{"title":"Knowledge and Practice of Perioperative Nurses Regarding Post Spinal Hypothermia Management: A Cross-sectional Study.","authors":"Leila Sadati, Nasim Jamshid Malekara, Rana Abjar","doi":"10.1016/j.jopan.2025.03.002","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Inadvertent post spinal hypothermia is a common and preventable complication during surgeries. This study aimed to determine the knowledge and practice of perioperative nurses regarding post spinal hypothermia management.</p><p><strong>Design: </strong>A descriptive cross-sectional study.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in 2024. The population comprised operating room nurses working in educational hospitals affiliated with Alborz University of Medical Sciences. A sample of 172 nurses was selected using the census method. Data were collected using a researcher-developed questionnaire assessing knowledge and practice. The questionnaire's reliability was confirmed with Cronbach's alpha coefficients of 0.80 and 0.85 for the knowledge and practice sections, respectively. Data analysis was conducted using SPSS version 25, employing descriptive statistics, one-sample t-test, Pearson correlation, and one-way ANOVA.</p><p><strong>Findings: </strong>The mean score of nurses' knowledge in preventing hypothermia was 54% ± 0.15, with 71.5% demonstrating moderate knowledge. The mean practice score was 44.6% ± 0.29, with 69.8% showing moderate practice. A positive correlation was found between knowledge and practice (r = 0.471, P < .0001). Nurses' knowledge and practice were significantly associated with prior hypothermia training (F = 65.72, P < .001 for knowledge; F = 14.7, P < .001 for practice) and education level (F = 36.04, P < .001 for knowledge; F = 8.19, P = .005 for practice).</p><p><strong>Conclusions: </strong>This study reveals a need for improvement in perioperative nurses' knowledge and practice regarding post spinal hypothermia management. Implementing continuous training and encouraging advanced education can enhance nurses' ability to prevent hypothermia and manage its complications, potentially improving patient safety and outcomes in the perioperative setting.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perianesthesia Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jopan.2025.03.002","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Inadvertent post spinal hypothermia is a common and preventable complication during surgeries. This study aimed to determine the knowledge and practice of perioperative nurses regarding post spinal hypothermia management.
Design: A descriptive cross-sectional study.
Methods: A cross-sectional study was conducted in 2024. The population comprised operating room nurses working in educational hospitals affiliated with Alborz University of Medical Sciences. A sample of 172 nurses was selected using the census method. Data were collected using a researcher-developed questionnaire assessing knowledge and practice. The questionnaire's reliability was confirmed with Cronbach's alpha coefficients of 0.80 and 0.85 for the knowledge and practice sections, respectively. Data analysis was conducted using SPSS version 25, employing descriptive statistics, one-sample t-test, Pearson correlation, and one-way ANOVA.
Findings: The mean score of nurses' knowledge in preventing hypothermia was 54% ± 0.15, with 71.5% demonstrating moderate knowledge. The mean practice score was 44.6% ± 0.29, with 69.8% showing moderate practice. A positive correlation was found between knowledge and practice (r = 0.471, P < .0001). Nurses' knowledge and practice were significantly associated with prior hypothermia training (F = 65.72, P < .001 for knowledge; F = 14.7, P < .001 for practice) and education level (F = 36.04, P < .001 for knowledge; F = 8.19, P = .005 for practice).
Conclusions: This study reveals a need for improvement in perioperative nurses' knowledge and practice regarding post spinal hypothermia management. Implementing continuous training and encouraging advanced education can enhance nurses' ability to prevent hypothermia and manage its complications, potentially improving patient safety and outcomes in the perioperative setting.
目的：术后意外的脊髓低温是手术中常见的可预防的并发症。本研究旨在了解围手术期护士对脊柱后低温管理的认识和实践。设计：描述性横断面研究。方法：于2024年进行横断面研究。人口包括在阿尔博尔斯医科大学附属教育医院工作的手术室护士。采用普查方法抽取172名护士。数据收集使用研究人员开发的评估知识和实践的问卷。知识部分和实践部分的Cronbach's alpha系数分别为0.80和0.85，证实了问卷的信度。数据分析采用SPSS version 25，采用描述性统计、单样本t检验、Pearson相关和单因素方差分析。结果：护士对预防亚低温知识的平均得分为54%±0.15分，其中71.5%为中等知识。平均练习得分为44.6%±0.29分，其中69.8%为中等练习。结论：围手术期护士对脊髓后低温管理的知识和实践有待提高。实施持续培训和鼓励高等教育可以提高护士预防低温症和管理其并发症的能力，从而潜在地提高围手术期患者的安全性和预后。
期刊介绍：
The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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