O'Neill-Murphy K, Liebman M, Barnsteiner J H
Emergency Department, The Children's Hospital of Philadelphia, Pennsylvania, USA.
Pediatr Emerg Care. 2001 Feb;17(1):47-51. doi: 10.1097/00006565-200102000-00014.
The aims of the study were to determine the following: 1) if a fever education program (interactive or written) reduces parent fever anxiety; 2) if an interactive fever program was more effective as a teaching style than standard written material alone; and 3) if a fever program increases parent fever home management and reduces return emergency department (ED) visits.
A quasiexperimental, pretest and post-test pilot study examining parental fever anxiety was conducted at The Children's Hospital of Philadelphia. Eligible participants consisted of 87 parents and their children, aged 3 months to 5 years presenting with fever >38.4 degrees C, and without coexisting serious illness.
Both the interactive fever education program and the standard written fever pamphlet were equally effective as teaching methods. Data revealed a 30% reduction in fever anxiety rated as moderate-severe on arrival to none-low post-fever education, increased parent fever home management skills with correct use of thermometer and antipyretics, and reduced unnecessary return ED visits.
Parents in the acute and nonacute care setting may benefit from an interactive fever education program that includes the definition and benefit of fever, the correct use of a thermometer, fever home management skills, and appropriate fever telephone follow-up.
本研究的目的是确定以下内容：1）发热教育项目（互动式或书面形式）是否能减轻家长对发热的焦虑；2）作为一种教学方式，互动式发热项目是否比单独的标准书面材料更有效；3）发热项目是否能增强家长对发热的家庭管理并减少再次前往急诊科就诊的情况。
在费城儿童医院进行了一项检查家长对发热焦虑情况的准实验性、前测和后测试点研究。符合条件的参与者包括87名家长及其3个月至5岁的孩子，这些孩子发热超过38.4摄氏度，且无其他严重疾病。
互动式发热教育项目和标准书面发热宣传册作为教学方法同样有效。数据显示，发热教育后，被评为中度至重度的发热焦虑从就诊时的水平降低了30%，降至无至轻度，家长对发热的家庭管理技能有所提高，能正确使用体温计和退烧药，不必要的再次前往急诊科就诊的情况减少。
急性和非急性护理环境中的家长可能会从互动式发热教育项目中受益，该项目包括发热的定义和益处、体温计的正确使用、发热家庭管理技能以及适当的发热电话随访。
