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首页> 外文期刊>Journal of advanced nursing >Fever management: paediatric nurses' knowledge, attitudes and influencing factors.
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Fever management: paediatric nurses' knowledge, attitudes and influencing factors.

机译：发热管理：儿科护士的知识，态度和影响因素。

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Fever management: paediatric nurses' knowledge, attitudes and influencing factorsAims. This paper describes Australian paediatric nurses' knowledge of and attitudes toward fever and its management and the predictors of their intentions to administer paracetamol to a febrile child. Background. Despite evidence-based support for the beneficial effects of fever over the past three decades, health professionals' negative attitudes toward fever and their reliance on antipyretics to reduce it have persisted and continue to be reported in the literature. Methods. A self-report questionnaire was used. An instrument was developed, piloted by test-retest and revised prior to data collection. Fifty-one paediatric nurses working in medical wards of a metropolitan paediatric hospital in Australia participated. Results. Nurses' mean knowledge score about the physiology of fever, general fever management and antipyretics was 62%, which was not as high as expected. Participants reported positive attitudes toward the benefits of fever, the necessity for its reduction in children with pre-existing cardiac or respiratory conditions and towards regular antipyretic administration masking the infective process. Negative attitudes included disbelief that temperature is often unrelated to illness severity. Conflicting attitudes toward febrile convulsions were highlighted by beliefs that antipyretic therapy prevents these and that antipyretics do not prevent initial febrile convulsions. Predictors of intentions to administer paracetamol were beliefs about the effectiveness of paracetamol and nurses' beliefs about the expectations of others in relation to paracetamol administration. Nurses reported strong intentions to administer paracetamol to the next febrile child they cared for. Limitations of the study include the use of a nurse manager for recruitment and collecting the data at only one site. Conclusions. Fever management is an integral aspect of paediatric nursing. For its consistent rational management, nurses must have appropriate knowledge and positive attitudes. This highlights the need for continuing education in fever management.
机译：发热管理：儿科护士的知识，态度和影响因素。本文介绍了澳大利亚儿科护士对发烧及其管理的知识和态度，以及他们对发热儿童服用扑热息痛的意图的预测因素。背景。尽管在过去的三十年中，有证据支持发烧的有益作用，但医护人员对发烧的消极态度及其对退热药的依赖仍然持续存在，并且继续在文献中报道。方法。使用自我报告调查表。开发了一种仪器，通过重新测试进行试验，并在数据收集之前进行修订。在澳大利亚的一家大城市儿科医院的病房工作的51名儿科护士参加了会议。结果。护士对发烧生理，一般发烧管理和退烧药的平均知识得分为62％，不及预期的高。与会者报告对发烧的益处，减少已有心脏病或呼吸道疾病的儿童发烧的必要性以及对常规的退热药以掩盖感染过程的态度持积极态度。负面态度包括不相信温度通常与疾病的严重程度无关。人们对退热疗法的看法相互矛盾，这是因为人们认为退热疗法可以防止这些症状，退烧药不能阻止最初的高热惊厥。扑热息痛用药意图的预测因素是对扑热息痛的有效性的信念，护士对扑热息痛给药的其他人的期望的信念。护士们报告说有强烈的意愿要对他们所照顾的下一个发热的孩子服用扑热息痛。该研究的局限性包括仅在一个站点使用护士经理招募和收集数据。结论。发烧管理是儿科护理不可或缺的一部分。为了始终如一的合理管理，护士必须具有适当的知识和积极的态度。这突显了继续进行发烧管理教育的必要性。

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