[논문]아동의 발열관리: 현황 및 과학적 근거

김진선

doi:10.4094/chnr.2016.22.2.126

아동의 발열관리: 현황 및 과학적 근거
Childhood Fever Management: Current Practice vs Evidence 원문보기

CHNR : Child health nursing research, v.22 no.2, 2016년, pp.126 - 136

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Purpose: The purposes of this review were to address misconceptions of childhood fever and fever management practice among parents and health care providers, and to identify the scientific evidences against such misconceptions and practices. Methods: Journal databases and clinical guidelines from 2000 to 2015 were searched. The search terms were fever, fever management, misconception, myth, fiction, fact, fever phobia, child, antipyretics, tepid bath, alternating use/combined use of antipyretics, and physical cooling method. Results: There are significant gaps between current concepts and practices, and the scientific evidence. Misconceptions and unrealistic concerns about childhood fever still exist among parents and even health care providers, worldwide. The evidences suggest that antipyretics should be given carefully with the aim of relieving discomfort or pain rather than decreasing the temperature itself. Alternating use of antipyretics should be discouraged due to the risk of confusion and error. Antipyretics do not prevent febrile convulsions. Moreover, the scientific evidence does not support tepid sponge massage. Conclusion: Evidence-based childhood fever management interventions should be targeted toward parents and health care providers. By adopting an evidence-based approach to nursing interventions, pediatric nurses can ensure children receive appropriate and safe fever management.

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핵심어	질문	논문에서 추출한 답변
	대부분의 아동기 발열의 원인은?	4%를 차지하는 것으로 보고되고 있다[2]. 아동기 발열의 원인은 대부분 경증 급성 상기도 감염과 같은 바이러스 감염으로[3], 발열로 응급실을 방문한 아동의 20-39%는 실제로 응급이 아닌 이유로 응급실을 이용하였다[4,5].
	병원 및 지역사회 현장에서의 발열 관리가 부모에게 미치는 영향은?	예를 들어 열이 나는 아동의 옷을 모두 벗긴다거나, 미온수 마사지를 한다거나, 해열제의 일상적인 투여와 같은 접근은 근거중심 발열관리의 권고 사항이 아니지만[1,6,9], 병원 및 지역사회 현장에서는 위와 같은 발열 관리가 지속적으로 이루어지고 있다[3,10]. 의료인들의 발열에 대한 인식과 발열관리 행위는 부모에게 그대로 전달되어 부모의 발열공포에 기여하고 있는 실정이다[7,10].
	발열이란?	발열은 정상 일주기 변동 이상으로 체온이 올라가는 것[1]으로, 아동기에 매우 흔한 증상이다. 특히 발열은 아동의 응급실 방문의 가장 흔한 이유로 약 30-37.

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아동의 발열관리: 현황 및 과학적 근거
Childhood Fever Management: Current Practice vs Evidence 원문보기

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아동의 발열관리: 현황 및 과학적 근거 Childhood Fever Management: Current Practice vs Evidence 원문보기

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아동의 발열관리: 현황 및 과학적 근거
Childhood Fever Management: Current Practice vs Evidence 원문보기