20.500.12556/DKUM-65671 Dinamika temperature jedra bolnikov med splošno anestezijo pri uporabi konduktivnega segrevanja in zaščite pred sevanjem The dynamics of the core temperature of patients during general anesthesia with the use of inductive heating and radiation protection Uvod: Hipotermija med operativnim posegom je razširjen problem po svetu in je definirana, kot temperatura jedra, ki znaša manj kot 36 °C. V operacijskem okolju je veliko dejavnikov, ki vplivajo na znižanje telesne temperature, zato to postane izziv predvsem pri obsežnejših in dolgotrajnejših operativnih posegih. V izogib posledicam hipotermije, je namen magistrskega dela ugotoviti, ali kombinacija ogrevalnih metod, kot so: konduktivno segrevanje z zračnimi toplotnimi blazinami, dajanje toplih in ogrevanih tekočin med operativnim posegom in pokrivanje bolnika s folijo, zmanjša topotne izgube pri bolniku. Metode: V empirični kvantitativni raziskavi smo izbrali namenski vzorec devetih bolnikov. Pogoj za vključitev v raziskavo je bil vsaj 2 uri trajajoč operativni poseg. Bolnike smo ogrevali in jim tekom operativnega posega merili telesno temperaturo preko urinskega katetra. Ob prihodu in odhodu bolnika v operacijsko dvorano smo izmerili temperaturo tudi timpanično. S statističnim Wilcoxonovim testom predznačenih rangov za en vzorec smo primerjali dobljene vrednosti z obstoječo literaturo. Rezultati: V vzorcu je bilo 5 žensk in 4 moški. Povprečno so bili stari 59 let, indeks telesne mase je povprečno znašal 25 ter operativni posegi so povprečno trajali 3 ure. V prvi fazi je bil povprečen padec temperature - 0,6 °C. V drugi fazi je po dveh urah padec - 0,7 °C, po treh urah - 0,8 °C ter po štirih urah - 0,7 °C. V tretji fazi pa je povprečen padec - 0 ,6 °C. Interpretacija in razprava: Splošno lahko zaključimo, da naprave za ogrevanje in drugi pripomočki pripomorejo k ohranjanju telesne temperature bolnikov. V primerjavi z drugimi, že izvedenimi raziskavami, se nahajamo na sredini, po merilu uspešnosti ohranjanja temperature. Največje izgube toplote se kažejo v drugi fazi, kjer je metabolizem manjši od izgub toplote. Možnost za izboljšave je še v regulaciji temperature v operativni dvorani in v uvedbi predgretja bolnika pred operativnim posegom. V prihodnje bodo še potrebne raziskave na tem področju, da se dokaže, kako stopnja ogretosti bolnika vpliva na operativni poseg, pooperativno okrevanje in izid zdravljenja. Introduction: Hypothermia during surgery is a widespread problem in the world and it is defined as a core temperature less than 36 ° C. The operating environment has many factors that influence the reduction of body temperature. We wish to avoid the effects of hypothermia hence the purpose of this master thesis is to determine whether the combination of the heating methods, such as conductive heating with air heat pads, placing the warm and heated fluids during surgery and covering the patient with a film, reduces the patient’s warm losses. Methods: In the empirical quantitative research, we selected purposive sample of nine patients. The condition for inclusion in the study was at least 2 hour-long surgery. Patients were heated during surgery and their temperature was measured through the urinary catheter. Upon arrival and departure of the patient in the operating room, we measured the tympanic temperature. We used one sample Wilcoxon signed rank test to compare measured values with the ones in existing literature. Results: The sample included 5 women and 4 men. On average they were 59-yearolds, their body mass index stood at an average of 25 and surgical procedures lasted on average for 3 hours. In the first stage, the average drop of temperature was – 0.6 ° C. In the second stage, after two hours the drop was – 0.7 ° C, after three hours the drop was – 0.8 ° C, and after four hours the drop was – 0.7 ° C. In the third stage, the average drop was 0.6 ° C. Interpretation and discussion: We can conclude that heating and other appliances help to maintain the body temperature of patients. When comparing with the other researches already carried out, we rank in the middle in the measurement of the preservation temperature. We see the potential for improving the situation is in theregulation of the temperature in the operating environment and the prewarming the patient prior to surgery. Further research is needed in this area to demonstrate how patient’s heat impacts the surgery, postoperative recovery and the outcome. ogrevanje bolnika operativni poseg anestezija predgretje temperatura in zdravstvena nega heating the patient surgery anesthesia prewarming temperature and nursing care true true false [N. Preložnik] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2017-05-13 19:17:02 2017-06-29 10:46:22 2022-07-09 03:09:58 2019-07-11 15:26:03 2017 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-089.5:616-083 2334372 URN:SI:UM:DK:WDLREYMN MAG_Preloznik_Nina_2017.pdf MAG_Preloznik_Nina_2017.pdf 1 716DA4A80482DABCA2788277C104573D 79b58047140788a5bac8aac3197a5d2d47da16e112d2b2ac083838e9e8d09754 3ebfbbb8-7c0e-11eb-bb7a-00155d0001ca https://dk.um.si/Dokument.php?lang=slv&id=112552 Fakulteta za zdravstvene vede 0 0 0