Abstract
Aim: The purpose of this study was to conduct a concept analysis and specific definition of “sensitivity to cold.”
Method: Relevant literature was identified from five databases: CINHAL Plus with Full Text (1982–2008), MEDLINE (1966–2008), specialist in Web of Science (1999–2008), Ichushi Web (1983–2008), J-stage (1966–2008), using the “Chilliness” “Chilly” “Hiesho (chilly disposition)” “Poor circulation” “Sensitivity to cold.” Forty-one articles were retrieved. Meeting the criteria were 41, which were analyzed using Rodgers's concept analysis model.
Results: Three attributes of the concept “sensitivity to cold” were identified: 1) awareness of “sensitivity to cold”; 2) large differences in core and extremity temperature and 3) slow recovery of skin temperature after a low temperature stimulus revelation. Two antecedents were identified: 1) an internal biologic factor and 2) an external environmental factor. Four consequences were identified: 1) minor discomfort, 2) pain, 3) coping behavior and 4) illness motive. As a result of analysis, this concept was defined as: a state where there existed a temperature range from core temperature and extremities temperature, and slow recovery of the tip body temperature in a warm environment with the subject usually having an awareness of cold sensation.
Conclusions: A prophylactic medical viewpoint would indicate that the antecedent most accessible to intervention is the client's living environment and that it be reviewed in detail. However, ethnicity as a possible factor was also detected in the study, therefore research focusing on an ethnic level of analysis is important.
