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医院环境变量对体温计测量值及一致性水平的影响:一项横断面描述性研究。

Influence of Hospital Environmental Variables on Thermometric Measurements and Level of Concordance: A Cross-Sectional Descriptive Study.

机构信息

Department of Nursing, Faculty of Health Sciences, University of Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Spain.

Unit of Orthopaedic and Trauma Surgery, Hospital Insular de Gran Canaria, 35016 Las Palmas de Gran Canaria, Spain.

出版信息

Int J Environ Res Public Health. 2023 Mar 6;20(5):4665. doi: 10.3390/ijerph20054665.

Abstract

UNLABELLED

During a pandemic, and given the need to quickly screen febrile and non-febrile humans, it is necessary to know the concordance between different thermometers (TMs) and understand how environmental factors influence the measurements made by these instruments.

OBJECTIVE

The objective of this study is to identify the potential influence of environmental factors on the measurements made by four different TMs and the concordance between these instruments in a hospital setting.

METHOD

The study employed a cross-sectional observational methodology. The participants were patients who had been hospitalised in the traumatology unit. The variables were body temperature, room temperature, room relative humidity, light, and noise. The instruments used were a Non Contract Infrared TM, Axillary Electronic TM, Gallium TM, and Tympanic TM. A lux meter, a sound level meter, and a thermohygrometer measured the ambient variables.

RESULTS

The study sample included 288 participants. Weak significant relationships were found between noise and body temperature measured with Tympanic Infrared TM, r = -0.146 ( < 0.01) and likewise between environmental temperature and this same TM, r = 0.133 ( < 0.05). The concordance between the measurements made by the four different TMs showed an Intraclass Correlation Coefficient (ICC) of 0.479.

CONCLUSIONS

The concordance between the four TMs was considered "fair".

摘要

目的:本研究旨在确定环境因素对四种不同体温计测量结果的潜在影响,以及这些仪器在医院环境中的一致性。

方法:采用横断面观察性研究方法。研究对象为创伤科住院患者。研究的变量包括体温、室温、室内相对湿度、光照和噪音。使用的仪器是非接触式红外体温计、腋下电子体温计、铟镓体温计和鼓膜体温计。使用照度计、声级计和温湿度计测量环境变量。

结果:研究样本包括 288 名参与者。研究发现,鼓膜红外体温计测量的体温与噪音之间存在弱显著关系,r = -0.146(<0.01),环境温度与同一体温计之间也存在类似关系,r = 0.133(<0.05)。四种不同体温计测量结果的一致性显示,组内相关系数(ICC)为 0.479。

结论:四种体温计之间的一致性被认为是“中等”。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb48/10001742/1dd95efec517/ijerph-20-04665-g001.jpg

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