From the patient ’s perspective , an infection delays healing , can increase time away from work or family , and can cause additional pain and complications ( eg , sepsis , long-term disabilities , death ) .
urgical site infections ( SSIs ) continue to cause significant patient harm despite many advances in Sinfection prevention .
The negative effects of SSIs on morbidity , mortality , and the cost of care has kept SSI reduction a top priority for health care organizations worldwide .
A 2011 systematic review found that approximately 55 % of SSIs in the United States may be preventable by using evidence -based guidelines .
[Effects of ASPAN's evidence-based clinical practice guidelines for promotion of hypothermia of patients with total knee replacement arthroplasty].
PURPOSE In this study an examination was done of the effects of the American Society of PeriAnesthesia Nurses ( ASPAN ) Evidence -Based Clinical Practice Guidelines on body temperature , shivering , thermal discomfort , and time to achieve normothermia in patients undergoing total knee replacement arthroplasty ( TKRA ) under spinal anesthesia . METHODS This study was an experimental study with a r and omized controlled trial design . Participants ( n=60 ) were patients who underwent TKRA between December 2011 and March 2012 . Experimental group ( n=30 ) received active and passive warming measures as described in the ASPAN 's guidelines . Control group ( n=30 ) received traditional care .  Body temperature , shivering , thermal discomfort , time to achieve normothermia were measured in both groups at 30 minute intervals . RESULTS Experimental group had slightly higher body temperature compared to control group ( p=.002 ) . Thermal discomfort was higher in the experimental group before surgery but higher in the control group after surgery ( p=.034 ) . It decreased after surgery ( p=.041 ) in both groups . Time to achieve normothermia was shorter in the experimental group ( p=.010 ) . CONCLUSION ASPAN 's guidelines provide guidance on measuring patient body temperature at regular intervals and on individualized and differentiated hypothermia management which can be very useful in nursing care , particularly in protecting patient safety and improving quality of nursing
From the patient ’s perspective , an infection delays healing , can increase time away from work or family , and can cause additional pain and complications ( eg , sepsis , long-term disabilities , death ) .
urgical site infections ( SSIs ) continue to cause significant patient harm despite many advances in Sinfection prevention .
The negative effects of SSIs on morbidity , mortality , and the cost of care has kept SSI reduction a top priority for health care organizations worldwide .
A 2011 systematic review found that approximately 55 % of SSIs in the United States may be preventable by using evidence -based guidelines .