WONCA研究论文摘要汇编——体温计包装说明书儿童发烧信息适切性评估

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背景大多数家长均备有体温计,但是对于体温计包装说明书信息的质量和准确性却不甚了解,这些信息是否符合最新发烧管理指南也有待检验。目的对常用体温计包装说明书信息和英国国家健康护理研究中心(NICE)儿童发烧管理指南进行比较。设计和场所2013年2—5月,从英国零售商处进行体温计系统取样。方法由体温计包装和说明书中获取信息,包括基本信息、体温计种类、使用说明、参考范围和发烧临界值。将上述信息同2013版NICE儿童发烧管理指南与父母建议进行对比。探讨体温计价格和信息水平的关系。结果共123个体温计(价格从0.99英镑到69.99英镑不等)纳入研究,其中无一体温计标明参考2013版NICE儿童发烧管理指南。大多数体温计(n=81,65.9%)建议的测量体位与2013版NICE儿童发烧管理指南一致,但是只有17(13.8%)个体温计设定了正确的发烧临界值(≥38.0℃),仅有少数体温计(n=12,9.8%)提供了发烧管理建议,有4个体温计说明书的管理建议内容并未在2013版NICE儿童发烧管理指南中提及。体温计价格和体温及说明书与2013版NICE儿童发烧管理指南一致性并无关系。结论家长和照顾者的体温计使用频率较大,但是其缺乏发烧检测和管理的实证信息,一些体温计说明书甚至提供了错误信息。这影响了2013版NICE儿童发烧管理指南的传播和实践,应规定体温计生产商根据2013版NICE儿童发烧管理指南对包装信息进行修改,使包装信息和2013版NICE儿童发烧管理指南内容一致。 Background Most parents have a thermometer, but do not understand much about the quality and accuracy of the thermometer’s package insert information. Whether this information meets the latest fever management guidelines is yet to be tested. OBJECTIVE To compare the package insert information of commonly used thermometers with the guidebook of children’s fever management in the National Institute of Health Care (NICE). Designs and Locations During February-May 2013, a thermometer system was sampled from a British retailer. Methods The thermometer package and instructions for obtaining information, including basic information, thermometer types, instructions for use, reference range and fever threshold. Compare the above information with the 2013 NICE Guidelines for Childhood Fever management and parental advice. Discuss the relationship between the thermometer price and the information level. Results A total of 123 thermometers (ranging in price from £ 0.99 to £ 69.99) were included in the study, none of which indicated reference to the 2013 NICE Guidelines for Management of Childhood Fever. The recommended measured body position for most thermometers (n = 81, 65.9%) is consistent with the 2013 NICE pediatric fever management guideline, but only 17 (13.8%) thermometers set the correct threshold for fever (≥38.0 ° C) A few thermometers (n = 12, 9.8%) provided advice on fever management, and the management recommendations for the 4 thermometers instructions were not mentioned in the 2013 NICE Guidelines for Management of Childhood Fever. Thermometer prices and body temperature and instructions and 2013 NICE children fever management guidelines does not matter. Conclusion Parents and caregivers use thermometers more frequently, but they lack empirical evidence of fever detection and management and some thermometers even provide erroneous information. This has affected the dissemination and practice of the 2013 NICE Guidelines for Management of Childhood Fever, which requires the manufacturer of the thermometer to modify the packaging information according to the 2013 NICE Guidelines for Management of Childhood Fever so that the packaging information is consistent with the 2013 NICE Guidelines for Management of Childhood Fever.
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