THE USE OF WARM COMPRESSES TO REDUCE BODY TEMPERATURE IN CHILDREN WITH HYPERTHERMIA AS A NURSING PROBLEM: A CASE STUDY

Abstract

Background: Hyperthermia is a common nursing problem in children with Dengue Haemorrhagic Fever (DHF). If not treated promptly, a persistent rise in body temperature can lead to serious complications such as seizures, neurological disorders and severe dehydration. This study aims to analyse the use of warm compresses as a nursing intervention to reduce body temperature in children with hyperthermia through a case study. Methods: A descriptive case study involving two research subjects, namely An. AA (8 years) and An. AM (4 years), both diagnosed with DHF and presenting with hyperthermia as a nursing problem. Nursing care was provided over three days in accordance with the Indonesian Standards for Nursing Diagnosis (SDKI), the Indonesian Standards for Nursing Outcomes (SLKI), and the Indonesian Standards for Nursing Interventions (SIKI). Warm compresses were applied to body folds, such as the axillae, using washcloths soaked in warm water at a temperature of 37–40°C for 15–20 minutes. The interventions were carried out with the involvement of the mother as the child’s primary carer, in accordance with the principles of family-centred care. Results: A significant reduction in body temperature was observed in both subjects. Patient AA’s body temperature fell from 37.7°C to 36.7°C; whilst Patient AM’s body temperature fell from 39.0°C to 36.8°C by the end of the third day of care. The nursing problem of hyperthermia was deemed resolved in both subjects. Conclusion: Warm compresses proved effective as a non-pharmacological intervention in reducing the body temperature of children with hyperthermia resulting from dengue infection. Nurses can apply warm compresses as a non-pharmacological therapeutic measure for children with hyperthermia, whilst also educating families on how to apply warm compresses independently to ensure continuity of care at home.