Effect of warming gown use on shivering and body temperature in chronic
kidney disease patients undergoing hemodialysis via catheter
Dublin Core
Title
Effect of warming gown use on shivering and body temperature in chronic
kidney disease patients undergoing hemodialysis via catheter
kidney disease patients undergoing hemodialysis via catheter
Subject
body temperature, chronic kidney failure, haemodialysis, nursing
innovation, shivering, warming gown
innovation, shivering, warming gown
Description
Background: Haemodialysis is often accompanied by shivering, especially
in patients with catheter access, which can reduce comfort, impair treatment
efficacy, increase the risk of complications and contribute to inadequate
dialysis. Addressing this issue through non-pharmacological means, such as
a warming gown, offers a potentially effective, safe, and economical solution
to improve patient outcomes.
Purpose: To develop a warming gown as an innovation to reduce the
incidence of shivering in chronic kidney disease patients undergoing
haemodialysis with a haemodialysis catheter.
Methods: This study employed a two-stage Research and Development
design. In the first stage, a reusable, adaptive warming gown for HD catheter
patients was developed and validated (S-CVI/Ave = 0.99). Second, a quasiexperiment
was conducted with 60 patients recruited through total sampling.
Subsequently, patients were randomly allocated to either the intervention
group (warming gown) or the control group (blanket) using computergenerated
randomisation based on their identification numbers. Shivering
(Crossley and Mahajan scale) and body temperature (digital thermometer)
were measured at 0, 15, 30, 60, and 120 minutes. Data were analysed using
Wilcoxon, Friedman, and Bonferroni-corrected repeated Mann–Whitney
tests.
Results: The intervention group showed a significant reduction in shivering
levels from 2.63 ± 1.27 to 0.37 ± 0.49 (p < 0.001) and an increase in body
temperature from 36.36 ± 0.52 to 36.84 ± 0.29 (p < 0.001). In contrast, the
control group showed no significant changes (p > 0.05).
Conclusion: The warming gown was proven effective in reducing shivering
and increasing body temperature in haemodialysis patients, offering
advantages in comfort, safety, and cost efficiency.
in patients with catheter access, which can reduce comfort, impair treatment
efficacy, increase the risk of complications and contribute to inadequate
dialysis. Addressing this issue through non-pharmacological means, such as
a warming gown, offers a potentially effective, safe, and economical solution
to improve patient outcomes.
Purpose: To develop a warming gown as an innovation to reduce the
incidence of shivering in chronic kidney disease patients undergoing
haemodialysis with a haemodialysis catheter.
Methods: This study employed a two-stage Research and Development
design. In the first stage, a reusable, adaptive warming gown for HD catheter
patients was developed and validated (S-CVI/Ave = 0.99). Second, a quasiexperiment
was conducted with 60 patients recruited through total sampling.
Subsequently, patients were randomly allocated to either the intervention
group (warming gown) or the control group (blanket) using computergenerated
randomisation based on their identification numbers. Shivering
(Crossley and Mahajan scale) and body temperature (digital thermometer)
were measured at 0, 15, 30, 60, and 120 minutes. Data were analysed using
Wilcoxon, Friedman, and Bonferroni-corrected repeated Mann–Whitney
tests.
Results: The intervention group showed a significant reduction in shivering
levels from 2.63 ± 1.27 to 0.37 ± 0.49 (p < 0.001) and an increase in body
temperature from 36.36 ± 0.52 to 36.84 ± 0.29 (p < 0.001). In contrast, the
control group showed no significant changes (p > 0.05).
Conclusion: The warming gown was proven effective in reducing shivering
and increasing body temperature in haemodialysis patients, offering
advantages in comfort, safety, and cost efficiency.
Creator
Novita Anggraeni* , Saryono Saryono , Arif Setyo Upoyo
Source
http://jkp.fkep.unpad.ac.id/index.
php/jkp
php/jkp
Date
April 29, 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Novita Anggraeni* , Saryono Saryono , Arif Setyo Upoyo, “Effect of warming gown use on shivering and body temperature in chronic
kidney disease patients undergoing hemodialysis via catheter,” Repository Horizon University Indonesia, accessed February 12, 2026, https://repository.horizon.ac.id/items/show/10769.
kidney disease patients undergoing hemodialysis via catheter,” Repository Horizon University Indonesia, accessed February 12, 2026, https://repository.horizon.ac.id/items/show/10769.