发热患者降温后最佳复测体温时间的循证实践

摘要

目的：通过循证实践提出降温后复测体温时间点的最佳建议。方法运用美国约翰霍普金斯大学医院的循证实践项目管理工具，通过问题确立、证据综合和转移评鉴3个步骤对降温后最佳复测体温时间进行循证实践。结果物理降温最佳复测体温时间为降温后30 min；药物降温最佳复测体温时间为降温后60 min；联合降温最佳复测体温时间为物理降温后30 min和使用药物后60 min。结论采用降温措施后最佳复测体温时间因降温措施不同而存在差异。%Objective To find the best time to remeasure temperature after cooling with evidence-based practice. Methods Used Johns Hopkins′ Evidence Based Practice Tool to find the best time to remeasure temperature after cooling. That tool included three steps which were establish problem, evidence synthesis and transfer evaluation. Results The best time to remeasure temperature after physical cooling was 30 minutes. The best time to remeasure temperature after drug cooling was 60 minutes. The best time to remeasure temperature after physical and drug combination cooling was 30 minutes after physical cooling and 60 minutes after using drug. Conclusion The best time to remeasure temperature after cooling was different because of the different cooling methods.