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¦·š °Š®œnª¥Šµœ ×¥‡µ—ªnµÁ¤ºÉ°œÎ µÂœªž’·´˜·„µ¦¡¥µµ¨ÅžÄo‹³nª¥ž¦´ ž¦»Š‡»–£µ¡„µ¦‹´—„µ¦„´£µª³Å o
ĜŸ¼ožiª¥µ—Á‹È¤°Š „µ¦«¹„¬µ‡¦´ÊŠœ¸Ê‹¹Š¤¸ ª´˜™» ž¦³Š‡rÁ¡ºÉ°¡´•œµÂœªž’·´ ˜·„µ¦¡¥µµ¨Äœ„µ¦‹´—„µ¦„´£µª³Å o
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‹´—„µ¦„´£µª³Å oĜŸ¼oži ª¥µ—Á‹È¤°Š 抡¥µµ¨Š ¨µœ‡¦·œš¦r ×¥¤¸¦µ¥¨³Á°¸¥— —´Šœ¸Ê
1. „ε®œ—ž¦³Á—È œž{ ®µÂ¨³ °Á ˜ °Šž{ ®µ Ÿ¼oži ª¥µ—Á‹È¤°Šš¸É čo¦·„µ¦ – ®o °ŠŒ»„ÁŒ·œ
抡¥µµ¨Š ¨µœ‡¦·œš¦r ¤¸‹ÎµœªœÁ¡·É¤ ¹Ê œ‹µ„ 1,417 ‡œÄœže ¡.«. 2550 Áž}œ 1, 589 ‡œÄœže ¡.«. 2551 Ĝ
‹Îµœªœœ¸ÊŸ¼ožiª¥˜o °ŠÁ oµ¦´„µ¦¦´ „¬µ˜´ªÄœÃ¦Š¡¥µµ¨‹Îµœªœ 787 ‡œÂ¨³ 704 ‡œÂ¨³Á¸ ¥¸ª·˜‹Îµœªœ 71 ‡œÂ¨³ 57
‡œ˜µ¤¨Îµ—´ (®œnª¥ž¦³µš«´¨¥«µ˜¦r 抡¥µµ¨Š ¨µœ‡¦·œš¦r, 2552) ‹µ„ž¦³„µ¦–r¨³„µ¦Î µ¦ª‹
°ŠŸ¼o«¹„¬µ¡ªnµ ¦o°¥¨³ 80 °ŠŸ¼o žiª¥µ—Á‹È ¤°Š£µ¥®¨´ŠÅ—o¦´ „µ¦Ÿnµ˜´ —¨³¦´„¬µ˜´ ªÄœ®°°£·µ¨Ÿ¼o žiª¥
«´¨¥„¦¦¤¤¸ £µª³Å o ¼Š ¨³¡ªnµ„·‹„¦¦¤„µ¦¡¥µµ¨Á¡ºÉ°¨—£µª³Å oĜŸ¼o žiª¥Áž}œ¦¼ žÂÁ—·¤ ŗo„n „µ¦ÁÈ—˜´ ª
„µ¦Ážiµ¡´—¨¤ „µ¦ž¦³‡—oª¥ŸoµÁ¥Èœ „µ¦ÄoŸoµ®n¤œÊÎ µÁ¥ÈœÂ¨³®¦º°„µ¦Ä®o¥µ¨—Å o˜µ¤ÂŸœ„µ¦¦´ „¬µ ˜·—˜µ¤Å oĜ 30
œµš¸˜n°¤µ „µ¦Á¨º °„čo„·‹„¦¦¤Ä— ¹Êœ°¥¼n„´‡ªµ¤¦¼o¨³ž¦³„µ¦–r°Š¡¥µµ¨Â˜n ¨³‡œ nŠŸ¨Ä®oŸ¼ožiª¥µŠ¦µ¥¤¸
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2. „ε®œ—š¸ ¤¡´•œµ ž¦³„°—o ª¥«´¨¥Â¡š¥r¦³ž¦³µš ®´ª®œoµ®°°£·µ¨Ÿ¼oži ª¥«´¨¥„¦¦¤ ¡¥µµ¨
®°°£·µ¨Ÿ¼oži ª¥«´¨¥„¦¦¤š¸É¤¸ž¦³„µ¦–r„µ¦šÎµŠµœ¤µ„„ªn µ 5 že
3. „ε®œ—ª´˜™» ž¦³Š‡r „¨»n¤Ážjµ®¤µ¥ ¨³Ÿ¨¨´ ¡›r°Š„µ¦—¼Â¨ „µ¦«¹„¬µ‡¦´Ê Šœ¸Ê¤¸ª´˜™»ž¦³Š‡rÁ¡ºÉ°œÎµÅž
Áž}œÂœªž’·´˜·„µ¦¡¥µµ¨Äœ„µ¦‹´—„µ¦„´£µª³Å oĜŸ¼o žiª¥µ—Á‹È¤°Š „¨»n¤Ážjµ®¤µ¥ ‡º° »‡¨µ„¦šµŠ„µ¦
¡¥µµ¨š¸Éž’· ´˜·ŠµœÄœ®°°£· µ¨Ÿ¼ožiª¥«´¨¥„¦¦¤ ¨³Ÿ¼ožiª¥µ—Á‹È¤°Šš¸ÉÁ o µ¦´„µ¦¦´„¬µÄœ®°°£·µ¨Ÿ¼oži ª¥
«´¨¥„¦¦¤ Ÿ¨¨´ ¡›r°Š„µ¦—¼Â¨ ‡º° °»–®£¼¤· „µ¥ °ŠŸ¼oži ª¥¨—¨Š°¥¼nĜnªŠ 37-38 °Š«µÁŽ¨ÁŽ¸ ¥£µ¥Äœ 24 ´ÉªÃ¤Š
(Hoedemaekers, Ezzahti, Gerritsen and van der Hoeven, 2007)
4. º‡oœÂ¨³ž¦³Á¤· œ‡»–‡nµ °Š®¨´„“µœÁ· Šž¦³‹´„¬r Ÿ¼o«¹„¬µÅ—o º ‡oœ®¨´„“µœÁ· Šž¦³‹´„¬rš¸É ˜¸¡· ¤¡r
ÁŸ¥Â¡¦n¨³Å¤nŗo ˜¸¡· ¤¡r ÁŸ¥Â¡¦n ×¥šÎµ„µ¦º‡oœ‹µ„“µœ o°¤¼¨°·Á¨È„š¦°œ·‡rš¸ÉÁŸ¥Â¡¦n˜´ÊŠÂ˜n že ¡.«. 2543- 2552
‹µ„“µœ o°¤¼¨ PubMed, CINAHL, MD consult, Springer Link, Science Direct, OVID, Proquest, The Cochrane
library, ¨³‹µ„ÁªÅŽ—r ŗo „n www.aacn.org www.guideline.gov×¥„ε®œ—‡Î µÎµ‡´š¸ÉčoĜ„µ¦º ‡oœÅ—o„n
temperature measurement, fever and head injury or traumatic brain injury, hyperthermia and head injury or
traumatic brain injury, fever and guideline or protocol, physical cooling and fever, cooling therapy, sponging and
fever, antipyretic and fever, shivering and fever ¦ª¤™¹Š„µ¦º‡oœ—oª¥¤º°Â¨³Á°„µ¦°oµŠ°·Š ®¨´Š‹µ„œ´ÊœœÎµŠµœª·‹´¥
¤µž¦³Á¤·œ‡» –£µ¡Â¨³‹´—¦³—´‡ªµ¤œn µÁºÉ°™º ° °Š®¨´„“µœÁ· Šž¦³‹´ „¬rčoÁ„–”r „µ¦‹´—¦³—´ °Š£µ„µ¦ª·‹´ ¥
„µ¦Â¡š¥r¨³» £µ¡Â®nŠµ˜·ž¦³Áš«°°Á˜¦Á¨¸¥ (NHMRC, 1998) ¦ª¤š´ÊŠ‹´—¦³—´ o°Áœ°Âœ³Äœ„µ¦œÎµÅžÄo
ĜšµŠž’·´˜·°Š®¨´„“µœÁ·Šž¦³‹´„¬rčoÁ„–”r°Š™µ´œÃ‹Â°œœµ¦·„r (The Joanna Briggs Institute, 2008)
¡ªnµŠµœª·‹´ ¥š¸É µ¤µ¦™œÎµ¤µ¦o µŠÂœªž’· ´ ˜·„µ¦¡¥µµ¨¤¸ ‹Îµœªœ 15 Á¦ºÉ°Šž¦³„°—o ª¥Šµœ„µ¦ššªœ