Klein Melissa, DeWitt Thomas G
Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnett Ave., Cincinnati, OH 45229-3039, USA.
Clin Pediatr (Phila). 2010 Mar;49(3):271-3. doi: 10.1177/0009922809350215.
Fever is a common symptom in children. Assessment of accuracy of parental temperature measurement is integral in determining proper medical management.
The authors recruited 25 afebrile and 13 febrile children from outpatient sites. Participants had rectal temperatures measured by a trained study staff, followed by axillary temperature measurements by trained study staff and parent. Analysis of variance was used to compare the afebrile and febrile groups; the paired t test was used to compare parent and study personnel's axillary temperature measurements. Analysis included the statistical significance of Pearson's correlation coefficients for the various comparisons.
In both febrile and afebrile groups, the rectal temperatures were greater than axillary temperature measurements, but the difference was not consistent. There was a very high correlation (correlation coefficient range = .86-.96) between axillary temperature measurements performed by trained study staff and parents.
Parental report of axillary temperature measurement can be considered reliable.
发热是儿童常见症状。评估家长测量体温的准确性对于确定恰当的医疗管理至关重要。
作者从门诊招募了25名无发热症状的儿童和13名发热儿童。参与者先由经过培训的研究人员测量直肠温度，随后由经过培训的研究人员和家长测量腋窝温度。采用方差分析比较无发热症状组和发热组；采用配对t检验比较家长和研究人员测量的腋窝温度。分析包括各种比较的Pearson相关系数的统计学意义。
在发热组和无发热症状组中，直肠温度均高于腋窝温度测量值，但差异并不一致。经过培训的研究人员和家长测量的腋窝温度之间存在非常高的相关性（相关系数范围 = 0.86 - 0.96）。
家长报告的腋窝温度测量结果可被认为是可靠的。
