论文部分内容阅读
目的研究热水擦浴与热水泡足两种操作对发热患儿体表皮肤温度及体温和舒适度的影响。方法选取65例发热患儿,按体温热程分为体温上升期和体温下降期,按日期分为泡足组(45例)和擦浴组(20例)。在操作前后3次重复测量腋温、肛温和皮温(FLIR红外热像仪摄图采温),同时利用Wong-Baker面部表情量表评价操作前、中、后的舒适度。结果在上升期,热水泡足短时间内使腋温升高、皮温升高;在下降期,使各温下降曲线更平缓。热水擦浴则相反,两者差异只有上升期的面温有统计学意义(P=0.019)。操作有效时间内,舒适度上升期热水泡足组最高,下降期热水擦浴组其次,上升期热水擦浴组最低。结论发热时物理方法对降温无临床意义,对皮温和舒适度有影响。
Objective To study the effects of hot water bath and hot water bath on the skin temperature, body temperature and comfort of children with fever. Methods Totally 65 children with fever were divided into body temperature rising period and body temperature decreasing period according to the body heat temperature course. According to the date, they were divided into bubble foot group (45 cases) and sponge bath group (20 cases). Axillary temperature, rectal temperature and skin temperature were measured three times before and after the operation, and the comfort was evaluated using the Wong-Baker facial expression scale before, during and after the operation. Results in the rising period, a short period of time so hot axillary temperature axillary temperature, skin temperature increased; in the descent period, so that the temperature drop curve more gradual. On the contrary, the difference between the two groups was statistically significant only in the ascending period (P = 0.019). During the effective period of operation, the group with the highest degree of comfort was the highest in the group of hot-water foaming foot, the group of hot water wiping in the fall period, and the lowest was the group of hot-water wiping in the rising stage. Conclusion The physical method of fever is not clinically significant for cooling and has an effect on skin temperature and comfort.