发热门诊病人物理降温健康宣教效果的调查

A telephone investigation of the Health educating patients about physical cooling in fever clinic

目的进行发热门诊病人物理降温健康宣教效果的电话随访调查,评价发热门诊物理降温宣教效果及其作用。方法选择初次到发热门诊就诊初步排除急性传染病后返回家中居家治疗的患者,按就诊时间顺序分成2组,一组进行物理降温的健康宣教,指导其在药物降温的同时,配合物理降温;另一组未进行物理降温的健康宣教。在病人就诊后的第4天,对两组病人进行电话随访,询问并记录是否已经退热、返家后是否进行物理降温等问题。结果本次电话随访成功102例。其中51例接受了物理降温的健康宣教,另51例未给予物理降温的健康宣教。98.0%的人在就诊后4天内退热。回家后的最高体温为39.8℃,平均38.4℃。37.2%的人回家后应用了物理降温。61.8%的人回家后服用了退热药物。34.1%的人门诊复诊。102例中只有1例有家人发热。对二次就诊率、电话随访时的退热率、应用物理降温的种类、是否休息等指标进行比较,宣教组与未宣教组无显著性差异。与未宣教组比较,宣教组的口服退热药次数减少(0.67±0.74vs.1.69±1.68),退热所需的天数减少(2.0±0.7vs.2.45±0.94),回家后的最高体温(℃)较高(38.5±0.5vs.38.2±0.6),物理降温的使用率较高[66.7%(34/51)vs.7.8%(4/51)],两组间有显著性差异。结论对发热门诊病人进行门诊物理降温健康宣教有一定的益处。

Objective To Conduct and to evaluate the telephone follow-up survey for the Health educating patients about physical cooling in fever clinic Preliminary.Methods Choosed the fever patients,who see a doctor for the first time and home quarantine Excluded Acute infectious disease after the fever clinic,and then the patients were divided into two group.One of the group was conducted the health education with physical cooling method and drug cooling.Another group was conduct the health educaiton without phiscal cooling medication.In the fourth day after the patients go to see a doctor,the telephoe follow-up survey on the two group patients had been done totally and the question are about temparature and the physical cooling effect.Results Totally 102 patients were surveied by telephoe follow-up survey successfully.One group of 51 patients were conducted by the health education with physical cooling method and drug cooling.The other group of 51 patients were conducted by without phiscal cooling medication.98.0% patients body temperature become normal in 4 days after their visit the clinic.The highest temperature is 39.8℃ in home after visiting the clinic,and the mean temperature is 38.4℃.The 37.2% of the patients used the physical cooling.The 61.8% of the patients take the antipyretic drug.34.1% of the patients had the further consultation.Only 1 case of the patients family had the fever totally.After compared the two group,the ratio of the second visiting the fever clinic,the ratio of normal temperature,the kind of the physical temperature,and rest were not significant diffrence between the two groups.The times of the taking antipyretic drug in the health education group （0.67±0.74）are less than the times in the other group （1.69±1.68） significantly.The days to become the normal temperature in the health education group （2.0±0.7） are less than the days in the other group （2.45±0.94） significantly.The highest temperature in the health educare group （38.5±0.5℃ ） are higher than the highest temperature in the other group （38.2±0.6℃） significantly.The ratio of the using physical cooling in the health education are higher than the ratio in the other group significantly.Conclusion The Health educating patients about physical cooling in fever clinic have a beneficial role.