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Fryser du?: En retrospektiv journalgranskning av perioperativ hypotermi
University of Skövde, School of Health Sciences.
University of Skövde, School of Health Sciences.
2025 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Are you cold? : A retrospective journal review of perioperative hypothermia (English)
Abstract [sv]

Bakgrund: En operation innefattar olika faser, den pre-, intra-, och postoperativa fasen, sammanfattningsvis kallas förloppet för perioperativ vård. Patienter riskerar att drabbas av hypotermi under det perioperativa förloppet till följd av olika faktorer. Perioperativ hypotermi definieras som en uppmätt kroppstemperatur under 36 grader Celsius. Perioperativ hypotermi kan leda till komplikationer som infektioner, försämrad sårläkning vilket leder till längre vårdtider och innebär ett ökat lidande för patienten.

Syfte: Syftet var att undersöka förekomsten av perioperativ hypotermi hos slutenvårdade patienter som har genomgått en operation.

Metod: En retrospektiv studie med kvantitativ metod har gjorts på 8428 journaler där temperaturmätning förekom. Vid aktuellt sjukhus dokumenteras kroppstemperaturen vid operationsstart, operationsslut och på den postoperativa avdelningen.

Resultat: Resultatet visar att den perioperativa hypotermin har ökat vid det aktuella sjukhuset. Det är framför allt äldre patienter som har drabbats, framför allt kvinnor. En operationstid under 60 minuter förekom hypotermi på den postoperativa avdelningen och vid en operationstid över 60 minuter förekom hypotermi vid operationsslut och på den postoperativa avdelningen.

Konklusion: Resultatet tydliggör förekomsten av hypotermi hos patienter i det perioperativa förloppet på det aktuella sjukhuset. Riskfaktorer som ålder, kön och operationstid i relation till varandra är viktig kunskap som kan appliceras i verksamheten och därmed kan yrkesverksamma sätta in åtgärder i tid för att hjälpa patienten bibehålla sin kroppstemperatur.

Abstract [en]

Background: An operation includes different phases, the pre-, intra-, and postoperative phase, in short called perioperative care. Patients risk being afflicted with perioperative hypothermia due to various factors. Perioperative hypothermia is defined as a body temperature below 36 degrees celsius. Perioperative hypothermia can lead to complications such as infections, impaired healing of wounds which in turn can lead to increased suffering.

Aim: To research the prevalence of perioperative hypothermia among inpatient care patients who underwent surgery.

Method: A retrospective study with a quantitative method was performed on 8428 journals where a measurement of temperature was made. At the chosen hospital body temperatures are measured at the start and end of surgery, as well as during postoperative care.

Findings: Results show that perioperative hypothermia has increased at the hospital in question. A majority of those affected were older women. An operation time of less than 60 minutes resulted in postop hypothermia, and with an operation time of more than 60 minutes, hypothermia occurred at the end of the operation and in the postoperative ward.

Conclusion: The results clarify the prevalence of hypothermia in patients during the perioperative phases at the hospital in. Risk factors such as age, gender and operation time in relation to each other are important knowledge that can be applied in the practice and thus professionals can take timely measures to help the patient maintain their body temperature.

Place, publisher, year, edition, pages
2025. , p. 34
Keywords [en]
environment, intensive care nurse, operating theatre nurse, perioperative hypothermia, perioperative care
Keywords [sv]
intensivvårdssjuksköterska, miljö, operationssjuksköterska, perioperativ hypotermi, perioperativ vård
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-24936OAI: oai:DiVA.org:his-24936DiVA, id: diva2:1942211
Subject / course
Nursing/Nursing Science; Nursing/Nursing Science
Educational program
Specialistsjuksköterskeprogram - Operationssjuksköterska 60 hp; Specialistsjuksköterskeprogram – Intensivvårdssjuksköterska, 60 hp
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Examiners
Available from: 2025-03-04 Created: 2025-03-04 Last updated: 2025-03-04Bibliographically approved

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