Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Comparison of Tympanic and Axillary Temperatures

고막체온과 액와체온의 비교 연구 - 성인대상자를 중심으로 -

  • Yea, Jae-Hee (Department of Nursing, Gachon University of Medicine and Science) ;
  • Jo, Hyun-Sook (Department of Nursing, Gachon University of Medicine and Science)
  • 유재희 (가천의과학대학교 간호과학부) ;
  • 조현숙 (가천의과학대학교 간호과학부)
  • Published : 2009.05.31
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Abstract

Purpose: To verify the usability of tympanic temperature measurement for adults, a comparison of tympanic and axillary temperatures was done. Method: The study was conducted during October 2008, and participants were 110 female nursing students. Axillary temperatures were taken with glass mercury thermometers for 5, 7 and 10 minutes. Tympanic temperatures were taken with Infrared Thermometer IRT 4520 on both ears, twice at a 5-second interval. The data were analyzed using the SPSS 12.0 program. Results: In the 1st measurement, the mean for right tympanic temperatures ($0.06^{\circ}C$) and for left ($0.03^{\circ}C$) were significantly higher than the 2nd. A comparison of mean temperatures for right and left, showed that the mean for the left side on the 1st measurement was significantly higher ($0.01^{\circ}C$) than the right. Also the temperature on left side in the 2nd measurement was higher ($0.04^{\circ}C$) than the right 2nd, but not significantly higher. The mean temperature for right and left tympanic on 1 st and 2nd measurements were significantly higher than axilla for 5 minutes ($0.58^{\circ}C$), for 7 minutes ($0.52^{\circ}C$), and for 10 minutes ($0.43^{\circ}C$). The tympanic temperature was the most closely correlated with the axillary temperature at 10 minutes. Conclusion: Findings indicate that measurement of tympanic temperature is a useful alternative to axillary temperature taken for 10 minutes.

Keywords

References

  1. Baird, S. C., White, N. E., & Basinger, M. (1992). Can you rely on tympanic thermometers? RN, 55(8), 48-51.
  2. Choi, M. E, Kim, J. H., Park. M. J. Choi, S. M., & Lee, K. S. (2001). Physiology, Seoul: Hyunmoonsa.
  3. Clemente, C. D. (1985). Gray's anatomy of the human body (30th ed.). Philadelphia: Lea & Febiger.
  4. Devrim, I., Kara, A., Ceyhan, M., Tezer, H., Uludag, A. K., Cengiz, A. B., et al. (2007). Measurement accuracy of fever by tympanic and axillary thermometry. Pediatric Emergency Care, 23(1), 16-19. https://doi.org/10.1097/PEC.0b013e31802c61e6
  5. Editors of Nursing (2007). Take care with tympanic temperature readings. Nursing, 37(4), 52-53.
  6. Erickson, R. S., & Woo, T. M. (1994). Accuracy of infrared ear thermometry and traditional temperature methods in young children. Heart & Lung, 23(3), 181-195.
  7. Farnell, S., Maxwell, L., Tan, S., Rhodes, A., & Philips, B. (2005). Temperature measurement: Comparison of noninvasive methods used in adult critical care. Journal of Clinical Nursing, 14(5), 632-639. https://doi.org/10.1111/j.1365-2702.2004.00916.x
  8. Fraden, J., & Lackey, R. P. (1991). Estimation of body sites temperatures from tympanic measurements. Clinical Pediatrics, 30(4), 65-70.
  9. Hong, Y. S., & Lee, S. O. (1975). An experimental study on the shortest optimum time for body temperature measurement. Journal of Korean Academy of Nursing, 5(2), 38-50.
  10. Hwang, J. S., & Sohng, K. Y. (1997). Comparison of rectal temperature with axillary and tympanic temperature. Journal of Korean Academy of Fundamentals of Nursing, 4(2), 351-358.
  11. Jensen, B. N., Jensen, F. S., Madsen, S. N., & Lessl, K. (2000). Accuracy of digital tympanic, oral, axillary, and rectal thermometers compared with standard rectal mercury thermometers. European Journal of Surgery, 166(11), 848-851. https://doi.org/10.1080/110241500447218
  12. Jeong, I. S., & Yoo, E. J. (1997). Study on the body temperature measuring time and accuracy and reliability of tympanic thermometer. Journal of Korean Academy of Fundamentals of Nursing, 4(1), 19-30.
  13. Kang, H. S., Im, L. Y., Oh, S. Y., Kim, Y. O., Hong, K. P., Kang, J. H., et al. (2006). Fundamentals of nursing I. Seoul: Soomoonsa.
  14. Kim, H. S., & Song, M. G. (1998). Comparison of rectal temperature and tympanic membrane: Temperature in surgical intensive care unit patients. Nursing Science, 10(2), 22-30.
  15. Kim, H. S., & Ahn, Y. M. (1999). Comparison by measurement sites in temperature of neonates: Ear-based rectal, rectal, axilla, abdominal temperature. Journal of Korean Academy of Nursing, 29(4), 903-916.
  16. Kim, J. S. (2001). The comparison of tympanic and axillary temperature measurement for emergency room patients. Unpublished master's thesis, Chonnam National University, Gwangju.
  17. Kocoglu, H., Goksu, S., Isik, M., Akturk, Z., & Bayazit, Y. A. (2002). Infrared tympanic thermometer can accurately measure the body temperature in children in an emergency room setting. International Journal of Pediatric Otorhinolaryngology, 65(1), 39-43.
  18. Koo, H. Y., & Son, J. T. (2005). Comparison of inguinal, rectal, axillary, and tympanic temperature in newborns. Journal of Korean Academy of Child Health Nursing, 11(2), 203-210.
  19. Lee, M. H., Son, J. T., Jang, E. H., Ha, N. S., Park, M. J., Kang, K. S., et al (2003). An introduction to fundamentals of nursing. Seoul: Jungdammedia.
  20. Moran, J. L., Peter, J. V., Solomon, P. J., Grealy, B., Smith, T., Ashforth, W., et al. (2007). Tympanic temperature measurements: Are they reliable in the critically ill? A clinical study of measures of agreement. Critical Care Medicine, 35(1), 155-164. https://doi.org/10.1097/01.CCM.0000250318.31453.CB
  21. Nichols, G. A., Ruskin, M. M., Glor, B. A. K., & Kelly, W. H. (1966). Oral, axillary, and rectal temperature determinations and relationships. Nursing Research, 15(4), 307-310. https://doi.org/10.1097/00006199-196615040-00004
  22. Onur, O. E., Guneysel, O., Akoglu, H., Aydin, Y. D., & Denizbasi, A. (2008). Oral, axillary, and tympanic temperature measurements in older and younger adults with or without fever. European Journal of Emergency Medicine, 15(6), 334-337. https://doi.org/10.1097/MEJ.0b013e3283036cfe
  23. Park, C. W., & Park, S. N. (2007). Development of standard and improvement of reliability in body temperature measurements. Journal of the Korean Society for Precision Engineering, 24(9), 32-36.
  24. Pransky, S. M. (1991). The impact of technique and of the tympanic membrane upon infrared thermometry. Clinical Pediatrics, 30(4), 50-52. https://doi.org/10.1177/000992289103000415
  25. Schmitt, B. D. (1991). Behavioral aspects of temperature-taking. Clinical Pediatrics, 30(4), 8-10.
  26. Seo, Y. W. (1992). A comparative study between optimal axillary and rectal body temperatures and optimal thermometer placement time in the full-term normal neonate. Unpublished master's thesis, Yonsei University, Department of Nursing.
  27. Sohng, K. Y., Kang, S. S., Hwang, J. S., & Kim, M. J. (1998). Accuracy of temperature measurements, nursing time for measuring temperature and the validity of fever detection. Journal of Korean Academy of Fundamentals of Nursing, 5(1), 33-45.
  28. Spitzer, O. P. (2008). Comparing tympanic temperatures in both ears to oral temperature in the critically ill adult. Dimensions of Critical Care Nursing, 27(1), 24-29. https://doi.org/10.1097/01.DCC.0000304671.83874.05
  29. Stephen, S. B., & Sexton, P. R. (1987). Neonatal axillary temperatures: Increases in readings over time. Neonatal Network, 5(6), 25-28.
  30. Yun, K. W., & Lim, I. S. (2005). A study for accuracy and usefulness of tympanic membrane and forehead thermometers. Korean Journal of Pediatrics, 48(8), 820-825.