Cultu Oge, Yildirim Inci, Ceyhan Mehmet, Korkmaz Ayşe, Yurdakök Murat, Karaağaoğlu Ergun, Seçmeer Gülten
Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Turk J Pediatr. 2008 Jul-Aug;50(4):354-8.
While planning medical care, health care workers must consider the body temperature changes as measured by the mothers on most occasions. We evaluated the reliability of three different temperature measurement methods when they were used by the mothers by comparing with the measurements taken by the pediatrician. In this prospective study, body temperatures of 50 healthy newborns during their 2nd day of life were measured by mothers and one physician with mercury-in-glass (MG), digital mercury (DM) and infrared tympanic membrane thermometers (ITMT). Measurements by the mothers and the physician were correlated for the three different methods. The effects of the educational level of the mothers and the presence of children at home on the reliability and the number of differences > or = 0.5 degrees C were also evaluated for each of the methods. In comparing the measurements by the mothers and the pediatrician, correlation coefficient was 0.12 in MG thermometer readings, 0.23 in DM thermometer readings and 0.78 in ITMT readings, meaning that tympanic measurements by the mothers and the pediatricians were more correlated (p < 0.0001). The means and ranges of absolute differences of MG, DM, and tympanic thermometer measurements were 0.43 +/- 0.42, 0-1.7; 0.36 +/- 0.45, 0-2.2; and 0.13 +/- 0.12, 0-0.7 degrees C, respectively. The number of measurements with an absolute difference > or = 0.5 degrees C was 17 in MG readings, 11 in DM readings, and 1 in ITMT readings, The educational level of the mothers and the presence of children at home had no effect on the correlations. The intraclass coefficient for the three sets of measurements by the pediatricians was 0.91. Body temperature measurements in newborn babies as taken by their mothers were more correlated with the readings by the pediatricians when the ITMT was used. Tympanic thermometers seem to be useful for the mothers of any educational level and are independent of having experience with a previous child. The ease of use and short calibration time for reading are also advantageous for these thermometers.
在规划医疗护理时，医护人员在大多数情况下必须考虑母亲所测量的体温变化。我们通过与儿科医生的测量结果进行比较，评估了母亲使用的三种不同体温测量方法的可靠性。在这项前瞻性研究中，50名健康新生儿出生第二天的体温由母亲和一名医生分别使用玻璃体温计（MG）、数字体温计（DM）和红外鼓膜体温计（ITMT）进行测量。母亲和医生对三种不同方法的测量结果进行了相关性分析。还针对每种方法评估了母亲的教育水平和家中孩子的存在对可靠性以及差异≥0.5摄氏度的数量的影响。在比较母亲和儿科医生的测量结果时，MG体温计读数的相关系数为0.12，DM体温计读数的相关系数为0.23，ITMT读数的相关系数为0.78，这意味着母亲和儿科医生的鼓膜测量结果相关性更强（p<0.0001）。MG、DM和鼓膜体温计测量的绝对差异的均值和范围分别为0.43±0.42，0 - 1.7；0.36±0.45，0 - 2.2；以及0.13±0.12，0 - 0.7摄氏度。绝对差异≥0.5摄氏度的测量次数在MG读数中为17次，在DM读数中为11次，在ITMT读数中为1次。母亲的教育水平和家中孩子的存在对相关性没有影响。儿科医生的三组测量结果的组内系数为0.91。当使用ITMT时，母亲对新生儿的体温测量与儿科医生的读数相关性更强。鼓膜体温计似乎对任何教育水平的母亲都有用，并且与之前是否有育儿经验无关。这些体温计使用方便且校准读数时间短也是其优势。
