儿科医生在评估新生儿部穿刺期间的疼痛评估时的视力集中
Erica Souza Silva1, Marina Carvalho de Moraes Barros1, Julia Baptista Lopes Borten1
1Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Pediatria, Disciplina de Pediatria Neonatal - São Paulo, SP, Brasil.
概括
儿科医生在脚跟刺伤后将目光转移到新生儿的下面,这表明他们专注于疼痛线索. 这种视觉注意力变化发生不论是感知到的疼痛强度.
科学领域:
- 新生儿护理 新生儿护理
- 儿科疼痛管理 儿科疼痛管理
- 眼科/视力研究
背景情况:
- 新生儿脚刺是常见的痛苦手术.
- 了解医疗保健提供者的视觉注意力对于优化疼痛评估和管理至关重要.
- 之前的研究并没有在新生儿疼痛手术期间详细描述眼神模式.
研究的目的:
- 为了调查儿科医生在新生儿脚跟刺痛期间的眼睛凝视模式.
- 为了确定疼痛刺激后视觉焦点是否转移.
- 为了将目光模式与新生儿感知到的疼痛水平相关联.
主要方法:
- 一项前性研究涉及24名儿科医生在新生儿脚跟刺痛期间使用眼睛跟踪眼镜.
- 儿科医生将新生儿疼痛评分在一个数字尺度 (0-10).
- 在手术前后记录了新生儿上脸,下脸和手部的视觉固定.
主要成果:
- 儿科医生显著增加了对新生儿下面脸部的凝视固定 (63%对比92%).
- 下面面部的视觉固定数量在手术后也增加了 (2.0对比5.0).
- 根据新生儿感知疼痛的强度,观察到的凝视模式没有显著差异.
结论:
- 儿科医生改变他们的视觉注意力对新生儿的下面面的痛苦刺激后.
- 这些发现突出了在新生儿疼痛评估期间将重点转移到特定的面部区域.
- 凝视模式可能反映了潜意识对面部下部疼痛指标的评估.
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