turnbull D. Effect of prewarming on post-induction core temperature and the incidence of inadvertent perioperative hypothermia in patients undergoing general anaesthesia. British Journal of Anaesthesia. 2008;101(5):627-631. https://doi.org/10.1093/bja/aen272
Health Insurance Review & Assessment Service. Clinical quality indicators: Percentage of patients maintaining normal body temperature during and after surgery [Internet]. Korea: Health Insurance Review & Assessment Service; 2014 [cited 2017 May 18]. Available from: http://www.hira.or.kr/re/invst/getInvstInfo.do?pgmid=HIRAA030085000000.
John M, Ford J, Harper M. Peri-operative warming devices: Performance and clinical application. Anaesthesia. 2014;69(6): 623-638. https://doi.org/10.1111/anae.12626
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UCI(KEPA) : I410-ECN-0101-2018-512-001288871