Effect of an Innovative Use of “Jell Cold Packs” for Reducing Body the Temperature of Intracerebral Hemorrhage Neurosurgery Patients in Neurosurgery Intensive Care Units

  • Nittaya Kraythong Sunpasitthiprasong hospital
  • Pithack Pimpun Sunpasitthiprasong hospital
  • Suwimon Jindasri โรงพยาบาลสรรพสิทธิประสงค์
  • Nusara Prasertsri Boromarajonani College of Nursing Sunpasitthiprasong
Keywords: jell cold pack, reduction body temperature, hemorrhage neurosurgery patients

Abstract

Elevated temperature worsens brain injury in patients with intracerebral hemorrhage. The objective of this study was to examine the effect of jell cold packs for reducing body temperature in intracerebral hemorrhage neurosurgery patients. This was a prospective, randomized, nonblinded trial. There were 50 intracerebral hemorrhage neurosurgery patients who had a body temperature between 37.9°C to 39.5 °C that were randomly sampled into an experimental group (25) using jell cold packs and a control group (25) using a tepid sponge method. The body temperatures were assessed three timepoints, 15-minutes, 30 minutes, and 60 minutes, after treatment. The data were analyzed using descriptive statistics for percentages, averages, and standard deviations, and Paired t-tests were used for comparison of body temperature means. The result revealed that the subjects’ average body temperatures before the jell cold packs method and the tepid sponge method treatment were 38.44 (S.D. ± 0.51), 38.40 (S.D. ± 0.33) respectively. There was no difference in body temperature between the experimental group and the control group in the experiment at 15 minutes post treatment. At the 30- and 60-minute timepoints, there were statistically significant differences in body temperature (t = 2.1, P < 0.05), (t = 4.8, P< 0.01) between the experimental group (37.10 (S.D. ± 0.69)), (36.9 (S.D. ± 0.71)) and the control group (37.56 (S.D. ± 0.84)), (37.92 (S.D. ± 0.75)). In addition, there no complications were observed from using the jell cold packs, including shivering, skin burns from the cold, and ventricular fibrillation. The conclusion from this study is that jell cold packs can be safely used to reduce body temperature in neurological surgery patients with cerebral hemorrhage more effectively than the tepid sponge method and that is a safe, convenient, time-saving, low cost, alternative method to reduce temperature in patients when there is a shortage of nursing personnel.

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Published
2021-08-31
How to Cite
1.
Kraythong N, Pimpun P, Jindasri S, Prasertsri N. Effect of an Innovative Use of “Jell Cold Packs” for Reducing Body the Temperature of Intracerebral Hemorrhage Neurosurgery Patients in Neurosurgery Intensive Care Units. J Health Sci BCNSP [nternet]. 2021Aug.31 [cited 2021Dec.2];5(2):113-24. vailable from: https://he01.tci-thaijo.org/index.php/bcnsp/article/view/250555
Section
Research Articles