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Journal of Korean Academy of Fundamentals of Nursing 1998;5(1): 33
체온측정방법의 정확도와 간호시간 및 발열감별 타당도 비교
송경애1, 강성실2, 황진순3, 김명자4
1가톨릭대학교 간호대학
2가톨릭대학교 간호대학
3가톨릭대학교 의과대학 부속 강남성모병원
4가톨릭대학교 간호대학
Accuracy of Temperature Measurements, Nursing Time for Measuring Temperature and the Validity of Fever Detection
Kyeong-Yae Sohng1, Sung-Sil Kang2, Jin-Soon Hwang3, Myung-Ja Kim4
1College of Nursing, Catholic University
2College of Nursing, Catholic University
3Catholic University Kangnam St, Mary's Hospital
4College of Nursing, Catholic University
Abstract
The aim of this study was to investigate what is the most accurate and quick temperature measurement among rectal, auxiliary and tympanic routes. The body temperatures of 86 preform infants in incubators, a controlled environment, were measured at three different sites. The measurements were taken to examine the accuracy of the temperatures, proper nursing time for measuring the temperatures and the validity of fever detection. The results were as follows : 1. The mean temperature was significantly lower in the auxiliary site($36.71^{circ}C$) and higher in the tympanic site($37.27^{circ}C$) than in the rectal site($37.03^{circ}C$). 2. The mean nursing time for measuring body temperature was significantly longer in the auxiliary site(171.65 seconds) and shorter in the tympanic site(17.70 seconds) than in the rectal site(83.33 seconds). 3. The nursing time for measuring body temperature included the time needed for preparation, measuring, as well as the post-measuring time. It was found that the time required to prepare for measuring the temperature of the rectal site was significantly longer than for other sites. In addition, the time needed to measure the temperature of the auxiliary site was significantly longer than in the other sites. Finally, the nursing time needed for measuring the auxiliary temperature(171.65 seconds) was the longest among the three sites whereas the nursing time for the tympanic site was the shortest(17.70 seconds). 4. Rectal temperature was significantly correlated to the tympanic(r=0.67) and auxiliary temperatures(r=0.69). Tympanic temperature was also significantly correlated to the auxiliary temperature(r=0.74). 5. The sensitivity, specificity, positive and negative predictive values of tympanic temperatures for detecting fever were 1.00, 0.80, 0.24, and 1.00, respectively. Those for the auxiliary temperatures were 0.00, 0.99, 0.00, and 0.94, respectively. Thus the level of fever detection was lower in the auxiliary temperatures than in tympanic temperatures. The above findings indicate that the tympanic method of temperature measurement offers a useful alternative to conventional methods.
Key words: Preferm infant | Temperature | Nursing time | Fever detection
주요어: 미숙아 | 체온 | 간호시간 | 발열감별타당도
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Study on the Body Temperature Measuring Time and Accuracy and Reliability of Tympanic Thermometer  1997 January;4(1)