進階搜尋


   電子論文尚未授權公開,紙本請查館藏目錄
(※如查詢不到或館藏狀況顯示「閉架不公開」,表示該本論文不在書庫,無法取用。)
系統識別號 U0026-1312201520241800
論文名稱(中文) 情境模擬教育對父母處置兒童發燒的成效
論文名稱(英文) Parental Management of Childhood Fever: The Effects of Simulation-based Education
校院名稱 成功大學
系所名稱(中) 健康照護科學研究所
系所名稱(英) Institute of Allied Health Sciences
學年度 104
學期 1
出版年 104
研究生(中文) 張麗娟
研究生(英文) Li-Chuan Chang
學號 TA8961047
學位類別 博士
語文別 中文
論文頁數 130頁
口試委員 指導教授-黃美智
召集委員-陳季員
口試委員-李秉穎
口試委員-郭乃文
口試委員-王琪珍
中文關鍵字 兒童發燒  父母發燒處置  情境模擬教育  焦慮 
英文關鍵字 child  education  fever  parents  simulation 
學科別分類
中文摘要 研究背景:發燒是父母居家照護孩子常需要處置的症狀。給予父母情境模擬教育並評值居家處置兒童發燒的成效,對居家照護而言是必須的。
研究目的:1. 發展父母處置兒童發燒的情境模擬教育計畫;2. 評價情境模擬教育對父母發燒處置訊息、動機、行為技能、處理行為與焦慮的短期及長期效應。
研究方法:以叢集取樣方式選取高雄市托兒所及幼稚園之三個月至五歲兒童的父母為對象,予以隨機分派為實驗組與控制組各80人。實驗組給予情境模擬教育及發燒衛教手冊,控制組僅給予發燒衛教手冊。兩組衛教前均給予發燒處置訊息、動機、行為技能、處理行為與焦慮程度之前測,衛教後當日(處置行為與焦慮程度除外)、6個月及12個月給予後測。
結果:比較,實驗組與控制組之發燒處置訊息、動機、行為技能、處理行為及發燒情境焦慮,在接受介入性措施後當日、6個月、12個月後均有統計上的顯著差異(p < .001)。實驗組在接受介入性措施後當日、6個月、12個月的訊息、動機及行為技能之後測平均分數均顯著高於前測,達統計之顯著差異(p < .001);處理行為於6個月、12個月後測分數也顯著高於前測,發燒情境焦慮於6個月、12個月後測分數顯著低於前測,達統計顯著差異(p < .001),顯示實驗組在訊息、行為技能、處理行為及發燒情境焦慮上均具有保留的效果。控制組在接受介入性措施後當日、6個月、12個月的訊息、行為技能後測分數均顯著高於前測,達統計顯著差異(p < .001),發燒情境焦慮於6個月、12個月後測分數顯著低於前測,達統計顯著差異(p < .001),控制組在訊息及發燒情境焦慮具有保留的效果。以廣義估計方程式分析介入措施的成效,後測評估的結果,二組在發燒訊息、動機、行為技能、處理行為及焦慮程度均有進步,但是,實驗組隨著時間進步的幅度顯著優於控制組(p < .01)。
結論:情境模擬教育的方式相較於發燒衛教手冊更能增進父母的發燒處置訊息、動機、行為技能與處置行為,並減少焦慮程度。此教育模式可提供以社區為基礎之兒童發燒教育,以增進父母或主要照顧者的知識與行為技能,減低其焦慮程度,提升其居家處置兒童發燒的能力。
英文摘要 Background: Most parents do not know the definition of fever, its effect, or its management. This study assesses the long-term effects of simulation-based education on information, motivation, behavioral skills, and behaviors related to parental fever management in Taiwan.Methods: Cluster random sampling was used to recruit parents with children aged from 3-months to 5-years of age who are attending kindergartens in Kaohsiung, Taiwan. A total of 160 parents were randomly assigned into experimental (EP) and control (CP) groups equally. Parents in the EP group received a simulation-based education with fever education brochures while the CP group only received the brochure. Parental fever information (I), motivation (M), behavioral skills (Bs), and management behaviors (Mb) were collected before the first day, on the first day (except management behaviors), at the 6th month, and 12th month marks post-training with a self-developed instrument based on the Information-Motivation- Behavioral Skills (IMB) model. Results: The results of a GEE analysis indicate that the I, M, Bs, and Mb of all participants had improved at the posttest assessment, with the experiment group showing a significantly better improvement over the control group. Conclusion: Simulation-based education was a better strategy for improving parental information about fever management, motivation, behavioral skills, and management behavior than using the brochure alone. We suggest providing community-based education about childhood fever with scenario simulation method to improve parental information and behavioral skills about childhood fever management and the management of child fevers competently at home.
論文目次 中文摘要 ………………………………………………………………I
Abstract ..........................……………………………………III
致謝……………………………………………………………………VIII
目錄……………………………………………………………………IX
表目錄…………………………………………………………………XII
圖目錄…………………………………………………………………XIII
第一章 緒論……………………………………………………………1
第一節 研究動機及重要性……………………………………………2
第二節 研究目的、研究問題及研究假設……………………………6
第三節 名詞定義………………………………………………………7
第二章 文獻查證與理論模式…………………………………………11
第一節 體溫的調節與發燒的生理機轉………………………………11
第二節 兒童發燒的處置………………………………………………17
第三節 父母對兒童發燒的反應………………………………………20
第四節 醫護人員與兒童發燒處置……………………………………29
第五節 發燒護理知識及處置的教育…………………………………31
第六節 模擬教育………………………………………………………37
第七節 理論模式………………………………………………………42
第三章 研究方法………………………………………………………47
第一節 研究樣本及取樣………………………………………………48
第二節 研究樣本數估計………………………………………………49
第三節 研究工具………………………………………………………50
第四節 研究資料收集過程……………………………………………60
第五節 研究倫理………………………………………………………63
第六節 資料分析………………………………………………………64
第四章 研究結果………………………………………………………66
第一節 人口學變項分析………………………………………………66
第二節 發燒處置之訊息、動機、行為技能、處理行為及情境焦慮資料分析……………………………………………………………………… 68
第三節 發燒處置之訊息、動機、行為技能、處理行為及情境焦慮介入成效分析……………………………………………………………………… 73
第五章 討論……………………………………………………………83
第一節 情境模擬教育對父母發燒處置訊息、動機、行為技能、處理行為的影響……………………………………………………………………… 83
第二節 情境模擬教育對父母面臨兒童發燒焦慮的影響……………………………………………………………………… 86
第三節 研究限制………………………………………………………89
第六章 結論與建議……………………………………………………90
第一節 結論……………………………………………………………90
第二節 實務應用與建議………………………………………………90
第三節 未來研究方向…………………………………………………92
參考文獻……………………………………………………………… 93
附錄一 發燒護理教育介入研究文獻整理……………………………109
附錄二 發燒情境模擬教育教案………………………………………113
附錄三 發燒處置之訊息、動機、行為技能與處理行為評量表……………………………………………………………………… 123
附錄四 兒童發燒情境焦慮量表………………………………………127
附錄五 特質焦慮量表…………………………………………………128
附錄六 同意臨床試驗證明書…………………………………………129
附錄七 專家效度名單 …………………………………………………130
表目錄
表一 發燒處置之訊息、動機、行為技能與處理行為評量表的主概念、次概念與題目向度/給分依據 ………………………………………………………53
表二 發燒處置之訊息試題分析結果……………………………………56
表三 發燒處置之動機與行為技能量表因素分析轉軸後成分矩陣……57
表四 發燒之處置行為量表因素分析成分矩陣…………………………57
表五 兒童發燒情境焦慮量表因素分析成分矩陣………………………59
表六 人口學類別變項資料 ……………………………………………67
表七 人口學連續性變項資料……………………………………………68
表八 實驗組與控制組發燒處置訊息、動機、行為技能、處理行為及發燒情境焦慮之比較 …………………………………………………………………70
表九 實驗組及控制組之發燒處置訊息、動機、行為技能、處理行為和發燒情境焦慮之組內比較…………………………………………………………… 71
表十 發燒護理情境模擬教育對發燒處置訊息之成效分析……………75
表十一 發燒護理情境模擬教育對發燒處置動機之成效分析…………77
表十二 發燒情境模擬教育對發燒處置的行為技能之成效分析………79
表十三 護理情境模擬教育對發燒處理行為之成效分析………………81
表十四 發燒護理情境模擬教育對發燒情境焦慮之成效分析…………82
圖目錄
圖一 訊息-動機-行為技能模式IMB Model架構圖………………… 44
圖二 研究概念架構圖……………………………………………………47
圖三 研究設計圖…………………………………………………………48
圖四 研究資料收集過程流程圖…………………………………………62
圖五 統計方法 …………………………………………………………64
圖六 實驗組與控制組發燒處置訊息、動機、行為技能、處理行為及發燒情境焦慮得分平均數比較………………………………………………………… 72

參考文獻 一、中文部份
王玉媚(2005)‧衛教介入改變父母處理發燒行為之成效‧未發表碩士論文‧台南:國立成功大學醫學院護理系研究所。
王玉媚、黃美智(2007)‧小兒發燒照護指導‧台南:國立成功大學醫學院護理系。
王玉媚、黃美智(2008)‧以實證護理探討小兒發燒的處置‧護理雜誌,55(2),10-15。doi:10.6224/JN.55.2.10
王玉媚、黃美智、施肇榕(2005)‧父母對發燒概念與處置受醫師之影響過程‧新臺北護理期刊,7(1),45-51。doi: 10.6540/NTJN.2005.1.005
王國川(1998)‧計畫行為理論各成分量表之設計、發展與建立-以青少年無照騎車行為之研究為例‧師大學報,43(2),67-91。
呂淑華、戴玉慈(2006)‧老化對體溫調節及發燒反應的影響‧台灣醫學,10(1), 123-128。doi: 10.6320/FJM.2006.10(1).15
李引玉(1991)‧模擬教學在護理教育中的應用‧護理雜誌,38(4),137-141。
孫肇玢、高毓秀、黃奕清(2007)‧教學原理與方法-護理上之應用‧台北:華杏。
徐莞雲、陳筱瑀(2008)‧焦慮的概念分析‧慈濟護理雜誌,7(3),65-70。
徐獻洲、陳思蓉、黃美智(2012)‧文化適切性衛教改變越籍母親發燒處理訊息動機與行為技能之成效 ‧護理雜誌,59(6),55-64。doi: 10.6224/JN.59.6.55
傅祖慶、賴亮全、林則彬、林富美(2000)‧蓋統生理學‧台北:華杏。
黃光國(2003)‧社會科學的理路‧台北:心理。
黃美智、施肇榕(2004)‧衛教介入對父母改變小兒發燒之概念及處理行為之成效‧護理雜誌,51(6),34-38。doi: 10.6224/JN.51.6.34
謝佩陵(2008)‧運用互動式發燒照護指導於兒科急診對改變父母處理行為之成效‧未發表碩士論文‧台南:國立成功大學醫學院護理系研究所。
鍾思嘉、龍長風(1984)‧修訂情境與特質焦慮量表之研究‧測驗年刊,21,27-36。
二、英文部份
Abdullah, M. A., Ashong, E. F., Al-Habib, S. A., Karrar, Z. A., & Al-Jishi, N. M. (1987). Fever in children: Diagnosis and management by nurses, medical students, doctors and parents. Annals of Tropical Paediatrics, 7(3), 194-199.
Al-Eissa, Y. A., Al-Zamil, F. A., Al-Sanie, A. M., Al-Salloum, A. A., Al-Tuwaijri, H. M., Al-Abdali, N. M., et al. (2000). Home management of fever in children: Rational or ritual? International Journal of Clinical Practice, 54(3), 138-142.
Al-Eissa, Y. A., Al-Zaben, A. A., Al-Wakeel, A. S., Al-Alola, S. A., Al-Shaalan, M. A., Al-Amir, A. A., & Al-Shamsan, L. A. (2001). Physician's perceptions of fever in children. Facts and myths. Saudi Medical Journal., 22(2), 124-128.
Alqudah, M., Johnson, M., Cowin, L., & George, A. (2014). An innovative fever management education program for parents, caregivers, and emergency nurses. Advanced Emergency Nursing Journal, 36(1), 52-61. doi: 10.1097/tme.0000000000000004
Anderson, J. M., Aylor, M. E., & Leonard, D. T. (2008). Instructional design dogma: Creating planned learning experiences in simulation. Journal of Critical Care, 23(4), 595-602. doi: 10.1016/j.jcrc.2008.03.003
Armitage, C. J., & Reidy, J. G. (2012). Evidence that process simulations reduce anxiety in patients receiving dental treatment: Randomized exploratory trial. Anxiety, Stress & Coping, 25(2), 155-165. doi: 10.1080/10615806.2011.604727
Bazargan, M., Stein, J. A., Bazargan-Hejazi, S., & Hindman, D. W. (2010). Using the information-motivation behavioral model to predict sexual behavior among underserved minority youth. Journal of School Health, 80(6), 287-295. doi: 10.1111/j.1746-1561.2010.00503.x
Baker, M. D., Monroe, K. W., King, W. D., Sorrentino, A., & Glaeser, P. W. (2009). Effectiveness of fever education in a pediatric emergency department. Pediatric Emergency Care, 25(9), 565-568. doi: 10.1097/00042871-200701010-00801
Betz, M. G., & Grunfeld, A. F. (2006). 'Fever phobia' in the emergency department: A survey of children's caregivers. European Journal of Emergency Medicine, 13(3), 129-133. doi: 10.1097/01.mej.0000194401.15335.c7
Bland, A. J., Topping, A., & Wood, B. (2010). A concept analysis of simulation as a learning strategy in the education of undergraduate nursing students. Nurse Education Today, 31(7), 664-670. doi: 10.1016/j.nedt.2010.10.013
Blatteis, C. M. (2003). Fever: Pathological or physiological, injurious or beneficial? Journal of Thermal Biology, 28(1), 1-13. doi: 10.1016/S0306-4565(02)00034-7
Blatteis, C. M. (2006). Endotoxic fever: New concepts of its regulation suggest new approaches to its management. Pharmacology & Therapeutics, 111(1), 194-223. doi: 10.1016/j.pharmthera.2005.10.013
Blumenthal, I. (1997). Fever--concepts old and new. Journal of the Royal Society of Medicine, 90(7), 391-394.
Blumenthal, I. (1998). What parents think of fever. Family Practice, 15(6):513-518. doi: 10.1093/fampra/15.6.513
Boulant, J. A. (2000). Role of the preoptic-anterior hypothalamus in thermoregulation and fever. Clinical Infectious Diseases, 31 Suppl 5, S157-S161. doi: 10.1086/317521
Bradley, P. (2006). The history of simulation in medical education and possible future directions. Medical Education, 40(3), 254-262. doi: 10.1111/j.1365-2929.2006.02394.x
Broom, M. (2007). Physiology of fever. Paediatric Nursing, 19(6), 40-44.
Broome, M. E., Dokken, D. L., Broome, C. D., Woodring, B., & Stegelman, M. F. (2003). A study of parent/grandparent education for managing a febrile illness using the CALM approach. Journal of Pediatric Health Care, 17(4), 176-183. doi: 10.1067/mph.2003.4
Cantrell, M. A., Meakim, C., & Cash, K. (2008). Development and evaluation of three pediatric-based clinical simulation. Clinical Simulation in Nursing, 4(1), e21-e28. doi: 10.1016/j.ecns.2009.05.052
Casey, R., McMahon, F., McCormick, M. C., Pasquariello, P. S., Jr., Zavod, W., & King, F. H., Jr. (1984). Fever therapy: An educational intervention for parents. Pediatrics, 73(5), 600-605.
Champion, V. L., Springston, J. K., Zollinger, T. W., Saywell, R. M., Jr., Monahan, P. O., Zhao, Q., & Russell, K. M. (2006). Comparison of three interventions to increase mammography screening in low income African American women. Cancer Detection and Prevention, 30(6), 535-544. doi: 10.1016/j.cdp.2006.10.003
Chang, L. C., Liu, C. C., & Huang, M. C. (2013). Parental knowledge, concerns, and management of childhood fever in Taiwan. Journal of Nursing Research, 21(4), 252-260. doi: 10.1097/jnr.0000000000000007
Chang, M.C., Chen, Y.C., Chang, S.C., & Smith, G. D. (2012). Knowledge of using acetaminophen syrup and comprehension of written medication instruction among caregivers with febrile children. Journal of Clinical Nursing, 21(1/2), 42-51. doi: 10.1111/j.1365-2702.2010.03668.x
Chiappini E, Principi N, Longhi R, Tovo PA, Becherucci P, Bonsignori F, et al. (2009). Management of fever in children: Summary of the Italian pediatric society guidelines. Clinical Therapeutics, 31(8), 1826-1843. doi: 10.1016/j.clinthera.2009.08.006
Cimpello, L. B., Goldman, D. L., & Khine, H. (2000). Fever pathophysiology. Clinical Pediatric Emergency Medicine, 1(2), 84-93.
Cohee, L. M. S., Crocetti, M. T., Serwint, J. R., Sabath, B., & Kapoor, S. (2010). Ethnic differences in parental perceptions and management of childhood fever. Clinical Pediatrics, 49(3), 221-227. doi: 10.1177/0009922809336209
Conrick, M., Dunne, A., & Skinner, J. (1995). Learning together: Using simulation to foster the integration of theory and practice. Australian Electronic Journal of Nursing Education, 1(1), 5.
Corneli, H. M. (2000). Beyond the fear of fever. Clinical Pediatric Emergency Medicine, 1(2), 94-101. doi: 10.1016/S1522-8401(00)90013-2
Crocetti, M., Moghbeli, N., & Serwint, J. (2001). Fever phobia revisited: Have parental misconceptions about fever changed in 20 years? Pediatrics, 107(6), 1241-1246. doi: 10.1542/peds.107.6.1241
Crocetti, M., Sabath, B., Cranmer, L., Gubser, S., & Dooley, D. (2009). Knowledge and management of fever among Latino parents. Clinical Pediatrics, 48(2), 183-189. doi: 10.1177/0009922808324949
Edwards, H., Walsh, A., Courtney, M., Monaghan, S., Wilson, J., & Young, J. (2007). Improving paediatric nurses' knowledge and attitudes in childhood fever management. Journal of Advanced Nursing, 57(3), 257-269. doi: 10.1111/j.1365-2648.2006.04077.x
Edward, H. E., Courtney, M. D., Wilson, J. E., Monaghan, S. J., & Walsh, A. M. (2001). Fever management practices: what pediatric nurses say. Nursing and Health Sciences, 3(3), 119-130. doi: 10.1046/j.1442-2018.2001.00083.x
Edwards, H. E., Courtney, M. D., Wilson, J. E., Monaghan, S. J., & Walsh, A. M. (2003). Fever management audit: Australian nurses' antipyretic usage. Pediatric Nursing, 29(1), 31-37.
El-Radhi, A. S. M. (2008). Why is the evidence not affecting the practice of fever management? Archives of Disease in Childhood, 93(11), 918-920. doi: 10.1136/adc.2008.139949
Erkek, N., Senel, S., Sahin, M., Ozgur, O., & Karacan, C. (2010). Parents' perspectives to childhood fever: Comparison of culturally diverse populations. Journal of Paediatrics & Child Health, 46(10), 583-587. doi: 10.1111/j.1440-1754.2010.01795.x
Fieldston, E. S., Nadel, F. M., Alpern, E. R., Fiks, A. G., Shea, J. A., & Alessandrini, E. A. (2013). Effects of an education and training intervention on caregiver knowledge of nonurgent pediatric complaints and on child health services utilization. Pediatric Emergency Care, 29(3), 331-336. doi: 10.1097/PEC.0b013e31828512c7
Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111(3), 455-474.
Fisher, J. D., Fisher, W. A., Amico, K. R., & Harman, J. J. (2006). An information-motivation-behavioral skills model of adherence to antiretroviral therapy. Health Psychology, 25(4), 462-473. doi: 10.1037/0278-6133.25.4.462
Fisher, J. D., Fisher, W. A., Misovich, S. J., Kimble, D. L., & Malloy, T. E. (1996). Changing AIDS risk behavior: Effects of an intervention emphasizing AIDS risk reduction information, motivation, and behavioral skills in a college student population. Health Psychology, 15(2), 114-123. doi: 10.1037//0278-6133.15.2.114
Gavgani, R. M., Poursharifi, H., & Aliasgarzadeh, A. (2010). Effectiveness of Information Motivation and Behavioral skill (IMB) model in improving self care behaviors & Hba1c measure in adults with type2 diabetes in Iran Tabriz. Procedia Social and Behavioral Sciences, 5, 1868-1873. doi: 10.1016/j.sbspro.2010.07.380
Gehri, M., Guignard, E., Djahnine, S. R., Cotting, J. Q., Yersin, C., Di Paolo, E. R., . . . Pannatier, A. (2005). When fever, paracetamol? Theory and practice in a paediatric outpatient clinic. Pharmacy World & Science, 27(3), 254-257. doi: 10.1007/s11096-004-4771-x
Harder, B. N. (2009). Evolution of simulation use in health care education. Clinical Simulation in Nursing, 5(5), e169-e172. doi: 10.1016/j.ecns.2009.04.092
Holmström, I., & Röing, M. (2010). The relation between patient-centeredness and patient empowerment: A discussion on concepts. Patient Education & Counseling, 79(2), 167-172. doi: 10.1016/j.pec.2009.08.008
Huang, M. C., Liu, C. C., Chi, Y. C., Huang, C. C., & Cain, K. (2001). Parental concerns for the child with febrile convulsion: Long-term effects of educational interventions. Acta Neurologica Scandinavica, 103(5), 288-293. doi: 10.1034/j.1600-0404.2001.103005288.x
Husain, M. A., & Coleman, R. (2002). Combating infection: Should you treat a fever? Nursing, 32(10), 66-70. doi: 10.1097/00152193-200210000-00050
Impicciatore, P., Nannini, S., Pandolfini, C., & Bonati, M. (1998). Mother's knowledge of, attitudes toward, and management of fever in preschool children in Italy. Preventive Medicine., 27(2):268-273. doi: 10.1006/pmed.1998.0262
Jeffries, P. R. (2005). A frame work for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26(2), 96-103.
Jiang, Q., Cross, A. S., Singh, I. S., Chen, T. T., Viscardi, R. M., & Hasday, J. D. (2000). Febrile core temperature is essential for optimal host defense in bacterial peritonitis. Infection and Immunity, 68(3), 1265-1270. doi: 10.1128/IAI.68.3.1265-1270.2000
Kai, J. (1996a). Parents' difficulties and information needs in coping with acute illness in preschool children: A qualitative study. British Medical Journal, 313(7063), 987-990. doi: 10.1136/bmj.313.7063.987
Kai, J. (1996b). What worries parents when their preschool children are acutely ill, and why: A qualitative study. British Medical Journal, 313(7063), 983-986. doi: 10.1136/bmj.313.7063.983
Karwowska, A., Nijssen-Jordan, C., Johnson, D., & Davies, H. D. (2002). Parental and health care provider understanding of childhood fever: A Canadian perspective. Canadian Journal of Emergency Medical Care, 4(6), 394-400.
Kayman, H. (2003). Management of fever: Making evidence-based decisions. Clinical Pediatrics, 42(5), 383-392. doi: 10.1177/000992280304200501
Kelly, L., Morin, K., & Young, D. (1996). Improving caretakers' knowledge of fever management in preschool children: Is it possible? Journal of Pediatric Health Care, 10(4), 167-173. doi: 10.1016/S0891-5245(96)90040-1
Kilmon, C. A. (1987). Parents' knowledge and practices related to fever management. Journal of Pediatric Health Care, 1(4), 173-179. doi: 10.1016/0891-5245(87)90093-9
Kim, G., Brown, L., & Mejia, C. (2003). Pediatric fever and febrile seizures. EmerencyMedical Service, 32(7), 71-73.
Knoebel, E. E. (2002). Fever: To treat or not to treat. Clinical Pediatrics, 41(1), 9-11.
Kramer, M. S., Naimark, L., & Leduc, D. G. (1985). Parental fever phobia and its correlates. Pediatrics, 75(6), 1110-1113.
Krantz, C. (2001). Childhood fevers: Developing an evidence-based anticipatory guidance tool for parents. Pediatric Nursing, 27(6), 567-571.
Kluger, M. J., Kozak, W., Conn, C. A., Leon, L. R., & Soszynski, D. (1998). Role of fever in disease. Annals of the New York Academy of Sciences, 856, 224-233. doi: 10.1111/j.1749-6632.1998.tb08329.x
Lagerløv, P., Helseth, S., & Holager, T. (2003). Childhood illnesses and the use of paracetamol (acetaminophen): A qualitative study of parents' management of common childhood illnesses. Family Practice, 20(6), 717-723. doi: 10.1093/fampra/cmg616
Lagerløv, P., Loeb, M., Slettevoll, J., Lingjaerde, O.-C., & Fetveit, A. (2006). Severity of illness and the use of paracetamol in febrile preschool children: A case simulation study of parents' assessments. Family Practice, 23(6), 618-623. doi: 10.1093/fampra/cml046
Mackowiak, P. A. (1998). Concepts of fever. Archives of Internal Medicine, 158(17), 1870-1881. doi: 10.1001/archinte.158.17.1870
Mackowiak, P. A. (2000). Diagnostic implications and clinical consequences of antipyretic therapy. Clinical Infectious Diseases, 31(Suppl 5), S230-233. doi: 10.1086/317512
Mackowiak, P. A., Wasserman, S. S., & Levine, M. M. (1992). A critical appraisal of 98.6 degrees F, the upper limit of the normal body temperature, and other legacies of Carl Reinhold August Wunderlich. Journal of the American Medical Association, 268(12), 1578-1580. doi: 10.1001/jama.268.12.1578
Matziou, V., Brokalaki, H., Kyritsi, H., Perdikaris, P., Gymnopoulou, E., & Merkouris, A. (2008). What Greek mothers know about evaluation and treatment of fever in children: An interview study. International Journal of Nursing Studies, 45(6), 829-836. doi: 10.1016/j.ijnurstu.2006.04.021
May, A., & Bauchner, H. (1992). Fever phobia: The pediatrician's contribution. Pediatrics, 90(6), 851-854.
Mazor, K. M., & Billings-Gagliardi, S. (2003). Does reading about stroke increase stroke knowledge? The impact of different print materials. Patient Education and Counseling, 51(3), 207-215. doi: 10.1016/S0738-3991(02)00218-5
McDougall, P., & Harrison, M. (2014). Fever and feverish illness in children under five years. Nursing Standard, 28(30), 49-59. doi: org/10.7748/ns2014.03.28.30.49.e8410
McKenzie, N. E. (1998). Fever: Upping the body's thermostat. Nursing, 28(10), 41-46. doi: 10.1097/00152193-199810000-00018
Murphy, K. A., & Liebman, M. (1995). Fever care: Does nursing instruction make a difference? Journal of Emergency Nursing, 21(5), 461-463. doi: 10.1016/S0099-1767(05)80129-1
National Institute for Health and Clinical Excellence (2013). Feverish illness in children - Assessment and initial management in children younger than 5 years. Retrieved from National Institute for Health and Clinical Excellence website: http://publications.nice.org.uk/feverish-illness-in-children-cg160
Oliffe, J., & Rushton, C. (2001). Computer mediated simulation learning opportunities. Australian Electronic Journal of Nursing Education, 7(1), 4p.
O'Neill-Murphy, K., Liebman, M., & Barnsteiner, J. H. (2001). Fever education: Does it reduce parent fever anxiety? Pediatric Emergency Care, 17(1), 47-51. doi: 10.1097/00006565-200102000-00014
Osborn, C. Y., & Egede, L. E. (2010). Validation of an Information-Motivation-Behavioral Skills model of diabetes self care (IMB-DSC). Patient Education & Counseling, 79(1), 49-54. doi: 10.1016/j.pec.2009.07.016
Patricia, C. (2014). Evidence-based management of childhood fever: What pediatric nurses need to know. Journal of Pediatric Nursing, 29(4), 372-375. doi: 10.1016/j.pedn.2014.02.007
Plaisance, K. I., & Mackowiak, P. A. (2000). Antipyretic therapy: Physiologic rationale, diagnostic implications, and clinical consequences. Archives of Internal Medicine, 160(4), 449-456. doi: 10.1001/archinte.160.4.449
Poirier, M. P., Collins, E. P., & McGuire, E. (2010). Fever phobia: A survey of caregivers of children seen in a pediatric emergency department. Clinical Pediatrics, 49(6), 530-534. doi: 10.1177/0009922809355312
Poirier, M. P., Davis, P. H., Gonzalez-del Rey, J. A., & Monroe, K. W. (2000). Pediatric emergency department nurses' perspectives on fever in children. Pediatric Emergency Care, 16(1), 9-12. doi: 10.1097/00006565-200002000-00003
Porter, R. S., & Wenger, F. G. (2000). Diagnosis and treatment of pediatric fever by caretakers. Journal of Emergency Medicine, 19(1), 1-4. doi: 10.1016/S0736-4679(00)00173-6
Purssell, E. (2009). Parental fever phobia and its evolutionary correlates. Journal of Clinical Nursing, 18(2), 210-218. doi: 10.1111/j.1365-2702.2007.02077.x
Purssell, E. (2013). Fever in children – a concept analysis. Journal of Clinical Nursing, 23, 3575-3582. doi: 10.1111/jocn.12347
Pye, S., Kane, J., & Jones, A. (2010). Parental presence during pediatric resuscitation: The use of simulation training for cardiac intensive care nurses. Journal for Specialists in Pediatric Nursing, 15(2), 172-175. doi: 10.1111/j.1744-6155.2010.00236.x
Reilly, A., & Spratt, C. (2007). The perceptions of undergraduate student nurses of high-fidelity simulation-based learning: A case report from the University of Tasmania. Nurse Education Today, 27(6), 542-55 doi: 10.1016/j.nedt.2006.08.0150.
Robinson, J. S., Schwartz, M. L., Magwene, K. S., Krengel, S. A., & Tamburello, D. (1989). The impact of fever health education on clinic utilization. American Journal of Diseases of Children, 143(6), 698-704. doi:10.1001/archpedi.1989.02150180076024
Rupe, A., Ahlers-Schmidt, C. R., & Wittler, R. (2010). A comparison of perceptions of fever and fever phobia by ethnicity. Clinical Pediatrics, 49(2), 172-176. doi: 10.1177/0009922809336208
Sakai, R., Niijima, S., & Marui, E. (2009). Parental knowledge and perceptions of fever in children and fever management practices: Differences between parents of children with and without a history of febrile seizures. Pediatric Emergency Care, 25(4), 231-237. doi: 10.1097/PEC.0b013e31819e353a
Sarrell, M., Cohen, H. A., & Kahan, E. (2002). Physicians', nurses', and parents' attitudes to and knowledge about fever in early childhood. Patient Education & Counseling, 46(1), 61-65. doi: 10.1016/S0738-3991(01)00160-4
Sarrell, M., & Kahan, E. (2003). Impact of a single-session education program on parental knowledge of and approach to childhood fever. Patient Education & Counseling, 51(1), 59-63. doi: 10.1016/S0738-3991(02)00150-7
Satin, W., La Greca, A. M., Zigo, M. A., & Skyler, J. S. (1989). Diabetes in adolescence: Effects of multifamily group intervention and parent simulation of diabetes. Journal of Pediatric Psychology, 14(2), 259-275. doi: 10.1093/jpepsy/14.2.259
Schmitt, B. D. (1980). Fever phobia: Misconceptions of parents about fevers. American Journal of Diseases of Children, 134(2), 176-181. doi: 10.1001/archpedi.1980.02130140050015
Schmitt, B. D. (1984). Fever in childhood. Pediatrics, 74(5 Pt 2), 929-936.
Soon, W. S., Cheong, S. K., Hong, C. Y. (2003). Fever phobia in a primary healthcare setting: A Singapore perspective. Annals of the Academy of Medicine, Singapore, 32(Suppl 5), S26–S27.
Taveras, E. M., Durousseau, S., & Flores, G. (2004). Parents' beliefs and practices regarding childhood fever: A study of a multiethnic and socioeconomically diverse sample of parents. Pediatric Emergency Care, 20(9), 579-587. doi: 10.1097/01.pec.0000139739.46591.dd
Tessler, H., Gorodischer, R., Press, J., & Bilenko, N. (2008). Unrealistic concerns about fever in children: The influence of cultural-ethnic and sociodemographic factors. Israel Medical Association Journal, 10(5), 346-349.
Thompson, H. J. (2005). Fever: A concept analysis. Journal of Advanced Nursing, 51(5), 484-492. doi: 10.1111/j.1365-2648.2005.03520.x
Tsai, S. L., Chai, S. K., Hsieh, L. F., Lin, S., Taur, F. M., Sung, W. H., & Doong, J. L. (2008). The use of virtual reality computer simulation in learning Port-A cath injection. Advances in Health Sciences Education, 13(1), 71-87. doi: 10.1007/s10459-006-9025-3
Usherwood, T. P. (1991). Development and randomized controlled trial of a booklet of advice for parents. British Journal of General Practice, 41(343), 58-62.
Van Stuijvenberg, M., De Vos, S., Tjiang, G. C., Steyerberg, E. W., Derksen-Lubsen, G., & Moll, H. A. (1999). Parents' fear regarding fever and febrile seizures. Acta Paediatrica, 88(6), 618-622. doi: 10.1080/08035259950169260
Walsh, A., & Edwards, H. (2006). Management of childhood fever by parents: literature review. Journal of Advanced Nursing, 54(2), 217-227. doi: 10.1111/j.1365-2648.2006.03802.x
Walsh, A. M., Edwards, H. E., Courtney, M. D., Wilson, J. E., & Monaghan, S. J. (2005). Fever management: Paediatric nurses' knowledge, attitudes and influencing factors. Journal of Advanced Nursing, 49(5), 453-464. doi: 10.1111/j.1365-2648.2004.03318.x
Walsh, A., Edwards, H., Courtney, M., Wilson, J., & Monaghan, S. (2006). Paediatric fever management: Continuing education for clinical nurses. Nurse Education Today, 26(1), 71-77. doi: 10.1016/j.nedt.2005.07.007
Walsh, A., Edwards, H., & Fraser, J. (2007). Influences on parents' fever management: Beliefs, experiences and information sources. Journal of Clinical Nursing, 16(12), 2331-2340. doi: 10.1111/j.1365-2702.2006.01890.x
Walsh, A., Edwards, H., & Fraser, J. (2009). Attitudes and subjective norms: Determinants of parents' intentions to reduce childhood fever with medications. Health Education Research, 24(3), 531-545. doi: 10.1093/her/cyn055
Watts, R., Robertson, J., & Thomas, G. (2003). Nursing management of fever in children: A systematic review. International Journal of Nursing Practice, 9(1), s1-s8. doi: 10.1046/j.1440-172X.2003.00412.x
Waxman, K. T. (2010). The development of evidence-based clinical simulation scenarios: Guidelines for nurse educators. Journal of Nursing Education, 49(1), 29-35. doi: 10.3928/01484834-20090916-07
Waxman, K. T., & Telles, C. L. (2009). The use of benner's framework in high-fidelity simulation faculty development: The bay area simulation collaborative model. Clinical Simulation in Nursing, 5(6), e231-e235. doi: 10.1016/j.ecns.2009.06.001
Weinstein, M. P., Iannini, P. B., Stratton, C. W., & Eickhoff, T. C. (1978). Spontaneous bacterial peritonitis: A review of 28 cases with emphasis on improved survival and factors in fluencing prognosis. The American Journal of Medicine, 64(4), 592-598. doi: http://dx.doi.org/10.1016/0002-9343
Woodring, B. C. (2000). If you have taught-have the child and family learned? Pediatric Nursing, 26(5), 505-509.
World Health Organization (2002). Fever detecting fever and choice and antipyretic. IMCI Adapation Guide, 66-69. Retrieved from World Health Organization website:http://www.who.int/maternal_child_adolescent/documents/pdfs/imci_adaptation_guide_2c.pdf
Zarani, F., Besharat, M. A., Sadeghian, S., & Sarami, G. (2010). The effectiveness of the information-motivation-behavioral skills model in promoting adherence in CABG patients. Journal of Health Psychology, 15(6), 828-837. doi: 10.1177/1359105309357092
Zeisberger, E. (1999). From humoral fever to neuroimmunological control of fever. Journal of Thermal Biology, 24(5-6), 287-326. doi: 10.1016/S0306-4565(99)00033-9
論文全文使用權限
  • 同意授權校內瀏覽/列印電子全文服務,於2025-01-01起公開。


  • 如您有疑問,請聯絡圖書館
    聯絡電話:(06)2757575#65773
    聯絡E-mail:etds@email.ncku.edu.tw