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Amaç: Bu sistematik derlemede, son yıllarda çocuklarda yaygın olarak kullanılmaya başlanan infrared temassız alın termometresi ölçümlerinin, diğer ölçüm yöntemleri ile karşılaştırıldığı araştırmaların gözden geçirilmesi amaçlanmıştır. Yöntem: Konu ile ilgili araştırmalara ulaşmak için PubMed, Ulakbim, Türk Medline, Ulusal Tez Tarama veri tabanı ve ülkemizde düzenli olarak yayınlanan, editörlü ve çevrimiçi olarak ulaşılabilen 13 hemşirelik dergisinin arşivleri kullanılmıştır. Bulgular: Araştırmalar, infrared temassız alın termometresinin duyarlılığının “yüksek”, özgüllüğünün “düşük” olduğunu göstermektedir. İncelenen araştırmaların %37,5’i çocukların ateş ölçümlerinde en güvenilir yöntemin rektal ölçümler olduğu, infrared temassız alın termometresinin, rektal ölçüm yapılamadığı durumlarda ancak alternatif olarak kullanılabileceği, %12,5’i ise bu yöntemin kullanılmaması gerektiğini ortaya koymaktadır. Araştırmaların %31,2’sinde rektal termometre ve infrared temassız alın termometre ölçüm sonuçları arasında korelasyon düzeyinin yüksek olduğu (0,74-0,91) saptanmış olup, infrared temassız alın termometresinin çocuklarda güvenle kullanılabileceği gösterilmektedir. Sonuç: Çocuklarda, infrared temassız alın termometresi ölçümlerinin etkililiğini ortaya koyma konusunda verilerin oldukça sınırlı olmasına rağmen, araştırma sonuçları, 0-3 ay arası çocuklarda ve yoğun bakım kliniklerinde infrared temassız alın termometresinin kullanılmasının uygun olmadığını göstermektedir. Bunun yanında, ev ortamında çocuğun ateşinin değerlendirilmesi ve hızlı kullanımından dolayı da taramalarda kullanılabileceği belirtilmektedir. / Objective: In this systematic review, it was aimed to take a glance at the studies in which non-contact infrared forehead thermometer measurements were compared to other measurement techniques. Method: In order to access the studies on the issue, Pubmed, Ulakbim, Turkish Medline, National Thesis Scanning Database and the archives of 13 Nursing journals published either written or online were used. Results: The studies showed that the sensitivity of infrared non-contact forehead thermometer was “high” and its specificity was “low”. In 37.5% of the studies, it was revealed that the most reliable method of measuring fever was rectal measurement, and infrared non-contact forehead thermometer measurement could only be used as an alternative way when rectal measurement could not be performed. In addition; according to 12.5% of studies, infrared non-contact thermometer measurement technique should never be used. In 31.2% of the studies, it was shown that a high correlation (0.74 - 0.91) was determined between the rectal thermometer results and the results of infrared non-contact forehead thermometer, and infrared non-contact thermometer could safely be used in children. Conclusion: Even though the data on efficiency of infrared non-contact forehead thermometer measurements in children are rather limited, the study results set forth that it is not appropriate to use that technique in children between 0-3 months and in intensive care units. However, it is stated that infrared non-contact forehead thermometer is an easy to use technique at home owing to its easy evaluation and practicality.

Background: Oral mucositis is an important clinical problem, resulting in significant patient morbidity, a change in health-related quality of life, and supportive care. The purpose of this study was to assess the efficiency of chewing gum on children, who are receiving chemotherapy regimens, for prevention and treatment of oral mucositis. Method and Material: The study sample consisted of 60 children (30 study group-30 control group) between the ages 6-18 years. All the children have received chemotherapy at least once. Study group children chewed non-sugar gums three times a day at least 20 minutes during 10 days. In oral assessment, WHO Oral Mucositis Assessment Scale and Eilers’ Oral assessment Guide was used and also salivary pH measurement was done. Results: The rate of children who was assessed as Grade 1 and Grade 2, decreased 46.1% in study group and this rate decreased to 20.8% in the control group. At the beginning of the study, 13.3% of the study group children were assessed as Grade 3 but at the end of the study none of the children were observed at Grade 3. Also, statistically significant difference was found between study and control groups’ pH values. Conclusion: The results of that study show new evidence about preventing and decreasing severity of oral mucositis for the children, receiving chemotherapy.

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