International Journal of Nursing Education

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Development and Validation of a Thermal Discomfort Scale in Febrile Children During Sponging


Affiliations
1 Assistant Professor, Govt. College of Nursing, Thiruvananthapuram,Kerala
2 Additional Professor, Director, CERTC, Medical College, Thiruvananthapuram, Kerala
3 Deputy Director of Nursing Education, DME, Thiruvananthapuram, Kerala
4 Professor, ENT Department, Medical College, Thiruvananthapuram, Kerala
5 Assistant professor (Rtd), Consultant Biostatistician, CERTC, Medical College, Thiruvananthapuram, Kerala
     

   Subscribe/Renew Journal


Objectives:

• To Develop and validate a scale to measure the thermal discomfort in febrile children undergoing sponging.

• To Compare the thermal discomfort among febrile children undergoing either warm sponging or tepid sponging

Materials and Method: This study consisted of two steps i.e preparation of a Thermal scale and the application of the scale to compare the thermal discomfort in a sample of febrile children undergoing either warm sponging or tepid sponging. It was conducted in two Phases. Qualitative approach for the preparation of scale&Quantitative approach to compare the thermal discomfort.

Result: The reliability of the instrument was estimated by Internal Consistency Reliability; Chronbach's alpha = 0.7534 ? 0.8, The result showed that this scale has an Ideal Reliability index of 0.8. There was significant difference between the discomfort scores of warm sponging&tepid sponging (MW-U - 6381.50, P 0.0001)

Conclusion: Thermal discomfort scale developed as a composite outcome and it can be utilized in clinical setting to measure the thermal discomfort in children. The also revealed that warm sponging is better than tepid sponging in reducing thermal discomfort in children.

 


Keywords

Febrile Children, Thermal Comfort, Tepid Sponging, Warm Sponging
Subscription Login to verify subscription
User
Notifications
Font Size


  • Fang, L., Wyon, D. P., Clausen, G., Fanger, PO. Impact of indoor air temperature and humidity in an office on perceived air quality, SBS symptoms and performance. Indoor Air. 2004;14:74-81

  • Chatonnet J. Cabanac M .The perception of thermal comfort. International Journal of Biometeorology .Springer Berlin / Heidelberg Issue.2005; Volume 9:Number 2 / June. ISSN 0020-7128 (Print) 1432 1254 (Online) Pages 183-193

  • Meremikwu, M. & Oyo-Ita, A Physical methods for treating fever in children (Review). The Cochrane Library. 2006; Issue 2

  • Corrard F. Thermal comfort and fever or research on how to feel better. Arch Paediatr 1999 Jan;6(1):93-6

  • Kinmonth AL, Fulton Y, Campbell MJ. Management of feverish children at home. BMJ.1992.Nov7; Vol (305)

  • Nunnally, J. C, Introduction to psychological measurement, Chapter 5. McGraw-Hill, New York. Chapter 9:McGraw-Hill,New York.1970.

  • Jeonghwan C Youngjae K, Anand S .Principles of Rate of cooling in thermostat” .J. Clin Biomed. 2003;(1).

  • Craig JV et al. Temperature measured at the axilla compared with rectum in children and young people: systematic review. British medical journal. 2000;320:1174–8.

  • Sehgal A et al. Comparison of tympanic and rectal temperature in febrile patients. Indian journal of pediatrics, 2002, 69:305–8.

  • Keeley D. Taking infants’ temperatures. British medical journal, 1992, 304:931–2. Erickson RS, Woo TM. Accuracy of infrared ear thermometry and traditional temperature methods in young children. Heart & lung: the journal of critical care, 1994, 23:181–95.

  • Schmitz T. A comparison of five methods of temperature measurement in febrile intensive care unit patients. American journal of critical care, 1995, 4:286–92.


Abstract Views: 456

PDF Views: 0




  • Development and Validation of a Thermal Discomfort Scale in Febrile Children During Sponging

Abstract Views: 456  |  PDF Views: 0

Authors

M R Athirarani
Assistant Professor, Govt. College of Nursing, Thiruvananthapuram,Kerala
K Rajamohanan
Additional Professor, Director, CERTC, Medical College, Thiruvananthapuram, Kerala
Y Prasanna Kumari
Deputy Director of Nursing Education, DME, Thiruvananthapuram, Kerala
P R Shyla
Professor, ENT Department, Medical College, Thiruvananthapuram, Kerala
Muraleedharan Nair
Assistant professor (Rtd), Consultant Biostatistician, CERTC, Medical College, Thiruvananthapuram, Kerala

Abstract


Objectives:

• To Develop and validate a scale to measure the thermal discomfort in febrile children undergoing sponging.

• To Compare the thermal discomfort among febrile children undergoing either warm sponging or tepid sponging

Materials and Method: This study consisted of two steps i.e preparation of a Thermal scale and the application of the scale to compare the thermal discomfort in a sample of febrile children undergoing either warm sponging or tepid sponging. It was conducted in two Phases. Qualitative approach for the preparation of scale&Quantitative approach to compare the thermal discomfort.

Result: The reliability of the instrument was estimated by Internal Consistency Reliability; Chronbach's alpha = 0.7534 ? 0.8, The result showed that this scale has an Ideal Reliability index of 0.8. There was significant difference between the discomfort scores of warm sponging&tepid sponging (MW-U - 6381.50, P 0.0001)

Conclusion: Thermal discomfort scale developed as a composite outcome and it can be utilized in clinical setting to measure the thermal discomfort in children. The also revealed that warm sponging is better than tepid sponging in reducing thermal discomfort in children.

 


Keywords


Febrile Children, Thermal Comfort, Tepid Sponging, Warm Sponging

References