體表溫度連續監測於提早發現住院高齡者的發燒事件

Yi-Jhen CHEN; Yi-Ting CHUNG; Chang-Chun CHEN; Yen-Chin CHEN; Shih-Hsin LIANG; Jiun-Ling WANG; Chun-Yin YEH; Kun-Ta CHUANG; Nai-Ying KO

doi:10.6224/JN.202302_70(1).09

山西大学，您好！

感谢采购，人社期刊库｜人社论文库，期间：2025/01/01~2025/12/31

感谢试用，科学期刊库｜科学论文库，期间：2024/10/20~2025/01/20

浏览高级检索

关闭
检索检索高级检索出版物检索
浏览期刊主题浏览核心期刊浏览期刊拼音浏览

关闭

查询符号(半角)	查询符号意义说明
空格	表示为「AND」两个查询词之交集
双引号 ( " " )	片语以双引号标示开始及结束，而且只寻找出现顺序相同的字词，例： " image process "
?	表示一个字母切截，输入两个?表两个字母，依此类推，例：输入「Appl?」，查得结果应为appl e , appl y … ( 常用于英文字查询 )
*	表示不限字母切截，由0~n. 例：输入「appl*」，查得结果应为appl e , appl es , appl y , appl ied , appl ication … ( 常用于英文字查询 )
AND、OR、NOT	布尔逻辑组合关键字，用来扩大或缩小查询范围的技巧。 (1) AND ：缩小查询范围 (2) OR ：扩大查询范围(3) NOT：排除不相关的范围

DOI 是数位物件识别码（ D igital O bject I dentifier ）的简称，
为物件在网路上的唯一识别码，可用于永久连结并引用目标物件。

使用DOI作为永久连结

每个DOI号前面加上「 http://dx.doi.org/ 」便成为永久网址。
如以DOI号为 10.5297/ser.1201.002 的文献为例，此文献的永久连结便是： http://dx.doi.org/ 10.5297/ser.1201.002 。
日后不论出版单位如何更动此文献位置，永久连结所指向的位置皆会即时更新，不再错失重要的研究。

引用含有DOI的文献

有DOI的文献在引用时皆应同时引用DOI。若使用APA、Chicago以外未规范DOI的引用格式，可引用DOI永久连结。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。

ACI:

数据来源：Academic Citation Index，简称ACI

台湾最大的引用文献资料库，目前收录台湾与港澳地区所出版的人文学、社会学领域学术期刊之书目资料与参考文献，总期刊量超过690种，每年定期公布收录期刊的影响指数(Impact Factor)等指标给大众，并提供专家学者与学术单位实用的计量与分析功能。

五年影响指数（5-Year Impact Factor）：某一期刊前五年所出版的文章在当年度的平均被引用次数。

公式：（前五年发表论文在统计年的被引用次数）÷（前五年论文产出论文总篇数）

例如：A期刊2017年之五年影响指数

(A期刊2012-2016年发表论文在2017年的被引总次数)/(A期刊2012-2016年发表的论文总数)

什么是预刊文章？

为提供读者最前线之学术资讯，于期刊文献获同意刊登后、纸本印制完成前，率先于网路线上发表之文章即为预刊文章。预刊文章尚未有卷期、页次及出版日期资讯，但可藉由DOI号识别。 DOI号是文献的数位身份证字号，不论预刊或正式出版皆不会改变，读者可点击DOI连结，或于DOI号前面加上「 http://dx.doi.org/ 」连结到文献目前最新版本。

如何引用预刊文章？

请使用预刊文章的线上发表日期及DOI号来引用该篇文献。

引用范例(视不同引文格式规范可能有所差异)：

作者姓名。文章篇名。期刊名称。 YYYY/MM/DD线上预先发表。

doi:DOI 号

来源数据

P60 - 69

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6224/JN

书目管理工具

相关连结

问题回报

全文下载

体表温度连续监测於提早发现住院高龄者的发烧事件

Detection of Fever Using Continuous Skin Temperature Monitoring in Hospitalized Older Adults

陈怡蓁(Yi-Jhen CHEN) ；锺宜庭(Yi-Ting CHUNG) ；陈昶濬(Chang-Chun CHEN) ；陈嬿今(Yen-Chin CHEN) ；梁诗欣(Shih-Hsin LIANG) ；王竣令(Jiun-Ling WANG) ；叶俊吟(Chun-Yin YEH) ；庄坤达(Kun-Ta CHUANG) ；柯乃荧(Nai-Ying KO)

护理杂志； 70 卷 1 期 (2023 / 02 / 01) ， P60 - 69

英文 DOI： 10.6224/JN.202302_70(1).09

住院高龄者；体表温度；连续监测；发烧；穿戴装置； hospitalized older adults ； body surface temperature ； continuous monitoring ； fever ； wearable devices

0 个人觉得这篇文章赞

摘要 │ 参考文献 (32) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

Background: The continuous monitoring of body surface temperature has been proven to help detect potential fever events in hospitalized patients. However, the efficacy of using body surface temperature to detect fever in older adults remains unclear due to the relatively low and slower-to-change body surface temperature in this population. Purpose: This study was designed to investigate 1) the relationship between changes in body surface and routine tympanic temperatures, 2) the correlation between body surface temperature measurement frequency and detection of fever, and 3) the factors related to the incidence of fever in hospitalized older adults. Methods: A prospective study was conducted on 33 hospitalized older adults aged 65 years or older who were suspected to have or diagnosed with an infection in an infectious disease and medical ward at a medical center in southern Taiwan from March to November 2020. Demographic, routine tympanic temperature, and heart rate data were collected by reviewing the participants' medical records. Body surface temperatures were monitored continuously using HEARThermo every 10 seconds until one of the following conditions were met: hospital discharge, no fever for three continuous days, and HEARThermo was removed. Descriptive analysis was used to compare the variations in body surface temperature and routine tympanic temperature measurements. Pearson correlation was used to analyze the correlation between different measurement frequencies and fever events. Finally, mixed effects logistic regression was used to analyze the factors significantly related to fever events. Results: Seven hundred and twenty routine body temperature measurements were taken, with 209 (29.0%) fever events detected in 23 (69.7%) of the participants. The body surface temperatures were more closely correlated with tympanic temperatures during fever events than non-fever events (r = .260, p < .001). More fever events were detected using body surface temperature monitoring frequencies of every 10 seconds and every 1 minute. After controlling for demographic factors, the results of the mixed effect model indicate that body surface temperature and heart rate are significant factors related to fever events in hospitalized older adults (odds ratio, OR: 1.74, p < .001; OR: 1.11, p < .001). Conclusions/ Implications for Practice: The continuous monitoring of body surface temperature may improve the detection of fever events in hospitalized older adults. The application of wearable devices and cloud platforms may further facilitate the real-time assessment and care capabilities of nurses, thus reducing their workload and improving care quality.

参考文献 ( 32 ) 〈TOP〉

Buchan, C. A.,Bravi, A.,Seely, A. J.(2012).Variability analysis and the diagnosis, management, and treatment of sepsis.Current Infectious Disease Reports,14(5),512-521.
Chester, J. G.,Rudolph, J. L.(2011).Vital signs in older patients: Age-related changes.The Journal of the American Medical Directors Association,12(5),337-343.
Choi, J.-H.,Loftness, V.(2012).Investigation of human body skin temperatures as a bio-signal to indicate overall thermal sensations.Building and Environment,58,258-269.
Churpek, M. M.,Yuen, T. C.,Winslow, C.,Hall, J.,Edelson, D. P.(2015).Differences in vital signs between elderly and nonelderly patients prior to ward cardiac arrest.Critical Care Medicine,43(4),816-822.
Clifford, K. M.,Dy-Boarman, E. A.,Haase, K. K.,Maxvill, K.,Pass, S. E.,Alvarez, C. A.(2016).Challenges with diagnosing and managing sepsis in older adults.Expert Review of Anti-Infective Therapy,14(2),231-241.

国际计量

〈TOP〉

E-mail ：

文章公开取用时，将寄通知信至您填写的信箱地址