Nursing Research On The Treatment Of Exopathic Fever In Children By Using TCM Foot Bath

Objective To study the treatment of Traditonal Chinese Medicine(TCM) foot bath in children with exopathic fever and contract the treatment with ice cooling sheeet; Analyze the effect of TCM foot bath to children with different heat levels, to summarize the optimal cases standards and provide envidence to clinical decision,reflect the TCM nursing characteristics.Method 120 children hospitalized in Jiang su Provincial Hospital of Traditional Chinese Medicine from2009/07 to 2010/09 met the inclusion criterias were radomized into the observation group(n=60) and contral group(n=60) accoding to random number table. Both of the two groups were given routine anti-inflammatory and antivrial treatment. The relevant persons particiapted in the study were trained about unified direction language and therapy methods and assigned task. When the axillary temperture exceeding 37.5℃, the observation group children were given 2000ml TCM decoction with temperature of 37-40℃to foot bath for 30min; the group group chhildren were given ice cooling sheets stick in foreheads. If the body temperture goes up again, the two group are respecticely given another 1-2 foot baths or ice cooling sheet changing every 4 hours.It could be prescribed appropriate supportive therapy when there is persistent hight fever.Record the temperture after therapy 0.5h,1h,1.5h,2h,4h, 6h,24h,48h,72h and related symptoms and signs for 4 days. Compare two groups' temperture after therapy 0.5h,1h,1.5h,2h,4h,6h,24h,48h,72h and total efficacy rate, related symptoms and signs. Compare the cases in two groups the body temperture return to normal. Compare the temperture of 37.5-38.0℃group,38.1-39.0℃group and 39-40℃group inside the observation group and temperture declines after therapy in 6h.Result The average temperture of observation group 0.5h,lh after therapy is slightly highter than that of contral group, but no significant difference(P>0.05). The average temperture of observation group is lower than that of contral group(P<0.05)or 0.011.5h.2h,4h,6h,72h after therapy. The duration of the temperture return to normal of observation group is shorter than contral group(P<0.05). The total efficacy rate achieved in observation group is 76.67%, which is significantly highter than the contral group(48.33%). After therapy. the efficacy rates of main symptoms and physical signs in observation group are highter than in contral group, especially the fever and aversion to cold, cough, stuffynose, runny(P<0.05 or 0.01). The average temperture of 37.5-38.0℃group,38.1-39.0℃group and 39.0-40.0℃group inside the observation group and temperture declines after therapy in 6h both have significant diffierence(P<0.05 or 0.01).Conclusion The observation group is better than contral group in antifebrile, total efficacy rate and improving related symrtoms and psysical signs. TCM footbath is approriate to children with different fever degrees, also reduces parents'dependence on antipyretic. TCM footbath is cheap, convenient, have no pain stimualtion and side effects to children with exopathic fever, embodies the charactristic of TCM nursing.