The evidence-based nursing practice of applying physical cooling methods in the treatment of hyperthermia among in-patients
10.3760/cma.j.issn.1674-2907.2019.12.007
- VernacularTitle:物理降温在住院发热患者中的循证护理实践
- Author:
Yuan LI
1
;
Hongfang YE
;
Hong CHU
;
Qian SHEN
;
Li WAN
;
Xiuhua YING
;
Xinyue ZHANG
Author Information
1. 南京大学医学院附属鼓楼医院血液科
- Keywords:
Hyperthermia;
In-patient;
Physical cooling;
Evidence-based practice
- From:
Chinese Journal of Modern Nursing
2019;25(12):1475-1480
- CountryChina
- Language:Chinese
-
Abstract:
?? [Abstract]? Objective? To explore the effect of physical cooling method by the use of external cooling ice-packs for treatment of the in-patients with fever. Methods? In accordance with the model of Australian JBI evidence-based health care, the evidence was applied to the clinical practice after evidence generation, and synthesis. Admitted from November 2017 to June 2018 into the hematology department in Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, the hyperpyretic patients with blood disease were divided into two groups-observation group and control group randomly. 68 patients were included in each group. The patients in observation group were given by 0.5 g acetaminophen orally along with ice-packs while the patients in control group were just given by 0.5 g oral acetaminophen. The temperature lowering effect in both groups was compared and studied. Results? In the observation group, patients' temperature was (38.90±0.37)℃ before intervention, (38.85±0.36)℃ in 30 minutes after intervention, (38.63±0.52)℃ in 1 hour and (38.07±0.76)℃ in 2 hours. And those for control group were (38.89±0.39),(38.82±0.40),(38.58± 0.59),(37.90±0.67)℃,respectively. Repeated measurement analysis of variance indicated that patients' temperature showed significant differences at each point of time during the study in both group (Ftime=77.862,P＜ 0.01). The intervention methods in the two groups did not interact with different point of time (Finteraction=0.728, P＞0.05). The effect of intervention in different groups at different point of time was not significant (Fgroups=0.909, P＞ 0.05). Conclusions? The use of physical cooling method along with medication is proved to be not significant in the patients' temperature control. Health workers should or not select the physical cooling method based on patients' condition and willingness in order to ensure their vital signs' stability and their comfort.
