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김화순 ( ) - 인하대학교 간호학과
송미경 ( Song Mi-Gyung ) - 인하대학교 간호학과
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Abstract
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This study explored if tympanic membrane temperature could be used interchangeblely with rectal temperature as a core temperature among patients in surgical intensive care unit. The purpose of this study was to compare tympanic membrane temperature with rectal temperature (calibrated glass mercury) to determine consistency among measures. The sample were thirty-one patients admitted to the surgical intensive care unit. The age of the sample ranged from 29 to 76 years old(mean 59 years old). Tympanic membrane temperatures were taken with First Temp GeniusR tympanic thermometer, Rectal temperatures were taken with a glass mercury thermometer. The major results of this study can be summarized as follows
1. Intrarater agreement and interrater reliability:
Measurements were considered to be same if the second measurements were within 0.10 of the first measurement. Intrarater agreement was 96.8%. Interrater reliability was 71%.
2. Agreement between tympanic membrane temperature and rectal temperature
Rectal temperature ranged from 35.700 to 39.100 with a mean of 37.57(SD=0.66). Tympanic membrane temperature ranged from 35.550 to 38.850 with a mean of 37.580 (SD=0.66*). The mean absolute difference between rectal temperature measures and tympanic membrane temperatures was 0.23*. Rectal and tympanic membrane temperatures in the rectal mode were not significantly different (t = 0. 147, df=30, p=0.884) and were strongly correlated (r=0.893). Mean tympanic membrane temperature was slightly higher than mean rectal membrane temperature.
3. Agreement between tympanic membrane temperature in rectal mode and rectal temperature
Tympanic memb -ane temperature in rectal mode ranged fro n 35.751C to 39.051C with a mean of 37.780. The mean absolute difference between tympanic membrane temperatures in rectal mode and rectal temperatures was 0.270.
Findings of this study suggest that temperature measurements fluctuate from site to site. Choosing one optimal site for each patient and using the patient-specific site consistently would result in better tracking of changes in body temperature and thus more timely diagnosis of fever. To ensure consistency in tympanic temperature measurement, nurses should be trained carefully.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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