Effectiveness of warm compresses in reducing the temperature of febrile children: A pilot randomized clinical trial.

Autor: Souza MV; Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Psiquiátrica, São Paulo, SP, Brazil., Souza DM; Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Psiquiátrica, São Paulo, SP, Brazil., Damião EBC; Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Psiquiátrica, São Paulo, SP, Brazil., Buchhorn SMM; Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil., Rossato LM; Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Psiquiátrica, São Paulo, SP, Brazil., Salvetti MG; Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico- Cirúrgica, São Paulo, SP, Brazil.
Jazyk: English; Portuguese
Zdroj: Revista da Escola de Enfermagem da U S P [Rev Esc Enferm USP] 2022 Oct 07; Vol. 56, pp. e20220168. Date of Electronic Publication: 2022 Oct 07 (Print Publication: 2022).
DOI: 10.1590/1980-220X-REEUSP-2022-0168en
Abstrakt: Objective: To evaluate the effect of the application of a warm compress in association with the prescribed antipyretic drug compared to the effect of the prescribed antipyretic alone, in reducing fever in hospitalized children.
Method: This is a pilot randomized clinical trial performed in pediatric units of a secondary-level hospital. The convenience sample consisted of 33 children with axillary temperature greater than or equal to 37.8°C (100°F), randomized to the control group (antipyretics) or intervention group (antipyretics + warm compresses). Temperature was monitored in both groups for 3 hours and data were collected using standardized instruments, analyzed using Mann Whitney, Fisher's Exact, Chi-Square, and ANOVA tests.
Results: The control group consisted of 17 children and the intervention group of 16 children. The temperature of all children decreased over time, with progressive attenuation, with a lower final mean in the control group (p=0.035). In the intervention group, irritability and crying were observed in 12.5% of the children.
Conclusion: The application of warm compresses in association with antipyretics was not effective in reducing fever in hospitalized children compared to the use of pharmacological measures alone.
Clinical Trial Registration Protocol: UTN-U1111-1229-1599.
Databáze: MEDLINE