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Authors
Advisor(s)
Abstract(s)
Contexto: A manutenção da temperatura corporal dentro dos limites de normalidade
é um dos objetivos primordiais para assegurar a sobrevivência de recém-nascidos
prematuros. O controlo constante e persistente da temperatura, a necessidade de reduzir o
número de manipulações de modo a evitar stress e diminuir a taxa de infeções, induzem a
necessidade de procurar aferir a fiabilidade da monitorização da temperatura axilar com a da
temperatura cutânea que habitualmente está presente e que serve de controlo à
manutenção de um ambiente seguro.
Objetivo: Identificar se existe diferença nos valores da temperatura axilar quando
comparados com os valores obtidos por sensor cutâneo no controlo da estabilidade térmica
do recém-nascido prematuro.
Métodos: Foi realizada uma revisão sistemática da literatura com base nas
orientações do Cochrane Handbook, sobre estudos que comparavam diferentes métodos de
monitorização da temperatura corporal para recém-nascidos prematuros. Efetuada pesquisa
na EBSCO e PUBMED, entre 30 de Junho de 2017 e 31 Janeiro de 2018, da qual
resultaram 344 estudos. De forma independente, dois revisores analisaram os estudos e
foram responsáveis pela inclusão ou exclusão dos mesmos com base nos critérios
definidos. A qualidade foi avaliada através da aplicação da grelha de avaliação crítica de
estudos descrevendo um ensaio clínico prospetivo, aleatorizado e controlado conforme
orientação do CEMBE da FML e o “JBI Critical Appraisal Checklist for Randomised
Control/Pseudo-randomised Trial”.
Resultados: Dois estudos preencheram os critérios de inclusão sendo eles, um
estudo de caso controlo individual e um randomizado e controlado. Não foi possível efetuar
metanálise comparando os dados dos dois estudos uma vez que se tratam de estudos que
não seguiram procedimentos homogéneos, com desenhos e análises estatísticas diferentes.
Nos estudos selecionados não existem diferenças estatisticamente significativas entre a
temperatura axilar (avaliada com termómetro de vidro, sensor cutâneo ou termómetro digital)
e as temperaturas obtidas por sensor cutâneo abdominal em diferentes locais.
Conclusões: Para recém-nascidos prematuros clinicamente estáveis, em decúbito
dorsal, a temperatura obtida por sensor cutâneo em diferentes locais do abdómen permite
aos enfermeiros a rotação dos locais de monitorização, promovendo a estabilidade e a
integridade da pele dos recém-nascidos em condições de segurança.
Palavras chave: Recém-nascido prematuro; Temperatura corporal; Axila.
ABSTRACT Context: The maintenance of body temperature within normal limits is one of the primary objectives to ensure the survival of premature newborn. The constant and persistent control and the need to reduce the number of manipulations in order to avoid stress and decrease the rate of infections induce the need to check the reliability of axillary temperature monitoring with the skin temperature that is usually present and which serves the maintenance of a safe environment. Objective: To identify if there is a difference in axillary temperature values when compared to values obtained by cutaneous sensor in the thermal stability control of the premature newborn. Methods: A systematic literature review was conducted based on the Cochrane Handbook guidelines on studies comparing different methods of monitoring body temperature for premature newborn. A survey was conducted at EBSCO and PUBMED between June 30, 2017 and January 31, 2018, which resulted in 344 studies. Independently, two reviewers assessed the studies and were responsible for including or excluding them based on the criteria defined. Quality was evaluated by using the critical evaluation grid of the studies describing a Prospective, Randomized and Controlled Clinical Trial as directed by the FML CEMBE and by the JBI Critical Appraisal Checklist for Randomized Control / Pseudorandomized Trial Results: Two studies met the inclusion criteria being them, a case control individual and a randomized controlled study. It was not possible to perform a meta-analysis comparing data from the two studies since they were studies that did not follow homogeneous procedures, with different statistical drawings and analyzes. In these two selected studies there are no statistically significant differences between the axillary temperature (evaluated with glass thermometer, cutaneous sensor or digital thermometer) and the temperatures obtained by abdominal cutaneous sensor in different places. Conclusions: For clinically stable premature newborns in supine position, the temperature obtained by cutaneous sensor at different locations of the abdomen allows nurses to rotate the monitoring sites, promoting the stability and integrity of the newborn's skin under safe conditions. Keywords: Infant premature; Body temperature; Axilla.
ABSTRACT Context: The maintenance of body temperature within normal limits is one of the primary objectives to ensure the survival of premature newborn. The constant and persistent control and the need to reduce the number of manipulations in order to avoid stress and decrease the rate of infections induce the need to check the reliability of axillary temperature monitoring with the skin temperature that is usually present and which serves the maintenance of a safe environment. Objective: To identify if there is a difference in axillary temperature values when compared to values obtained by cutaneous sensor in the thermal stability control of the premature newborn. Methods: A systematic literature review was conducted based on the Cochrane Handbook guidelines on studies comparing different methods of monitoring body temperature for premature newborn. A survey was conducted at EBSCO and PUBMED between June 30, 2017 and January 31, 2018, which resulted in 344 studies. Independently, two reviewers assessed the studies and were responsible for including or excluding them based on the criteria defined. Quality was evaluated by using the critical evaluation grid of the studies describing a Prospective, Randomized and Controlled Clinical Trial as directed by the FML CEMBE and by the JBI Critical Appraisal Checklist for Randomized Control / Pseudorandomized Trial Results: Two studies met the inclusion criteria being them, a case control individual and a randomized controlled study. It was not possible to perform a meta-analysis comparing data from the two studies since they were studies that did not follow homogeneous procedures, with different statistical drawings and analyzes. In these two selected studies there are no statistically significant differences between the axillary temperature (evaluated with glass thermometer, cutaneous sensor or digital thermometer) and the temperatures obtained by abdominal cutaneous sensor in different places. Conclusions: For clinically stable premature newborns in supine position, the temperature obtained by cutaneous sensor at different locations of the abdomen allows nurses to rotate the monitoring sites, promoting the stability and integrity of the newborn's skin under safe conditions. Keywords: Infant premature; Body temperature; Axilla.
Description
Keywords
Axila Monitorização fisiológica Monitorização fisiológica -- métodos Recém nascido prematuro Revisão Temperatura corporal Axilla Body temperature Infant, premature Monitoring physiologic Monitoring physiologic -- methods Review