[使用三种不同体温计（鼓膜式、皮肤式和数字腋温式）测量儿童体温的比较]

[Comparison of body temperatures in children measured using 3 different thermometers: tympanic, skin and digital axillary].

作者信息

Padilla-Raygoza Nicolás, Ruiz-Paloalto M Laura, Díaz-Guerrero Rosalina, Olvera-Villanueva Georgina, Maldonado Angélica, Raygoza-Mendoza María Del Pilar

机构信息

Departamento de Enfermería y Obstetricia, División de Ciencias de la Salud e Ingenierías, Campus Celaya Salvatierra, Universidad de Guanajuato, México.

Departamento de Enfermería Clínica, División de Ciencias de la Salud e Ingenierías, Campus Celaya Salvatierra, Universidad de Guanajuato, México.

出版信息

Enferm Clin. 2014 May-Jun;24(3):175-82. doi: 10.1016/j.enfcli.2014.01.005. Epub 2014 Apr 13.

DOI:10.1016/j.enfcli.2014.01.005

PMID:24735910

Abstract

OBJECTIVE

To compare body temperature measurements using tympanic, skin and digital axillary thermometers.

METHOD

Hospitalized or outpatient children from the General Hospital Celaya, ISSSTE Hospital Clinic and General Hospital No. 4 IMSS, and the pediatric private service in Celaya, Guanajuato, from 1 day of life until 16 years old, were recruited over a one month period, after their parents signed the consent form. The order of each institution was selected by simple randomization. Body temperatures were measured in triplicate using tympanic, skin and digital axillary thermometers.

RESULTS

The sample consisted of 554 children. The Pearson r between the tympanic and digital axillary thermometers was 0.57 to 0.65, with a positive linear relationship (P<.05); between the skin and the digital axillary thermometers, it was between 0.47 and 0.52 with a positive linearrelationship (P<.05). The intra-observer Kappa for the tympanic thermometer was 0.86, and for the inter-observer was 0.77; for the skin thermometer it was 0.82 and 0.67, respectively, and for the digital axillary thermometer it was 0.86 for intra-observer reliability and 0.78 for inter -observer reliability.

CONCLUSION

Tympanic and axillary thermometers showed better precision in measuring the body temperature in children than skin thermometers.

摘要

目的

比较使用鼓膜温度计、皮肤温度计和数字腋温计测量体温的情况。

方法

在一个月的时间里，招募了来自塞拉亚综合医院、ISSSTE医院诊所、第四IMSS综合医院以及瓜纳华托州塞拉亚的儿科私人诊所的住院或门诊儿童，年龄从1天至16岁，其父母签署同意书后参与研究。每个机构的顺序通过简单随机化选择。使用鼓膜温度计、皮肤温度计和数字腋温计对体温进行三次测量。

结果

样本包括554名儿童。鼓膜温度计与数字腋温计之间的Pearson相关系数为0.57至0.65，呈正线性关系（P<0.05）；皮肤温度计与数字腋温计之间的相关系数在0.47至0.52之间，呈正线性关系（P<0.05）。鼓膜温度计的观察者内Kappa系数为0.86，观察者间为0.77；皮肤温度计的观察者内和观察者间Kappa系数分别为0.82和0.67，数字腋温计的观察者内可靠性Kappa系数为0.86，观察者间为0.78。