常用测温方法的一致性及对《护理学基础》教学的启示  

Consistency of common temperature measurement methods and its enlightenment to teaching of Fundamentml

作　　者：李彩英 苏玉芳[2] 金募 赵雪萍[3] 赵鑫[1] LI Cai-ying;SU Yu-fang;JIN Mu;ZHAO Xue-ping;ZHAO Xin(Dept.of Nursing Administration,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Dept.of Orthopaedics,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Suzhou Medical College of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属第一医院护理部,江苏苏州215006 [2]苏州大学附属第一医院骨科,江苏苏州215006 [3]苏州大学苏州医学院护理学院,江苏苏州215006

出　　处：《护理学报》2023年第10期7-11,共5页Journal of Nursing（China）

基　　金：2020年度江苏高校自然科学研究面上项目(20KJD320009)。

摘　　要：目的比较耳温枪、非接触式红外测温仪所测温度与水银体温计所测口温之间的差异与一致性,寻找可替代水银体温计的测温方法。方法便利选取2021年3—5月骨科住院患者720例。采用自身同期对照设计,用耳温枪测量鼓膜温度,非接触式红外温度仪测量前额、耳后和内关温度,同时以水银体温计测量口腔温度作为标准参照,使用配对t检验和Bland-Altman分析方法比较这4种测温方式所测温度与口温之间的差异和一致性。结果4种测温方式中,仅耳后温与口温差异有统计学意义(P<0.001);鼓膜温与口温95%一致性界限范围最窄,为(-0.605,0.601),95%一致性界限外数据点占比3.06%,均优于其他测温方式所测温度。结论耳温枪所测鼓膜温与水银体温计所测口温的一致性相对较好,在水银体温计停产后,可以优先选择耳温枪替代水银体温计测量患者体温。Objective To compare the difference and consistency between the temperature measured by ear thermometer,non-contact infrared thermometer and oral temperature measured by mercury thermometer,and to find a temperature measurement method to replace mercury thermometer.Methods A total of 720 orthopedic inpatients from March to May 2021 were selected by convenience sampling.Tympanic temperature was measured with an ear thermometer.Forehead,behind the ear and Neiguan temperature were measured with a non-contact infrared thermometer,and oral temperature was measured with a mercury thermometer as standard reference.Paired t test and Bland-Altman analysis were used to compare the differences and consistency between the temperature measured by these four temperature measurement methods and oral temperature.Results Among the four temperature measurement methods,only the difference between retroauricular temperature and oral temperature was statistically significant(P<0.001).The 95%limit of agreement between tympanic temperature and oral temperature was the narrowest(-0.605,0.601),and the data points outside the 95%consistency limit accounted for 3.06%,which were better than those measured by other temperature measurement methods.Conclusion The consistency between tympanic temperature measured by ear thermometer and oral temperature measured by mercury thermometer is relatively good.Mercury thermometer can be replaced by ear thermometer after it is discontinued.

关 键 词：体温 口温 鼓膜温 耳温枪 水银体温计 Bland-Altman 

分 类 号：R47[医药卫生—护理学] G424[医药卫生—临床医学]