Clinical Characterization and Cross-Mapping of the Nursing Interventions for Hypothermia in the Intraoperative Period

Abstract

Objectives: to map the Nursing prescriptions for patients with diagnoses related to hypothermia in the intraoperative period with the activities proposed by the Nursing Interventions Classification, and to characterize the sample based on the risk factors for the development of this discomfort. Method: a descriptive, documentary and retrospective study, with a quantitative approach that followed three stages: cataloging of the interventions, documentary analysis, and cross-mapping. The following variables were analyzed: patient's age and gender; surgery duration; minimum, mean and maximum temperatures, and variation of the surgery room and patient temperatures; and whether or not the type of surgery involved opening a body cavity, in a sample of 138 medical charts evaluated from August to September 2019 by using a checklist composed of identification data and diagnosis components from the NANDA-International diagnoses: risk of perioperative hypothermia and hypothermia. Absolute and percentage frequency analyses, mean, standard deviation, and the R software were employed. Results: 419 activities incorporated in 12 interventions were verified that were related to hypothermia in the corresponding taxonomy; as well as 13 Nursing care measures prescribed and five interventions mapped. The variables which reached significance were surgery duration and cavity opening. Conclusion: by means of cross-mapping, it can be asserted that the care measures prescribed are based on the standardized language, thus contributing to unification of the Nursing practice.

Cuidados de enfermagem no centro cirúrgico hospitalar em assistência perioperatório

“…Os cuidados na hipotermia (E2, E3) têm ênfase na prevenção por meio métodos de aquecimentos como o sistema de ar aquecido forçado e o método passivo de aquecimento, cutâneo cobertor de lã dobrado ao meio mais lençol de algodão e infusão de líquidos aquecidos . O controle da temperatura do paciente, como estratégia para prevenir a hipotermia no transoperatório e no pós-operatório imediato, também é pontuado como de fundamental importância (Almeida et al, 2021;Carneiro et al, 2020). As intervenções para prevenir hipotermia devem centrar esforços em aquecer o paciente com mantas térmicas ou cobertores e controlar a temperatura.…”

“…Os principais diagnósticos de enfermagem em relação aos cuidados de enfermagem da hipotermia são risco de hipotermia, hipotermia e risco de hipotermia perioperatória. Em relações as intervenções de enfermagem as principais relacionadas são: controle da perfusão tissular, prevenção de Choque, monitoração Hídrica, regulação de temperatura, tratamento de hipotermia, Monitoração Respiratória, Controle do ambiente Monitoração de Sinais Vitais (Almeida et al, 2021).…”