Beyond intuition: patient fever symptom experience.
Beyond intuition: patient fever symptom experience.
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DOI：
10.1016/j.jpainsymman.2013.02.012
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发表时间：
2013-12
影响因子：
4.7
通讯作者：
Wallen, Gwenyth R.
中科院分区：
文献类型：
--
作者：
Ames, Nancy J.;Peng, Claudia;Powers, John H.;Leidy, Nancy Kline;Miller-Davis, Claiborne;Rosenberg, Alice;VanRaden, Mark;Wallen, Gwenyth R.
发烧是卫生保健从业者和家庭照顾者认识到的炎症的重要迹象。然而，直接从患者那里获得的经验数据很少支持许多关于发烧症状的长期假设。许多文献引用的症状，包括寒战、发汗和乏力，都有有限的科学基础，但它们往往代表着退热治疗的主要理由。为描述患者发热症状的经历，初步编制了发热评估问卷。对28名住院患者进行了定性访谈，其中大多数(86%)被诊断为癌症，他们在访谈前大约12小时内的记录体温为≥38°C。半结构化访谈指南被用来引出患者发烧的体验。专题分析由三名独立研究小组成员进行，并通过两轮建立共识来核实数据。出现了11个主题。参与者报告了感觉寒冷、虚弱、温暖、出汗、非特异性身体感觉、胃肠道症状、头痛、情绪变化、疼痛、呼吸道症状和生动的梦境/幻觉的经历。我们的数据不仅证实了长期存在的发烧症状，而且还提出了新的症状以及现有发烧文献没有捕捉到的变异性和复杂性水平。对患者发烧经历的更多了解将指导对与发烧相关的症状以及退热治疗对这种常见情况下患者症状的影响的更准确评估。这项研究的结果有助于未来工具的内容有效性，该工具将评估与发烧干预相关的患者结果。
Fever is an important sign of inflammation recognized by health care practitioners and family caregivers. However, few empirical data obtained directly from patients exist to support many of the long-standing assumptions about the symptoms of fever. Many of the literature-cited symptoms, including chills, diaphoresis, and malaise, have limited scientific bases, yet they often represent a major justification for antipyretic administration. To describe the patient experience of fever symptoms for the preliminary development of a fever assessment questionnaire. Qualitative interviews were conducted with 28 inpatients, the majority (86%) with cancer diagnoses, who had a recorded temperature of ≥38°C within approximately 12 hours before the interview. A semi-structured interview guide was used to elicit patient fever experiences. Thematic analyses were conducted by three independent research team members, and the data were verified through two rounds of consensus building. Eleven themes emerged. The participants reported experiences of feeling cold, weakness, warmth, sweating, nonspecific bodily sensations, gastrointestinal symptoms, headaches, emotional changes, achiness, respiratory symptoms, and vivid dreams/hallucinations. Our data not only confirm long-standing symptoms of fever but also suggest new symptoms and a level of variability and complexity not captured by the existing fever literature. Greater knowledge of patients’ fever experiences will guide more accurate assessment of symptoms associated with fever and the impact of antipyretic treatments on patient symptoms in this common condition. Results from this study are contributing to the content validity of a future instrument that will evaluate patient outcomes related to fever interventions.
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影响因子：
168.9
作者：
Brandts, CH;Ndjave, M;Kremsner, PG
通讯作者：
Kremsner, PG
影响因子：
3.2
作者：
Starks, Helene;Trinidad, Susan Brown
通讯作者：
Trinidad, Susan Brown
DOI：
10.1186/cc11211
发表时间：
2012-02-28
期刊：
Critical care (London, England)
影响因子：
--
作者：
Lee BH;Inui D;Suh GY;Kim JY;Kwon JY;Park J;Tada K;Tanaka K;Ietsugu K;Uehara K;Dote K;Tajimi K;Morita K;Matsuo K;Hoshino K;Hosokawa K;Lee KH;Lee KM;Takatori M;Nishimura M;Sanui M;Ito M;Egi M;Honda N;Okayama N;Shime N;Tsuruta R;Nogami S;Yoon SH;Fujitani S;Koh SO;Takeda S;Saito S;Hong SJ;Yamamoto T;Yokoyama T;Yamaguchi T;Nishiyama T;Igarashi T;Kakihana Y;Koh Y;Fever and Antipyretic in Critically ill patients Evaluation (FACE) Study Group
通讯作者：
Fever and Antipyretic in Critically ill patients Evaluation (FACE) Study Group
影响因子：
8
作者：
Sullivan, Janice E.;Farrar, Henry C.
通讯作者：
Farrar, Henry C.
影响因子：
6.7
作者：
Ogoina, Dimie
通讯作者：
Ogoina, Dimie