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儿童发热管理的教育干预措施:一项范围综述。

Educational interventions on fever management in children: A scoping review.

作者信息

Arias Daniel, Chen Timothy F, Moles Rebekah J

机构信息

School of Pharmacy The University of Sydney Sydney NSW Australia.

出版信息

Nurs Open. 2019 May 1;6(3):713-721. doi: 10.1002/nop2.294. eCollection 2019 Jul.

DOI:10.1002/nop2.294
PMID:31367392
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6650695/
Abstract

BACKGROUND

Numerous studies have been conducted specifically to target "fever phobia" and inappropriate fever management skills. However, despite educational intervention, caregivers continue to adopt inappropriate and non-evidence-based practices.

AIMS

To collect and examine peer-reviewed literature for active educational interventions aimed at improving fever management in children and profile them based on: who provided the training, training location, how the intervention was delivered, outcomes of training, and how it was measured.

DESIGN

Scoping Review.

METHODS

MEDLINE, EMBASE, CINAHL, PubMED, PsycINFO, and IPA were searched from January 1980-December 2016. Study location, type of intervention, intervention target, study aim(s), sample size, instruments, outcome measures, and results were extracted.

RESULTS

Thirty-seven studies met the inclusion criteria. Most targeted parents with the remainder focused on healthcare professionals. The interventions and their outcome measures varied significantly from structured group training sessions to video interventions and many using a combination of methods. Most interventions reported a positive impact in outcomes such as knowledge, health service use, or fever management skills.

CONCLUSION

More standardized educational platforms targeted at both caregivers and healthcare professionals with appropriate evaluation methods should be developed and made widely available.

摘要

背景

已经开展了许多专门针对“发热恐惧症”和不恰当的发热管理技能的研究。然而,尽管进行了教育干预,护理人员仍继续采用不恰当且无循证依据的做法。

目的

收集并审查同行评审文献中旨在改善儿童发热管理的积极教育干预措施,并根据以下方面对其进行描述:谁提供了培训、培训地点、干预措施的实施方式、培训结果以及结果的测量方式。

设计

范围综述。

方法

检索了1980年1月至2016年12月期间的MEDLINE、EMBASE、CINAHL、PubMed、PsycINFO和IPA数据库。提取了研究地点、干预类型、干预目标、研究目的、样本量、工具、结果测量指标和结果。

结果

37项研究符合纳入标准。大多数研究针对家长,其余研究则侧重于医疗保健专业人员。干预措施及其结果测量指标差异很大,从结构化小组培训课程到视频干预,许多研究采用了多种方法的组合。大多数干预措施报告在知识、医疗服务使用或发热管理技能等结果方面产生了积极影响。

结论

应开发更多针对护理人员和医疗保健专业人员的标准化教育平台,并采用适当的评估方法,使其广泛可用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce9f/6650695/9e1a391c668d/NOP2-6-713-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce9f/6650695/9e1a391c668d/NOP2-6-713-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce9f/6650695/9e1a391c668d/NOP2-6-713-g001.jpg

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