ผลของการให้โปรแกรมอบอุ่นร่างกายต่ออุณหภูมิกายในหญิงที่มารับการผ่าตัดคลอดบุตรทางหน้าท้องที่ได้รับการระงับความรู้สึกด้วยวิธีฉีดยาชาเข้าช่องน้ำไขสันหลัง

Abstract

This study is a quasi-experimental research. The objective is to study an effectiveness of using a warming program to the core temperature of mothers who are having caesarean sections and receive spinal anesthesia treatment at the operation room of Ban Pong Hospital, Ratchaburi. Sample groups are 60 mothers who are going to have caesarean sections and desire to have spinal anesthesia treatment. Qualified samples are separated in two groups, a control group of 30 samples and an experimental group of 30 samples. The control group receives an ordinary care prior, during, and after the operation from anesthetist and operation nurses. The experimental group receives a new developed body warming program using a conceptual of Sesslerrelated the body to have a higher temperature by heating the body or preventing heat loss from the body. Data collection from February to May 2017.Research tools are the body warming program before, during and after the caesarean section and data collection tools which are a general data form, a caesarean section and anesthesia data form, and a body temperature data form. Both tool sets were examined by five experts suggesting that the Index of Item – Objective Congruence (IOC) equals to 0.96. Experiment with mothers who are having caesarean sections, not a sample of 10 patients. A finding of an objectiveindicates that all form contents are clear and related. They can deliver the result to the objective of this study. Data analysis is using the program providing percentage, average, standard deviation, and t-test.

Results show that prior the operation, an average value of body temperature of the experimental group increases by 0.1 degree Celsius, but there is no change of body temperature in the control group. However, there is no statistically significant difference between two groups (t= 0.264, p= 0.793). During the operation period, the average value of the body temperature of the experimental group decreases by 0.5 degree Celsius, while that of the control group decreases by 0.7 degree Celsius. Decrease of  body temperature   in  the   experimental  group  is  lower  without  a   statistically   significant (t =1.733,p= 0.088).  For after the operation period, the average body temperature of the experimental group decreases by 0.2 degree Celsius, while that of the control group decreases by 0.3 degree Celsius. Statistic result shows that decreasing of the body temperature of the experiment group is lower significantly at the level of .05 (t =3.653,          p= 0.001).

In conclusion, the body warming program can maintain the body temperature of mothers who are having caesarean sections and receive spinal anesthesia treatment at the operation room of Ban Pong Hospital, Ratchaburi at the period prior, during and after the operation better than those who receive the ordinary care.  There should be an improvement of the standard operation for mothers who are having caesarean sections to raise the quality of care and replace the expensive hot air blanket by the body warming program which will level up the quality of service of anesthetist nurse for the patients.