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外文摘要
引文資料
題名:
醫師與護理師專業準備度與發燒及藥物處置知識、信念及處置依據之相關
書刊名:
護理暨健康照護研究
作者:
邱旅揚
/
戴玉慈
/
盛望徽
/
柯文哲
作者(外文):
Chiu, Lu-yang
/
Dai, Yu-tzu
/
Sheng, Wang-huei
/
Ko, Wen-je
出版日期:
2013
卷期:
9:1
頁次:
頁74-82
主題關鍵詞:
發燒
;
退燒藥物處置
;
醫師
;
護理師
;
Fever
;
Antipyretic treatment
;
Physicians
;
Nurses
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:
8
點閱:359
背景:發燒為人體對抗感染之自然防禦機轉,然而此觀念並未落實於臨床退燒藥物處置,且少有研究探討醫師與護理師對成年病患發燒之看法。目的:了解醫師與護理師進階層級、年資與發燒及藥物處置的知識、信念及退燒藥物處置依據之相關。方法:採橫斷性調查,以自填結構式問卷針對北部某醫學中心醫護人員進行資料收集。收案期間2012年2月至4月,共收案78位醫師、251位護理師,總共329位醫護人員。並以SPSS 16.0版統計軟體進行描述性與推論性統計分析。結果:醫師進階層級越高,越資深,對發燒認知及退燒藥物處置信心越高,但進階層級和年資,與其發燒知識無關。而護理師進階層級高、越資深,對發燒認知與退燒處置信心越高,發燒知識總分也越高,對發燒反應的焦慮越低,認為退燒目的主要為緩解家屬與病患的焦慮及預防病患無法負荷身體代謝率的增加,不是為避免腦部或重要器官細胞受損的比率越高。而資淺醫護人員的退燒藥物處置易受同事、家屬與病患影響,以及認為高燒會使病患出現腦部受損的比率較高。結論:本研究結果可做為未來主管規劃醫護共同繼續教育及研擬發燒處置準則之參考。
以文找文
Background: Fever is a part of the body's natural defense mechanism against infectious disease. However, this concept has not been incorporated into antipyretic practices. Nurse and physician views on caring for febrile adults have been rarely explored. Purpose: This study investigated the association of level of practice and length of practical experience with physicians' and nurses' knowledge, beliefs and rationale on fever and antipyretic management. Methods: A cross‐sectional design was used to gather data from physicians and nurses. A total of 329 self-administered, structured questionnaires were collected from 78 physicians and 251 nurses at a medical center in northern Taiwan from February to April 2012. Data were analyzed with descriptive and inferential statistical analyses using Statistical Product and Service Solutions (SPSS), version 16.0. Results: Physician participants practicing at a more advanced level and with more experience reported higher fever cognitive and antipyretic management confidence. However, fever knowledge among physician participants did not relate to either practice or length of experience. Similarly, nursing participants practicing at a more advanced level and with more experience were also more confident in their cognitive and antipyretic fever management abilities and more knowledgeable and less anxious about fever response. They believed the purpose of antipyretic therapy to be reducing family member and patient anxiety and helping patients tolerate the metabolic burden of fever rather than preventing fever‐induced brain/organ cell damage. We found the antipyretic management practices of less experienced physicians and nurses to be relatively more influenced by colleagues, patient family members, and patients. We also found that less‐experienced physician and nurse participants, in particular, believed significantly more often than their more experienced physician and nurse colleagues that high fever would cause brain damage. Conclusion: Study results offer a reference for fever‐related continuing education planning and guideline setting.
以文找文
期刊論文
1.
呂淑華Lui, S. H., and Dai, Y. T.、戴玉慈(2000)。退燒藥物處置的迷思與省思。護理雜誌,47(3),65-70。
延伸查詢
2.
施瓊芬、蘇淑芬、王守玉(20120600)。加護病房護理人員執行發燒處置決策過程之文化脈絡。護理暨健康照護研究,8(2),128-137。
延伸查詢
3.
陳美容、歐淑華、廖如文、曾雯琦(20120800)。某醫學中心接受「二年期護理師(護士)訓練」學員主觀護理能力之探討。護理雜誌,59(4),54-61。
延伸查詢
4.
Beard, R. M.、Day, M. W.(2008)。Fever and hyperthermia: Learn to beat the heat。Nursing,38(6),28-31。
5.
Dai, Y. T.、Lu, S. H.(2012)。What's missing for evidence- based fever management? Is fever beneficial or harmfiil to humans?。International Journal of Nursing Studies,49(5),505-507。
6.
Edwards, H.、Walsh, A.、Courtney, M.、Monaghan, S.、Wilson, J.、Young, J.(2007)。Improving paediatric nurses' knowledge and attitudes in childhood fever management。Journal of Advanced Nursing,57(3),257-269。
7.
Edwards, H. E.、Courtney, M. D.、Wilson, J. E.、Monaghan, S. J.、Walsh, A. M.(2001)。Fever management practises: What pediatric nurses say。Nursing and Health Sciences,3(3),119-130。
8.
Egi, M.、Morita, K.(2012)。Fever in non-neurological critically ill patients: A systematic review of observational studies。Journal of Critical Care,27(5),428-433。
9.
Graves, R. C.、Oehler, K.、Tingle, L. E.(2012)。Febrile seizures: Risks, evaluation, and prognosis。American Family Physician,85(2),149-153。
10.
Ipp, M.、Jaffe, D.(1993)。Physicians' attitudes toward the diagnosis and management of fever in children 3 months to 2 years of age。Clinical Pediatrics,32(2),66-70。
11.
Karwowska, A.、Nijssen-Jordan, C.、Johnson, D.、Davies, H. D.(2002)。Parental and health care provider understanding of childhood fever: A Canadian perspective。Canadian Journal of Emergency Medicine Care,4(6),394-400。
12.
Lu, S. H.、Dai, Y. T.(2009)。Normal body temperature and the effects of age, sex, ambient temperature and body mass index on normal oral temperature: A prospective, comparative study。International Journal of Nursing Studies,46(5),661-668。
13.
May, A.、Bauchner, H.(1992)。Fever phobia: The pediatrician's contribution。Pediatrics,90(6),851-854。
14.
Mayoral, C. E.、Marino, R. V.、Rosenfeld, W.、Greensher, J.(2000)。Alternating antipyretics: Is this an alternative?。Pediatrics,105(5),1009-1012。
15.
Poirier, M. P.、Davis, P. H.、Gonzalez-del Rey, J.、Monroe, K.(2000)。Pediatric emergency department nurses1 perspectives on fever in children。Pediatric Emergency Care,16(1),9-12。
16.
Scrase, W.、Tranter, S.(2011)。Improving evidence-based care for patients with pyrexia。Nursing Standard,25(29),37-41。
17.
Siqueira, L. F.(2010)。Febrile seizures: Update on diagnosis and management。Revista da Associagao Medica Brasileira,56(4),489-492。
18.
Thompson, H. J.、Kagan, S. H.(2011)。Clinical management of fever by nurses: Doing what works。Journal of Advanced Nursing,67(2),359-370。
19.
Thompson, H. J.、Kirkness, C. J.、Mitchell, P. H.(2007)。Fever management practices of neuroscience nurses, part II: Nurse, patient, and barriers。Journal of Neuroscience Nursing,39(4),196-201。
20.
Walsh, A.、Edwards, H.、Fraser, J.(2007)。Influences on parents, fever management: Beliefs, experiences and information sources。Journal of Clinical Nursing,16(12),2331-2340。
21.
Walsh, A.、Edwards, H.、Fraser, J.(2008)。Parents' childhood fever management: Community survey and instrument development。Journal of Advanced Nursing,63(4),376-388。
22.
Walsh, A. M.、Edwards, H. E.、Courtney, M. D.、Wilson, J. E.、Monaghan, S. J.(2006)。Paediatric fever management: Continuing education for clinical nurses。Nurse Education Today,26(1),71-77。
23.
陳綱華、李選、張綺紋(20050900)。護理臨床進階制度的現況與未來發展。慈濟護理雜誌,4(3),14-20。
延伸查詢
學位論文
1.
粘怡瑄。臨床護理人員對發燒處置的認識、執行及相關因素探討(碩士論文)。臺灣大學。
延伸查詢
圖書
1.
Bausell, R. B.、Li, Y. F.(2002)。Power analysis for experimental research: A practical guide for the biological, medical, and social sciences。New York, NY:Cambridge University Press。
2.
吳明隆、涂金堂(2009)。SPSS與統計應用分析。五南。
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