应用循证护理方法探讨常规体温测试次数的临床意义  

Clinical significance of routine temperature monitoring frequency through evidence-based nursing method

作　　者：唐彦[1] 刘晓云[1] 代玉宁[1] 丁维[1] 

机构地区：[1]宁夏医学院附属医院护理部,银川市750004

出　　处：《中国护理管理》2008年第4期70-71,共2页Chinese Nursing Management

基　　金：宁夏卫生厅科研基金资助项目(200213)

摘　　要：目的:审视探讨原有测量体温次数护理常规、护理工作制度的合理性,寻找科学依据,指导护理实践。方法:应用循证护理的研究方法,通过文献检索、信息跟踪调查、问卷调查、每次体温测试所用的平均工时测定,及对病人连续7天每天4个时点(新入院前3天)和2个时点(3天后)的2017人次正常体温测试水平资料分析。结果:411位住院病人问卷调查,283人认为没有必要常规测试体温,占总数的68.9%,128人认为有必要,占总数的31.1%;对2017人次正常体温测试回顾性资料分析:每日上午6点测试的体温为全天最低值。结论:新入院病人连续3天每日上午6点和下午2点进行2次体温测试,一般病人每日下午2点进行1次体温测试,即可表达病人每日的常规体温信息。Objective This study aimed to explore the reasonable routine temperature monitoring frequency reflecting the scientific nursing system, thereby to provide evidence for further nursing practice. Methods Evidence-based nursing methods were utilized, such as literature review, information tracing and questionnaire collection, measurement of average duration required for temperature monitor, and data analyses of patient’s normal temperature （n=2017） for successive 7 days with 4 times/day （the first 3 days after admission） and 2 times/day （3 days later） . Results The findings showed that 283（68.9%） patients thought it was unnecessary to perform the routine temperature monitor and 128（31.1%） thought it was necessary. Normal temperature data （n=2017） indicated that the temperature at 6AM was lowest in a day. Conclusion New patients should take the temperature at 6AM and 2PM in the first 3 days after admission. General patients could take the temperature atn 2PM in a day. It could deliver the information of the body temperature.

关 键 词：循证护理 体温测试 次数 

分 类 号：R472[医药卫生—护理学] R47[医药卫生—临床医学]