Santrauka:
Literatūriškai aprašomos slaugytojų žinios ir veikla teikiant pagalbą karščiuojančiam vaikui, apžvelgiami moksliniai tyrimai, atlikti užsienio šalyse šia tema. Tyrimo metu išskiriamos X universitetinės, Y klinikinės ir Z rajono ligoninių ir palyginamos X universitetinės ligoninės vaikų priėmimo (VPSPS) ir vaikų intensyviosios terapijos skyriuose (VITS), Y klinikinės ligoninės VPSPS ir VITS ir Z rajono ligoninės priėmimo - skubios pagalbos (PSPS) ir anesteziologijos – reanimacijos skyriuose (ITS) žinios ir veikla teikiant pagalbą karščiuojančiam vaikui
Description:
The relevance of the work: the fever of infants and little kids is one of the most common reasons for which people go to a doctor and it causes worries for not only the child's parents but for all medical community (Drazdienė, 2014). One of the most important members of the health care team is a nurse who is especially important in providing help to a feverish child
The goal is to reveal the knowledge and activities of nurses in providing help to a feverish child.
Tasks: to describe the aspects of the knowledge and activities of nurses in providing help to a feverish child. To reveal the aspects of knowledge and activities of nurses working in the X University, Y Clinical and Z District Hospitals in providing help to a feverish child. To compare the knowledge and activities of nurses working in the X University Hospital Pediatric Emergency Department (PED) and Pediatric Intensive Care Unit (PICU), Y Clinical Hospital PED and PICU and Z District Hospital Reception – Emergency Department (ED) and Anesthesiology – Intensive care unit (ICU) in providing help to a feverish child.
Methods: the analysis of scientific literature, preparation of the study instrument, obtainment of the permissions to carry out the research from the administration, heads of the department in the institutions where the study will be carried out, permissions of the Bioethics Center, conducting the study, data analysis, formulation of conclusions, recommendations.
Results: the most part of participating in the study nurses from the X University Hospital and Y Clinical Hospital, pay attention to evaluation and determination of changes in the state of a feverish child, know antipyretics indications and doses but some of the nurses in the University Hospital X would evaluate the peripheral pulse and the signs of dehydration only if the doctor indicates, and some nurses in the Y Clinical Hospital would recommend that the parents wipe the feverish child with sponge dipped in alcohol. Most nurses surveyed in the Z District Hospital understand the procedure of temperature measurement and evaluate life-threatening signs but the only small part of them inform parents about signs of dehydration, the rash that does not disappear. Most of all the nurses, when evaluating CNS stability, observe and evaluate the child's response, provide help taking into account his adjacent diseases. The knowledge and activities of the nurses were the most different in evaluating the thermometer readings, indications and contraindications for temperature measurement. Most ICU nurses evaluate the life-threatening signs, and PICU and PED nurses highlight the correct dose of antipyretics for parents, ED nurses inform more often of signs of the worsening condition.