本研究旨在測試應用互動式發燒照護指導，在兒科急診對改變父母處理兒童發燒行為之成效。以訊息-動機-行為技能模式為理論基礎，使用整合發燒照護指導手冊、文獻實證內容，及專家及父母建議發展而成之光碟，與修改後之醫院發燒照護指導單張為介入措施。採實驗性研究，於台南某醫學中心兒科急診進行收案；共選取67位因主訴三個月以上六歲以下兒童發燒而求醫之台灣籍父母，於病童看診後，將研究對象隨機分配到實驗組（n=33）或控制組（n=34）。完成前測後，實驗組父母接受互動式發燒照護指導光碟及單張，控制組給予發燒照護指導單張；三天後施予後測，並追蹤評値三天內父母居家發燒處理行為。
研究結果顯示，實驗組父母接受發燒照護指導介入後，除了社會規範外，在處理發燒的訊息、態度、行為技能與自我效能方面皆有顯著改變，尤其在處理發燒的訊息、態度與行為技能三方面的得分與進步程度，皆遠大於無接受介入之控制組。在處理行為方面，實驗組父母在執行退燒處置的順序，前後測有顯著改變，控制組則無；且實驗組父母使用退燒藥溫度高於控制組。從研究結果可證實，實際運用互動式發燒照護指導，在人力與時間都不足的兒科急診，能適時協助醫護人員提供父母完整且正確的發燒照護指導，幫助父母修正對發燒的觀念和態度，改變父母的處理行為，並增強其處理自信與能力，降低父母在家中面對兒童發燒的焦慮與恐慌，進而有效幫助改變父母處理兒童發燒行為，使發燒兒童能得到完整且正確的照護，以提供未來在臨床實際執行之參考。

This study evaluates the effects of interactive fever instruction on improving parents' fever management in a pediatric emergency department. Based on the Information- Motivation-Behavioral Skills Model, an experimental study with pre and post tests was designed to investigate the effects of the interactive education program. This study took place at a pediatric emergency department in southern Taiwan and sampled a total of 67 participants. The participants were parents of children from ages three months to six years who visited the pediatric emergency department due to the concern their child had a fever.
The parents were randomly assigned to the experimental (n=33) or control (n=34) group. After treating the child and completing the pre-test, parents of the experimental group received the interactive fever instructions while parents of the control group received only a pamphlet. The interactive fever instructions consisted of an interactive CD and a pamphlet of fever instructions. Three days after receiving the education materials and documenting their fever management all parents completed the post-test. The post-test scores of fever management information, attitudes, skills and self-efficiency of the parents in the experimental group were significantly improved over the pre-test. The experimental group had higher scores in the categories of fever management information, attitudes and skills than the control group. Application of interactive fever instructions in the pediatric emergency department demonstrated the effects of improving parents’ fever information and management behavior at home. This interactive education program could help clinical staff provide fever instruction to improve parents’ fever management ability.

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