Perioperative warming on vital findings and blood parameters in laparoscopy cholecystectomy

Kolesistektomili hastalarda perioperatif ısıtmanın vital bulgular ve kan parametreleri üzerine etkisi

Authors

  • Songül Karakuzulu SANKO University , Health Sciences Institute Nursing Department, Gaziantep, Türkiye
  • Arzu Tuna Izmir Tınaztepe University Health Sciences Faculty Nursing Department ,Izmir, Türkiye
  • Ayvaz Ulaş Urgancı Izmir Tınaztepe University Health Vocational Schools, Operating Room Services, Izmir, Türkiye

Keywords:

hypothermia;, heating;, cholecystectomy

Abstract

This study was carried out to determine the effects of preoperative, preoperative, and postoperative warming on vital signs and blood parameters in patients undergoing laparoscopic cholecystectomy.

This study was carried out in operating room A of a research and practice hospital. Necessary permissions were obtained from the university research ethics committee, hospital, and patients. Eighty patients who had undergone medical operations in the hospital in the last six months were included in the sampling method. Body temperatures and physiological findings of the patients and room temperature were also given as percentages. Repeated measurements of variance and t-test evaluated postoperative physiological results of each patient.

The average body temperature of the patients was 36.36+ 2.81°C, and the average body temperature after the operation was 36.33+ 2.80°C (p >0.05). The mean arterial pressure (MAP) of the patients before the operation was 102.64+11.529 mm Hg. The mean arterial pressure of the patients in the recovery room after the operation was 98.55+ 9.940. During the operation, the MAP was between 96 and 98 Hg. There was a significant difference in terms of the mean arterial pressure of the patients (p <0.05). The average hemoglobin, lymphocyte, platelet counts, activated partial thromboplastin time levels, and values ​​were within the normal range, and there was a significant difference in terms of importance ​​and levels before and after the operation (p < 0.05). The average preoperative, preoperative and postoperative blood urea nitrogen (BUN) values ​​of the patients were 13.79+ 6.126, 13.70+6.752, and 13.52+7.637, respectively. They were within the normal range, and there was no statistical difference (p >0.05).

As a result, it can be said that keeping the preoperative, preoperative, and postoperative body temperatures of the patients positively affects blood pressure, respiration, and oxygenation and help to normalize these values. In addition, it keeps erythrocyte, hemoglobin, leukocytes, lymphocytes, thrombocyte, APTT, BUN, AST, ALT values ​​within the normal range. It contributes positively to the healing process of the wound. In order to increase the accuracy of this study, it is recommended to conduct studies that include more control and experimental groups.

ÖZET

Bu araştırma laparoskopik kolesistektomi uygulanan hastalarda preoperatif, preoperatif ve postoperatif ısınmanın yaşamsal bulgular ve kan parametreleri üzerine etkisini belirlemek amacıyla yapıldı.

Bu çalışma bir araştırma ve uygulama hastanesinin A ameliyathanesinde gerçekleştirildi. Üniversite araştırma etik kurulundan, hastaneden ve hastalardan gerekli izinler alındı. Son altı ayda hastanede tıbbi operasyon geçiren 80 hasta örnekleme yöntemi ile örneklemeye alındı. Hastaların vücut sıcaklıkları ve fizyolojik bulguları ile oda sıcaklığı da yüzde olarak verildi. Her hastanın ameliyat sonrası fizyolojik bulguları tekrarlayan ölçümlerde varyans ve t testi ile değerlendirildi.

Hastaların ortalama vücut ısısı 36.36+ 2.81°C ve operasyon sonrası ortalama vücut ısısı 36.33+ 2.80°C idi (p >0.05). Hastaların operasyon öncesi ortalama arter basıncı (MAP) 102.64+11.529 mmHg iken, operasyon sonrası derlenme odasındaki ortalama arter basıncı 98.55+9.940 olarak bulundu. Operasyon sırasında MAP 96 ile 98 Hg arasındaydı. Hastaların ortalama arter basıncı açısından anlamlı fark vardı (p<0.05). Ortalama hemoglobin, lenfosit, trombosit sayıları, Aktive Parsiyel Tromboplastin Zamanı düzeyleri ve değerleri normal aralıktaydı ve operasyon öncesi ve sonrası değerler ve düzeyler açısından anlamlı fark vardı (p < 0.05). Hastaların sadece ameliyat öncesi, ameliyat öncesi ve ameliyat sonrası ortalama kan üre nitrojen (BUN) değerleri sırasıyla 13.79+ 6.126, 13.70+6.752 ve 13.52+7.637 idi. Normal sınırlar içindeydiler ve istatistiksel olarak fark yoktu (p>0.05).

Sonuç olarak, hastaların preoperatif, preoperatif ve postoperatif vücut sıcaklıklarının sabit tutulmasının kan basıncı, solunum ve oksijenasyonu olumlu yönde etkilemesine ve bu değerlerin normalleşmesine yardımcı olduğu söylenebilir. Ayrıca eritrosit, hemoglobin, lökosit, lenfosit, trombosit, APTT, BUN, AST, ALT değerlerini normal değer aralığında tutar ve yaranın iyileşme sürecine olumlu katkıda bulunur. Bu çalışmanın doğruluk oranını artırmak için daha çok kontrol grubu ve deney grubu içeren çalışmaların yapılması önerilmektedir.

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Published

2021-07-07

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