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1、MeasuringTemperatureofNICUPatients-AComparisonofThreeDevicesHelenMarieRosenthal,AndrewLeslieAbstractBackground:Theprovisionofathermoneutralenvironmentisacorner-toneofneonatalcare.Anaccuratemethodoftemperaturemeasurementisrequiredinorderthatneonatalnursescanprovidethiscare.G
2、lassmercurythermometers,nowrarelyusedinthedevelopedworldwereoncethegoldstandard.Theyhavemainlybeenreplacedbymanydifferenttypesofmodernthermometers.Methods:Thisstudyaimstocomparetheaccuracyanduser-acceptabilityofoneelectronicandoneinfraredthermometer(LightouchNeonate,Exergen
3、Corp,USA;Suretemp678,WelchAllyn,Beaverton,USA)withtraditionalglassmercurythermometryforintermittenttemperaturemeasurementontheNICU,usingtheaxillaasthemeasuringsite.Results:Theresultsdemonstrateagenerallypositiveperformanceofthetwode-vicestested.Themean(SD)differencebetweent
4、hereadingsfromtheSuretempthermometerandtheglassmercurythermometerwas0.1(±0.25)℃.ThemeandifferencebetweenthereadingsfromtheLightouchthermometerandtheglassmercurythermometeris0.07℃.IntroductionMaintainingthethermoneutralenvironmentforsickandprematurenewborninfantsisakeypartof
5、thenurse'sroleontheNICU,asabnormaltemperatureisstronglyassociatedwithadverseoutcome(BaileyandRose,2000;CESDI,2003;Silvermanetal.,1958;WHO,1997).Obtainingaccuratemeasurementoftemperatureisanobligatorystepinprovidingthermoneutrality.TemperatureofNICUpatientsmaybemeasuredinava
6、rietyofsites,includingrectumandaxilla,andusinganumberofdifferenttools,includingglassmercurythermometersandelectronicdevices,whichmayinturnchecktemperaturecontinuously,orasone-offreadings.Mercurythermometryisnowusedrarelyinthedevelopedworld,exceptasacomparisonforevaluatingne
7、wdevices,asinthisstudy.Thisislargelyduetoconcernsaboutthehazardsassociatedwithmercury.Mercuryemitsatoxicvapourthatcanbeinhaledorabsorbeddirectlythroughtheskin.Thisvapourmaypersistformonthsoryears(Blumenthal,1992).Veryprematureneonateswiththeirincreasedskinpermeabilityareahi
8、gh-riskgroupforabsorbingmercuryvapour,especiallyasthewarmenvironmentrequiredforthe
