不同體溫計對發燒病患體温測量差異性之研究

A study of different thermometers to the difference of measuring body temperature in patient with fever

林青曉(Ching-Hsiao Lin)

指導教授 ： 胡月娟 ； 吳漢屏

中臺科技大學/護理學院/護理研究所/碩士(2012年)

https://doi.org/10.6822/CTUST.2012.00059

摘要

本研究目的以發燒病患為對象，用紅外線耳溫計測量之耳溫為標準，探討紅外線顳溫計所測得顳溫與耳溫之差異性。採方便取樣，以中部某區域教學醫院急診、門診與病房340位發燒病患為研究對象，分成兒童組221人，成人組119人。研究結果呈現，發燒兒童平均耳溫測量值為38.28℃（標準差0.70℃），平均顳溫為37.81℃（標準差0.80℃），兩者有顯著差異（p＜.001）。發燒成人平均耳溫測量值為38.33℃（標準差0.67℃），平均顳溫為37.70℃（標準差0.91℃），兩者有顯著差異（p＜.001）。由平均值可知整體發燒期，不論是兒童或成人，其耳溫測量值皆比顳溫高。就發燒分期而言，兒童低度發燒、中度發燒和高燒的耳溫與顳溫平均值之差，分別為0.29℃、0.73℃、1.05℃，顯示低度發燒、中度發燒與高燒之間存在顯著差異（p＜.001）；成人低度發燒、中度發燒和高燒的耳溫與顳溫平均值之差，分別為0.54℃、0.69℃、1.74℃，顯示低度發燒、中度發燒與高燒之間存在顯著差異（p＜.05）。此意指發燒溫度越高，耳溫與顳溫的差異越大；發燒溫度低，耳溫與顳溫的差異性則較小。依據研究結果建議，社區健康篩檢時，因社區居民體溫多為正常，有鑑於本研究發現正常人測得之耳溫與顳溫無差異，故可採方便檢測之紅外線顳溫計測量體溫；若是面對有發燒者，則宜以紅外線耳溫計測量體溫為宜。

關鍵字

紅外線耳溫計 ； 紅外線顳溫計 ； 發燒

並列摘要

The purpose of this study was to determine the difference of body temperature between infrared tympanic thermometer and infrared skin thermometer in condition of the infrared tympanic thermometer as standard. Three hundred and forty pyretic patients were recruited from the units of ward, OPD and ER in a regional teaching hospital by convenience sampling. The
Participants were divided into the group of children (n = 221) and adults (n = 119). The results of this research showed that the mean tympanic temperature was 38.28℃(0.70℃), while the mean skin temperature was 37.81℃(0.80℃) in the group of children. There was a statistical significant difference between tympanic temperature and skin temperature (p＜.001). In the group of adults, the mean tympanic temperature was 38.33℃(0.67), while the mean skin temperature was 37.70℃(0.91℃). There was a statistical significant difference between tympanic temperature and skin temperature (p＜.001). The mean tympanic temperature was higher than the skin temperature for both groups in the overall pyretic stages. The mean difference between tympanic temperature and skin temperature was 0.29℃, 0.73℃ and 1.05℃ in the group of children among the three pyretic stages. There were significant differences among low grade fever, moderate grade fever and high fever (p＜.001). The mean difference between tympanic temperature and skin temperature was 0.54℃、0.69℃ and 1.74℃ in the group of adults among the three pyretic stages. There were significant differences among low grade fever, moderate grade fever and high fever (p＜.001). The difference between tympanic temperature and skin temperature was larger in high fever, and smaller in low grade fever. The findings of this study suggest that infrared skin thermometer can be applied to the screening in community. There is no significant difference between tympanic temperature and skin temperature for normal population. As most of the body temperature of dwellers in community are normal, the infrared skin thermometer is thus suggested to use in this context, while in the pyretic condition, the appropriate method for measuring body temperature is the infrared tympanic thermometer.

並列關鍵字

Infrared tympanic thermometer ； Infrared skin thermometer ； Pyrexia

參考文獻

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