背　景手術等候區病人的低體溫症狀是手術室重要護理問題，提供術前保溫措施，不但可控制病人體溫，亦可增加病人舒適感，故管理病人體溫是手術室團隊之重要工作目標之ㄧ。目　的旨在探討外套保暖措施對手術等候區病人體溫之影響。方　法本類實驗研究以60位手術病人為樣本，分派為實驗組（予保暖外套措施）與對照組（予常規措施）各30位。收集病人前測、介入五分鐘、介入十分鐘的冷感受、耳溫、病人末梢肢體顏色與大理石斑，並分析其變化。結　果相較於常規保暖措施的病人，使用外套保暖可使病人進入手術等候區冷感受的程度下降（介入第五分鐘p < .001），顯著減少大理石斑出現（介入第五分鐘p < .001）；在穿上外套第五分鐘使用外套保暖病人較常規保暖措施病人的耳溫顯著上升（p = .026）、末梢肢體顏色顯著較常規保暖措施病人保持紅潤（p = .016）。實務應用此實證研究結果，可作為手術室護理人員提供病人保暖體溫控制措施之參考依據。

Background: Patient hypothermia is a critical nursing problem in the preoperative room. Applying an appropriate temperature control strategy prior to surgery helps patients maintain body temperature and physical comfort.Purpose: This project assessed the temperature effects of a coat warming strategy on preoperative patients.Methods: This quasi-experimental study invited 60 participants who were divided into two groups, namely an experimental group (n = 30) that used a coat temperature control strategy and a control group (n = 30) that used a routine strategy. We analyzed changes in patient-perceived temperature, auricular temperature, skin color at the distal end of extremities, and Dali lithosporic at the upper arm. Measurements were taken once at pretest and at 5 and 10 minutes after intervention.Results: Compared with the control group, experimental group patients reported feeling significantly less cold (p <.001, 5 minutes after intervention; p = .001) and had lower Dali lithosporic (p < .001, 5 minutes after intervention),
higher auricular temperature (p = .026, 5 minutes after intervention) and pinker skin color at the distal end of their extremities(p = .016, 5 minutes after intervention).Conclusions / Implications for practice: This evidence-based result offers nurses a suggested strategy for effective
control of patient temperature.