冰枕及熱水足浴對術後發燒之效用

Effects of Ice Pillow and Warm Water Foot Soaking for Postoperative Fever

本研究為類實驗性研究，以立意取樣方式，選取胸腔手術後三天內發燒患者91位，間隔分成冰枕組、熱水足浴組、及控制組。研究過程中每30分鐘測量一次體溫，連續三小時，並在處置前、後評估身體舒適感受，結果發現三組個案體溫變化無顯著性差異，冰枕組及熱水足浴組個案，處置前、後身體舒適感具顯著差異，而控制組則無顯著差異，處置後身體舒適感以熱水足浴組最佳、其次冰枕組，而控制組居末。本研究結果顯示對輕微發燒患者，使用物理性降溫措施並無退燒效果，醫療人員應重新審視目前的發燒處置。

Ninety-one patients who underwent thoracic surgical procedures were selected for purposive sampling. Body temperature was measured every 30 minutes over a 3 hour period. The physical comfort of patients was evaluated before and after the intervention. The results showed that there were no significant differences among the changes of body temperature in the ice pillow group, warm-water foot soaking group, and control group. After the intervention, the changes in body temperature were as statistically significant between the ice pillow group and warm-water foot soaking group, warm-water foot soaking group having the best improvement in the level of comfort. The ice pillow group did not achieve as good a temperature reduction as the warm-water foot soaking group, and the control group. The study suggests that there is no significant effect of cooling intervention for patient mild postoperative fever.