RESUMO
This descriptive study compared temporal artery (TA) and rectal temperature measurements, patient comfort during temperature measurements, and nursing time required to obtain temperature measurements. Study participants (n = 40) included children 0-24 months old with fever higher than 38°C, admitted to a freestanding children's hospital in the Midwest. Statistical analysis of 450 paired TA and rectal temperature measurements revealed a 0.776 correlation, mean difference of 0.03°C, and 94.7% of measurements differing by less than 1.0°C. Patient comfort, measured via the Face, Legs, Activity, Cry, Consolability Scale, was enhanced with TA thermometry compared to rectal. TA thermometry resulted in an 87% savings of nursing time.
Assuntos
Febre/fisiopatologia , Enfermagem Pediátrica/métodos , Reto/fisiopatologia , Artérias Temporais/fisiopatologia , Termografia/métodos , Temperatura Corporal/fisiologia , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Satisfação do Paciente , Enfermagem Pediátrica/economia , Exame Físico/métodos , Exame Físico/enfermagem , Termografia/economia , Termografia/enfermagem , Fatores de TempoRESUMO
Measurement and management of body temperature is often based on traditionand personal ideas and beliefs rather than evidence based knowledge. This article summarises the literature to provide a guide to evidence based assessment and evaluation of body temperature in clinical practice.
Assuntos
Temperatura Corporal , Enfermagem Baseada em Evidências/organização & administração , Febre/diagnóstico , Avaliação em Enfermagem/métodos , Pesquisa em Enfermagem/organização & administração , Termografia/métodos , Adulto , Idoso de 80 Anos ou mais , Envelhecimento , Axila , Evolução Fatal , Feminino , Febre/etiologia , Febre/enfermagem , Humanos , Masculino , Boca , Reto , Caracteres Sexuais , Termografia/instrumentação , Termografia/enfermagem , Termômetros , Membrana TimpânicaRESUMO
Errors in body temperature measurement might seriously influence the evaluation of an individual's health condition. We studied individual variation, measurement technique and the equipment used when assessing body temperature. In the first part of the study, three volunteers performed repeated measurements for five mornings. In the second part, the morning rectal, oral, ear and axillary temperatures were measured once in 84 men and women (19-59 years). The repeated measurements showed a daily temperature difference of 0.1-0.4 degrees C in rectal and oral temperatures, 0.2 degrees C-1.7 degrees C in the ear and 0.1-0.9 degrees C in the axillary temperatures. In the sample of 84 subjects, men and postmenopausal women had a lower mean body temperature compared to premenopausal women. The mean deviation between rectal temperature, and oral, ear and axillary temperatures, respectively, was > 0.5 degrees C, with a large individual variation. In conclusion, in order to improve the evaluation of body temperature, the assessment should be based on the individual variation, the same site of measurement and no adjustment of oral, ear or axillary temperatures to the rectal site.
