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摘要
外文摘要
引文資料
題名:
比較耳溫槍和傳統體溫測量法之正確性
書刊名:
護理雜誌
作者:
張玉珍
/
賀倫惠
/
黃慈心
/
黃崇旂
作者(外文):
Chang, Yu-jeng
/
Ho, Lun-hui
/
Huang, Tzu-hsin
/
Huang, Chung-chi
出版日期:
2000
卷期:
47:2
頁次:
頁53-63
主題關鍵詞:
體溫
;
肺動脈血溫
;
紅外線耳膜溫度計
;
玻璃水銀溫度計
;
Body temperature
;
Pulmonary artery blood temperature
;
Infrared tympanic thermometer
;
Mercury-in-glass thermometer
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
3
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
3
共同引用:0
點閱:93
本研究主要探討的目的是以肺動脈血溫當標準,使用耳溫槍測量耳溫及 使用水銀溫度計來測量肛溫、腋溫之正確性的比較,並探討冰枕的使用對測量耳 溫的影響。本研究為前瞻性研究。在某醫學中心一般內科加護病房,選取32位因 病情需要而置放肺動脈導管之患者作為研究對象;依序測量腋溫、肛溫、耳溫, 最後並同時記錄各種溫度。結果顯示:坽肺動脈血溫與各種溫度之偏差(bias), 以耳溫與肺動脈溫最為接近(平均低0.1℃ 0.4℃),其次是肛溫(平均低0.4℃ 0.4 ℃),腋溫差距最大(平均低0.8℃ 0.4℃)。夌肺動脈血溫與耳溫、肛溫、腋溫三 者均有很高的相關性(肺動脈血溫與耳溫r = 0.94,與肛溫r = 0.94,與腋溫r = 0.92) 及良好的的一致性(agreement)。奅使用冰枕與否,對肺動脈血溫與耳溫的偏差在 統計上並無顯著差異(p > 0.05)。從本研究結果得知,耳溫槍比傳統體溫測量方法 更能正確反映病人的核心體溫。它不但可以在幾秒內得到測量結果,且使用方 便、沒有侵入性,能有效的節省護理時間,故可以廣泛應用於臨床上。
以文找文
This study was performed to compare the measurements of tympanic temperature, conventional rectal and axillary temperatures with the measurement of pulmonary artery (PA) temperature. The study also investigated the effect of ice pillows on the measurement of tympanic temperature. Thirty-two critical patients requiring PA pressure monitoring were enrolled. Axillary, rectal and tympanic temperatures were recorded sequentially every 4 to 8 hours. PA temperatures were recorded through a PA catheter after completion of the above three kinds of temperature measurement. The means of difference between PA temperature and other temperatures checked were 0.1 0.4℃ for tympanic, 0.4 0.4℃ for rectal, and 0.8 0.4℃ for axillary temperature. There was significant correlation between PA temperature and all three other temperatures (r = 0.94 between PA and tympanic, r = 0.94 between PA and rectal, and r = 0.92 between PA and axillary temperature). There was no significant discrepancy between the differences of PA and tympanic temperatures in patients with or without use of ice pillows. In conclusion, the measurement of tympanic temperature may reflect core temperature more accurately than conventional methods. It is noninvasive, easy to use, and can effect rapid measurements (a few seconds). It can effectively reduce nursing time, so that its extensive application in clinical nursing is warranted.
以文找文
期刊論文
1.
Buck, S. H.、Zaritsky, A. L.(1989)。Occult core hyperthermia complicating cardiogenic shock。Pediatrics,83(5),782-784。
2.
Doyle, F.、Zehner, W. J.、Terndrup, T. E.(1994)。The effect of ambient temperature extremes on tympanic and oral temperature。American Journal of Emergency Medicine,10(4),285-289。
3.
Erickson, R. S.、Kirklin, S. K.(1993)。Comparison of ear, bladder,oral, and axillary methods for core temperature measurement。Critical Care Medicine,21(10),1528-1534。
4.
Erickson, R. S.、Meyer, L. T.、Ore, P.(1994)。Accuracy of infrared ear thermometry and other temperature methods in adults。American Journal of Critical Care,3(1),40-53。
5.
Klein, D. G.、Mitchell, C.、Petrinec, A.、Monroe, M. K.、Oblak, M.、Ross, B.、Emt, A. C.、Youngblut, J. M.(1993)。Comparison of pulmonary artery, rectal and tympanic membrane temperature measurement in the ICU。Heart & Lung,22(5),435-441。
6.
Ferrara-Love, R. A.(1991)。Comparison of tympanic and pulmonary artery measures of core temperatures。Journal of Post Anesthesia Nursing,6(3),161-164。
7.
Fulbrook, P.(1993)。Core temperature measurement: A comparison of rectal,axillary and pulmonary artery blood temperature。Intensive and Critical Care Nursing,9(4),217-225。
8.
Fraden, J.、Lackey, R. P.(1991)。Estimation of body sites temperatures from tympanic measurements。Clinical Pediatrics,30(suppl.),65-70。
9.
Erickson, R. S.、Woo, T. M.(1994)。Accuracy of infrared ear thermometry and traditional temperature methods in young children。Heart & Lung,23(3),181-195。
10.
Jakobsson, J.、Nilsson, J. A.、Carlsson, L.(1992)。Core temperature measured in the auricular canal: Comparison between four different tympanic thermometers。Acta Anaesthesiolscand,36(8),819-824。
11.
Nierman, D. M.(1991)。Core temperature measurement in the intensive care unit。Critical Care Medicine,19(6),818-823。
12.
Mravinac, C. M.、Dracup, K.、Clochesy, J. M.(1989)。Urinary bladder and rectal temperature monitoring during clinical hypothermia。Nursing Research,38(2),73-76。
13.
Milewski, A.、Ferguson, K. L.、Temdrup, T. E.(1991)。Comparison of pulmonary artery, rectal, and tympanic membrane temperatures in adult intensive care unit patients。Clinical Pediatrics,30(suppl.),13-16。
14.
Lattavo, K.、Britt, J.、Dobal, M.(1995)。Agreement between measures of pulmonary artery and tympanic temperatures。Research in Nursing & Health,18(4),365-370。
15.
Ogren, J. M.(1990)。The inaccuracy of axillary temperatures measured with an electronic thermometer。American Journal Diseasees of Children,144(1),109-111。
16.
Rhoads, F. A.、Grandner, J.(1990)。Assessment of an aural infrared sensor for body temperature measurement in children。Clinical Pediatrics,29(2),112-115。
17.
Romano, M. J.、Fortenberry, J.、Autrey, E.、Harris, S.、Heyroth, T.、Parmeter, P.、Stein, F.(1993)。Infrared tympanic thermometry in the pediatric intensive care unit。Critical Care Medicine,21(8),1181-1185。
18.
Rotello, L. C.、Crawford, L.、Temdrup, T. E.(1996)。Comparison of infrared ear thermometer derived and equilibrated rectal temperatures in estimating pulmonary artery temperatures。Critical Care Medicine,24(9),1501-1506。
19.
Sato, K. T.、Kane, N. L.、Soos, G.、Gisolfi, C. V.、Kondo, N.、Sato, K.(1996)。Reexamination of tympanic membrane temperature as a core temperature。American Physiological Society,80(4),1233-1239。
20.
White, N.、Baird, S.、Anderson, D. L.(1994)。Comparison of tympanic thermometer readings to pulmonary artery catheter core temperature recordings。Applied Nursing Research,7(4),165-169。
21.
Zehner, W. J.、Temdrup, T. E.(1991)。The impact of moderate ambient temperature variance on the relationship between oral, rectal, and tympanic membrane temperatures。Clinical Pediatrics,30(suppl.),60-64。
22.
Thomas, K. A.、Savage, M. V.、Brengelmann, G. L.(1997)。Effect of facial cooling on tympanic temperature。American Journal of Critical Care,6(1),46-51。
23.
Temdrup, T. E.、Milewski, A.(1991)。The performance of two tympanic thermometers in a pediatric emergency department。Clinical Pediatrics,30(suppl.),18-23。
24.
Shinozaki, T.、Deane, R.、Perkins, F. M.(1988)。Infrared tympanic thermometer: Evaluation of a new clinical thermometer。Critical Care Medicine,16(2),148-149。
25.
Bland, J. M.、Altman, D. G.(1986)。Statistical methods for assessing agreement between two methods of clinical measurement。The Lancet,8(1),307-310。
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