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김현정 ( Kim Hyun-Jung ) - 서울아산병원
신용순 ( Shin Yong-Sun ) - 창원대학교 간호학과
김성렬 ( Kim Sung-Reul ) - 전북대학교 간호대학
유성희 ( Yoo Sung-Hee ) - 전남대학교 간호대학
김선화 ( Kim Sun-Hwa ) - 서울아산병원
김정희 ( Kim Jeoung-Hee ) - 서울아산병원
나라 ( Na Ra ) - 서울아산병원
채지선 ( Chae Ji-Sun ) - 서울아산병원
이혜진 ( Lee Hye-Jin ) - 서울아산병원
안영희 ( An Young-Hee ) - 서울아산병원
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Abstract
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Purpose: The specific aims of this study were to define fever from the nurse’s and physician’s perspectives, describe fever management method and decision-making, and identify differences of definition of fever and fever managements between nurses and physicians.
Methods: A cross-sectional survey using a 23-item questionnaire was used. A total of 305 nurses and physicians were surveyed, and 246 useful questionnaires were returned.
Results: Body temperature of 36.5~38.3 were considered as adult febrile, and fever managements were initiated when the temperature was 37.0~38.0 . More than half of the nurses and physicians, made a clinical decision regarding fever managements based on their own experiences. The most frequently used interventions in nursing practice were antipyretics, intravenous hydration, and external cooling. Nurses provided external cooling to lower body temperature than physicians (Z=-4.67, p<.001). Most participants reported that they needed a fever management protocol.
Conclusion: Based on the information obtained, nurses respond with sensitivity to lower body temperature. We found significant differences among nurses, between nurses and physicians in approaching care of adult febrile patients.
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KeyWords
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발열, 발열관리, 성인
Adult, Fever, Fever management
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원문 및 링크아웃 정보
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등재저널 정보
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