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Effect of Different Temperature Management Regimens on Cesarean Section Patients: A Randomized Controlled Trial

J Perianesth Nurs. 2025 Oct 29:S1089-9472(25)00164-9. doi: 10.1016/j.jopan.2025.05.016. Online ahead of print.

ABSTRACT

PURPOSE: To explore the effects of different warming temperatures on the incidence of hypothermia, comfort, and satisfaction of patients after a cesarean section.

DESIGN: A randomized controlled trial.

METHODS: A simple random sampling method was used to select 100 puerpera who underwent cesarean section surgery at the Anesthesia and Operating Department of a 3-class hospital from August 1, 2024 to October 31, 2024. They were randomly divided into a control group (49 cases) and an experimental group (51 cases). Observation indicators: changes in body temperature, comfort level, satisfaction level, incidence and intensity of chills.

FINDINGS: There was no significant difference in baseline data and body temperature between the two groups (P > .05). The incidence of postoperative shivering in the control group was 0%, which was lower than 3.92% in the experimental group. The control group’s comfort score was significantly higher than that of the experimental group, with statistical significance (P < .001). There was no significant difference in satisfaction evaluation or in the incidence of hypothermia between the two groups (P > .05).

CONCLUSIONS: The active and passive composite warming method can effectively prevent the occurrence of hypothermia and shivering in patients after cesarean section and improve their satisfaction. When the warming temperature is set at 38 to 40 ℃, postoperative comfort of patients is the best. However, short-term (30 minutes) postoperative warming has no significant effect on the postoperative body temperature of patients, and some patients still have a decrease in body temperature after short-term warming, suggesting that it is necessary to continue to promote warming measures to ensure the patient’s body temperature recovery after leaving the postanesthesia care unit and entering the ward.

PMID:41165620 | DOI:10.1016/j.jopan.2025.05.016

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