在急诊部门就诊的儿童中对乙酰氨基酚的院前使用情况。
Prehospital use of paracetamol among children attending the accident and emergency department.
作者信息
Mason S, Thorp S, Burke D
机构信息
Department of Accident and Emergency Medicine, Northern General Hospital Trust, Sheffield, UK.
出版信息
Emerg Med J. 2003 Jan;20(1):88-9. doi: 10.1136/emj.20.1.88.
OBJECTIVES
To identify patterns of prehospital administration of paracetamol to children who were perceived to be feverish by their carers.
METHODS
A prospective cohort study of carers of children attending a paediatric accident and emergency (A&E) department. Carers of children completed a questionnaire to identify domestic patterns of paracetamol use. Data were collected on temperature of the child in the A&E department, administration of antipyretics in the A&E department, diagnosis, and disposal from the A&E department.
RESULTS
Seventy five adults attending the A&E department consented to involvement. Sixty five of the children were feverish on arrival in the A&E department. Twenty one children (32.3%) had not received paracetamol before attending. There was a significant relation between knowledge of the antipyretic properties of paracetamol and administration (chi(2)=5.0, p<0.05). There was a significant correlation between fever and administration of paracetamol in the A&E department (chi(2)=23.7, p<0.01), however, 15 feverish patients (24.6%) were not treated.
CONCLUSIONS
Most carers administer paracetamol appropriately in the prehospital setting. Administration correlates significantly with knowledge of its benefits. There is scope for education of carers and A&E department staff in the in the appropriate use of antipyretics such as paracetamol.
目的
确定护理人员认为发热的儿童在院前使用对乙酰氨基酚的模式。
方法
对前往儿科急诊部门的儿童护理人员进行一项前瞻性队列研究。儿童护理人员填写一份问卷，以确定对乙酰氨基酚在家庭中的使用模式。收集了儿童在急诊部门的体温、在急诊部门使用退烧药的情况、诊断结果以及从急诊部门的处置情况等数据。
结果
75名前往急诊部门的成年人同意参与。65名儿童到达急诊部门时发热。21名儿童（32.3%）在就诊前未服用过对乙酰氨基酚。对乙酰氨基酚解热特性的知晓情况与用药之间存在显著关联（χ²=5.0，p<0.05）。在急诊部门，发热与对乙酰氨基酚的使用之间存在显著相关性（χ²=23.7，p<0.01），然而，15名发热患者（24.6%）未接受治疗。
结论
大多数护理人员在院前环境中正确使用对乙酰氨基酚。用药情况与其益处的知晓程度显著相关。在护理人员和急诊部门工作人员中，对诸如对乙酰氨基酚等退烧药的正确使用进行教育仍有空间。
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