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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (18): 35-40.doi: 10.16460/j.issn1008-9969.2021.18.035

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Best Evidence Summary for Evaluation and Intervention of Postoperative Shivering in Patients in Post Anesthesia Care Unit

ZUANG Shan-shan, ZHANG Zhuan-yun, WANG Jiang   

  1. Dept. of Anesthesia, Gulou Hospital Affiliated to Medical College of Nanjing University, NangJing 210008, China
  • Received:2021-04-16 Online:2021-09-25 Published:2021-10-12

Abstract: Objective To retrieve, evaluate and integrate the best evidence of evaluation and intervention of postoperative shivering in patients in post anesthesia care unit. Methods We searched the Guidelines International Network, National Guideline Clearing-house, Registered Nurses'Association of Ontario, British Medical Journal, Joanna Briggs Library, GeenMedical, Up To Date, Scottish Intercollegiate Guidelines Network, American Society of Perianesthesia Nurses, Cochrane Library, The Association of Perioperative Registered Nurses, Medline, Wanfang Data, Clinical Diagnosis and Treatment Guide, VIP, CNKI and Chinese Society of Anesthesiology, to gather evidence for postoperative shivering assessment and intervention. Literature quality assessment was completed on the basis of evidence collection, processing and integration conducted by more than 2 reviewers. Results Ten articles were analyzed, including 2 guidelines, 2 expert consensus, 1 evidence summary, 4 systematic reviews and 1 randomized controlled trial, from which 16 pieces of best evidence were summarized into 4 categories including risk factors, assessment timing and assessment tools, interventions and quality control. Conclusion Accurate identifying, timely and accurate evaluation of the risk factors of shivering, appropriate intervention measures, and application of the best evidence in clinical practice according to the actual situation of the hospital are conducive to improving patient comfort and reducing the occurrence of shivering and its related complications.

Key words: postoperative shivering, evaluation, intervention, post anesthesia care unit, evidence-based

CLC Number: 

  • R472.3
[1] Lopez MB.Postanaesthetic Shivering from Pathophysiology to Prevention[J].Rom J Anaesth Intensive Care,2018,25(1):73-81. DOI:10.21454/rjaic.7518.251.xum.
[2] He L, Xu JM, Liu SM,et al.Intrathecal Dexmedetomidine Alleviates Shivering during Cesarean Delivery under Spinal Anesthesia[J].Biol Pharm Bull,2017,40(2):169-173. DOI: 10.1248/bpb.b16-00651.
[3] Park B, Lee T, Berger K, et al.Efficacy of Nonpharmacological Antishivering Interventions: A Systematic Analysis[J]. Crit Care Med, 2015,43(8):1757-1766. DOI:10.1097/CCM.0000000000001014.
[4] Hong JY, lee IH. Comparison of the Effects of Intrathecal Morphine and Pethidine on Shivering after Caesarean Delivery under Combined-spinal Epidural Anaesthesia[J]. Anaesthesia,2005,60(12):1168-1172.DOI:10.1111/j.1365-2044.2005.04158.x.
[5] 中华医学会神经病学分会神经重症协作组.神经重症低温治疗中国专家共识[J]. 中华神经科杂志,2015,48(6):453-458.
[6] Howes D, Gray SH, Brooks SC, et al .Canadian Guidelines for the Use of Targeted Temperature Management (Therapeutic Hypothermia) after Cardiac Arrest:A Joint Statement from the Canadian Critical Care Society(CCCS),Canadian Neurocritical Care Society (CNCCS), and the Canadian Critical Care Trials Group (CCCTG)[J]. Resuscitation,2016, 98:48-63. DOI:10.1016/j.resuscitation.2015.07.052.
[7] 张国栋. 全麻术后寒战的危险因素与防范措施[J].现代养生,2015,12:83.
[8] 刘旭. 小剂量舒芬太尼在剖宫产术腰硬联合麻醉中预防寒颤及牵拉痛的效果评估[J]. 心理月刊,2019,2(4):153-154. DOI:10.19738/j.cnki.psy.2019.02.105.
[9] 王英伟. 剖宫产术腰硬联合麻醉中应用小剂量舒芬太尼预防寒战和牵拉痛的临床效果分析[J].临床研究, 2017,17(23):36-37. DOI:10.3969/j.issn.1671-3141.2017.23.026.
[10] 徐惠,殷小容.全身麻醉术后患者麻醉苏醒期寒颤的观察及护理干预[J].华西医学, 2016, 31(2):361-363.DOI:10.7507/1002-0179.20160097.
[11] Aromataris E,Fernandez R, Godfrey CM, et al.Summarizing Systematic Reviews: Methodological Development, Conduct and Reporting of an Umbrella Review Approach[J]. Int J Evid Based Healthc,2015, 13(3):132-140.DOI:10.1097/XEB.0000000000000055.
[12] Brouwers MC, Kho ME, Browman GP, et al.AGREE II:Advancing Guideline Development,Reporting,and Evaluation in Health Care[J]. Prev Med, 2010, 51(5):421-424. DOI:10.1016/j.jclinepi.2010.07.001.
[13] The Joanna Briggs Institute(JBI). Checklist for Text and Opinion[EB/OL].(2017-07-15)[2019-09-18].http://joannabriggs.org/research/critical-appraisal-tools.html.
[14] The Joanna Briggs Institute(JBI).Critical appraisal tools[EB/OL].(2017-07-15)[2019-09-18].http://joannabriggs.org/research/critical-appraisal-tools.html.
[15] The Joanna Briggs Institute.JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses[EB/OL].[2019-12-10].https://joannabriggs.org/research/criticalappraisal-tools.html.
[16] 胡雁. 循证护理学[M].北京:人民卫生出版社,2018.
[17] The Joanna Briggs Institute(JBI).Joanna Briggs Institute Levels of Evidence and Grades of Recommendation[EB/OL].(2013-10-01)[2019-12-10].https://joannabriggs.org/jbi -approach.html#tabbed-nav=Levels-of-Evidence.
[18] 王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.DOI:10.16821/j.cnki.hsjx.2015.11.002.
[19] Madden LK, Hill M, May TL, et al.The Implementation of Targeted Temperature Management: An Evidence-based Guideline from the Neurocritical Care Society[J].Neurocrit Care,2017,27(3):468-487.DOI:10.1007/s12028-017-0469-5.
[20] 朱涛,严敏,李天佐等.麻醉后监测治疗的专家共识(2014)[M].北京:人民卫生出版社,2014:187-192.
[21] Tsukamoto M, Hitosugi T, Esaki K, et al.Risk Factors for Postoperative Shivering after Oral and Maxillofacial Suegery[J].J Oral Maxillofac Surg,2016, 74(12):2359-2362. DOI:10.1016/j.joms.2016.06.180.
[22] Caruselli M.Postoperative Shivering:A Common Phenomenon with Multiple Causes[J]. Minerva Anestesiol,2018,84(12):1340-1342. DOI:10.23736/S0375-9393.18.13138-5.
[23] 刘瑞红,朱松,万晶晶,等.加温输液对预防产妇剖宫产术后低体温和寒颤有效性的Meta分析[J].护理学报,2018,25(2):41-47.DOI:10.16460/j.issn1008-9969.2018.02.041.
[24] Choi KE, Park B, Moheet AM, et al.Systematic Quality Assessment of Published Antishivering Protocols[J]. Anesth Analg,2017, 124(5):1539-1546.DOI:10.1213/ANE.0000000000001571.
[25] 刘守萍,王学军,柴兆.综合护理措施在预防全麻患者苏醒期寒战中的效果评价[J].麻醉安全与质控,2019,3(3):165-167. DOI:10.3969/j.issn.2096-2681.2019.03.010.
[25] 孙艾娣,孙云.手外科护理风险因素识别与护理干预[J].当代护士,2018, 25(1):70-71.
[26] Matsota PK, Koliantzaki IK, Kostopanagiotou GG.Pharmacological Approach for the Prevention of Postoperative Shivering: A Systematic Review of Prospective Randomized Controlled Trials[J]. Asian J Anesthesiol,2019, 57(3):66-84.DOI:10.6859/aja.201909_57(3).0002.
[27] 李青华,朱长聪,陈晨.医疗风险早期识别在医疗安全管理中的应用探索[J].中国当代医药,2020,27(23):176-179.
[28] 中华医学会麻醉学分会.围手术期患者低体温防治专家共识(2017)[J]. 协和医学杂志, 2017, 8(6):352-357.DOI:10.3969/j.issn.1674-9081.2017.06.007.
[29] Olson DM, Grissom JL, Williamson RA,et al.Interrater Reliability of the Bedside Shivering Assessment Scale[J]. Am J Crit Care, 2013,22(1):70-74. DOI:10.4037/ajcc2013907.
[30] 詹青,赵云.目标温度管理实施:基于2017年美国神经重症监护学会目标温度管理指南的解读[J].神经病学与神经康复学杂志,2017, 13(4):157-164. DOI:10.12022/jnnr.2017-0072.
[31] Park B, Lee T, Berger K, et al.Efficacy of Nonpharmacological Antishivering Interventions: A Systematic Analysis[J]. Crit Care Med,2015,43(8):1757-1766. DOI:10.1097/CCM.0000000000001014.
[32] 张凤萍,马冬梅,贺世超.循环水变温毯对食管癌根治术患者术后寒战及炎症应激反应的影响[J].护理实践与研究,2019,16(16):118-119.
[33] 黄朝旭,画妍,李样.宫颈癌根治术全身麻醉苏醒期发生寒战的因素分析[J].检验医学与临床, 2020,17(11):1576-1579.
[34] Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of Postoperative Pain: A Clinical Practice Guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists'Committee on Regional Anesthesia, Executive Committee, and Administrative Council[J].J Pain, 2016,17(2):131-157. DOI:10.1016/j.jpain.2015.12.008.
[35] Apfelbaum JL, Silverstein JH, Chung FF, et al.Practice Guidelines for Postanesthetic Care: An Updated Report by the American Society of Anesthesiologists Task Force on Postanesthetic Care[J]. Anesthesiology,2013,118(2):291-307.DOI:10.1097/ALN.0b013e31827773e9
[36] He L, Xu JM, Liu SM, et al.Intrathecal Dexmedetomidine Alleviates Shivering during Cesarean Delivery under Spinal Anesthesia[J]. Biol Pharm Bull,2017,40(2):169-173. DOI: 10.1248/bpb.b16-00651.
[37] 许敏. 患者围手术期寒颤的护理干预[J].中国现代药物应用, 2015, 9(10):206-207.
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