以實證護理探討小兒發燒的處置

Using Evidence-Based Nursing to Explore the Management of Child Fever

發燒，一個眾所熟悉的辭彙，也是經常發生的醫療問題，然而其對人體的利害關係，從古至今仍存有許多爭議，以致社會大眾及醫療人員大多過度的處理發燒，且對發燒的處置亦無一致性。故本文以實證護理方式探討發燒的處置，由瞭解發燒的定義及生理機轉出發，進而討論對人體的利與害及處置建議，做為臨床照護之參考。期望醫護人員運用實證資料於臨床處置發燒決策，傳達正確訊息與態度予病童及家屬，以達成醫護病間對發燒一致的認知及處置。

Fever is the most common problem in medical situations, but controversy still surrounds its benefit/risk ratio for human beings. Fever is therefore always over-managed, and there is no consistency in management approaches to it. This article discusses fever management through the concept of evidence-based nursing, and provides a reference for clinical nursing. From the starting point of understanding the definition of fever and its physiological reactions, the benefit/risk ratio and management suggestion are discussed. Medical staff are expected to be able to use evidence in deciding approaches to clinical fever management, and to provide correct information with an appropriate attitude to the patient's family members, so that both medical staff and patients can enjoy consistent recognition of and management approaches to fever.