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1、中北大学2012届毕业设计说明书MeasuringTemperatureofNICUPatients-AComparisonofThreeDevicesHelenMarieRosenthal,AndrewLeslieAbstractBackground:Theprovisionofathermoneutralenvironmentisacorner-toneofneonatalcare.Anaccuratemethodoftemperaturemeasurementisrequiredinorderthatneonat
2、alnursescanprovidethiscare.Glassmercurythermometers,nowrarelyusedinthedevelopedworldwereoncethegoldstandard.Theyhavemainlybeenreplacedbymanydifferenttypesofmodernthermometers.Methods:Thisstudyaimstocomparetheaccuracyanduser-acceptabilityofoneelectronicandoneinfr
3、aredthermometer(LightouchNeonate,ExergenCorp,USA;Suretemp678,WelchAllyn,Beaverton,USA)withtraditionalglassmercurythermometryforintermittenttemperaturemeasurementontheNICU,usingtheaxillaasthemeasuringsite.Results:Theresultsdemonstrateagenerallypositiveperformance
4、ofthetwode-vicestested.Themean(SD)differencebetweenthereadingsfromtheSuretempthermometerandtheglassmercurythermometerwas0.1(±0.25)℃.ThemeandifferencebetweenthereadingsfromtheLightouchthermometerandtheglassmercurythermometeris0.07℃.IntroductionMaintainingthetherm
5、oneutralenvironmentforsickandprematurenewborninfantsisakeypartofthenurse'sroleontheNICU,asabnormaltemperatureisstronglyassociatedwithadverseoutcome(BaileyandRose,2000;CESDI,2003;Silvermanetal.,1958;WHO,1997).Obtainingaccuratemeasurementoftemperatureisanobligator
6、ystepinprovidingthermoneutrality.TemperatureofNICUpatientsmaybemeasuredinavarietyofsites,includingrectumandaxilla,andusinganumberofdifferenttools,includingglassmercurythermometersandelectronicdevices,whichmayinturnchecktemperaturecontinuously,orasone-offreadings
7、.第16页共16页中北大学2012届毕业设计说明书Mercurythermometryisnowusedrarelyinthedevelopedworld,exceptasacomparisonforevaluatingnewdevices,asinthisstudy.Thisislargelyduetoconcernsaboutthehazardsassociatedwithmercury.Mercuryemitsatoxicvapourthatcanbeinhaledorabsorbeddirectlythroug
8、htheskin.Thisvapourmaypersistformonthsoryears(Blumenthal,1992).Veryprematureneonateswiththeirincreasedskinpermeabilityareahigh-riskgroupforabsorbingmercuryvapour,espe
