J Korean Acad Fundam Nurs.  2014 May;21(2):112-122.

Use of Web-Based Evidence-based Clinical Practice Guidelines for Patients following Gastrectomy: Effects on Body Temperature, Shivering, Perceived Thermal Comfort, and Satisfaction with Temperature Management

• Hong SJ
• Lee E

Abstract

PURPOSE
The purpose of this study was to examine the effects on body temperature, shivering, and perceived thermal comfort of web-based evidence-based practice guideline for patients undergoing gastrectomy.
METHODS
Eighty patients scheduled for gastrectomy were recruited and assigned to the control or experimental group by sequential order. Before collecting data from the experimental group, a systematic educational program on evidence-based guidelines was provided to the nurses as well anesthesiologists. Data were analyzed using t-test and repeated measured ANOVA.
RESULTS
The experimental group showed higher body temperature from the induction of anesthesia until four hours after surgery compared to the control group. In addition, the levels of thermal comfort as well as satisfaction with thermal management were significantly higher in the experiment group.
CONCLUSION
Use of evidence-based guidelines was effective in maintaining body temperature, lowering sensitivity to shivering, and promoting perceived thermal comfort. Therefore, adoption of evidence-based interventions in nursing practice is recommended.

Keyword

Evidence-based nursing; Practice guideline; Body temperature; Shivering; Thermosensing

MeSH Terms

Anesthesia
Body Temperature*
Evidence-Based Nursing
Evidence-Based Practice
Gastrectomy*
Humans
Nursing
Shivering*
Thermosensing