Journal of Nursing Science and Engineering
Online ISSN : 2432-6283
Print ISSN : 2188-4323
ISSN-L : 2188-4323
Original Article
Comparing the alarm detectability of electronic axillary thermometer in older adults aged 70 years or more: buzzer alarm, vibration alarm, or buzzer/vibration alarm
Yuiko KoyanoGojiro NakagamiHiromi Sanada
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JOURNAL FREE ACCESS

2023 Volume 10 Pages 168-178

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Abstract
 This study aimed to compare the detectability of four alarms among two kinds of axillary thermometers in adults aged ≥70 years. In this randomized crossover study, the detectability of four alarms was assessed using within-subject differences between a reference (A) and a new thermometer with lower frequency and higher volume (B1), vibration (B2), and both functions (B3). The seconds was calculated by subtracting the time buzzer or vibration going off, from the time participant detected it. Positive detectability was defined as below 5 seconds. Complete data of 47 participants (mean age, 79.7 years) were collected. The numbers (proportions) of participants able to detect the alarm of A, B1, B2, and B3 was 19 (40.4%), 31 (65. 9%), 46 (97. 8%), and 46 (97. 8%), respectively. A generalized linear mixed-effects model analysis, alarm detection was positively associated with alarm type, and age, but not between Mini-Mental State Examination. The odds ratios (95% confidence interval, P value) of B1, B2, B3, and age were 4.98 (1.15 to 21.51, P = 0.031), 688.92 (23.36 to 20316.95,P < 0.001), 688.92 (23.36 to 20316.95, P < 0.001), and 0.81(0.67 to 0.99; P ⁢ = 0.042), respectively. Vibration was the most important variable that allowed for easier detection of alarms in this group, with or without cognitive impairment.
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