对COMFORTneo尺度对早产婴儿的有效性和适用性的批判性评估
Erik Koning1, Arend F Bos1, Elisabeth M W Kooi1
1Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital University Medical Center Groningen, University of Groningen Groningen the Netherlands.
Paediatric & neonatal pain
|July 7, 2025
概括
康福特 (COMFORTneo) 疼痛量表显示早产婴儿的单维性,但难以准确区分极度早产婴儿的疼痛,特别是那些在呼吸机上的婴儿. 对于这个脆弱群体,需要进一步验证.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 儿科疼痛评估 儿科疼痛评估
- 婴儿发育婴儿的发展.
背景情况:
- 康福特尼奥尺度是评估婴儿疼痛的常见工具.
- 它对极度早产 (EPT) 婴儿 (妊娠期<26周) 的可靠性尚未得到充分证实.
- 准确的疼痛评估对于早产婴儿的最佳护理至关重要.
研究的目的:
- 评估COMFORTneo尺度在极度早产 (EPT) 婴儿与其他早产 (PT) 婴儿之间的有效性和区分能力.
- 评估EPT婴儿中COMFORTneo尺度的单维性.
- 为了确定COMFORTneo尺度中的特定项目,这些项目可能无法有效地区分EPT婴儿的疼痛.
主要方法:
- 在2018年至2022年期间,对怀孕37周之前出生的婴儿进行了回顾性队列研究.
- 来自新生儿重症监护病房的COMFORTneo尺度数据的分析.
- 使用部分信用模型进行统计评估,用于单维性和差异性项目,用于区分能力.
主要成果:
- 在COMFORTneo尺度表现出所有研究过的早产婴儿的单维性.
- 在EPT婴儿中,特定的项目 (警觉,面部紧张) 无法区分呼吸婴儿的疼痛.
- 兴奋和肌肉度项目在区分非通风EPT婴儿的疼痛方面无效.
结论:
- 虽然COMFORTneo尺度对早产婴儿来说是单维的,但对极早产婴儿来说,它辨别疼痛的能力是有限的.
- 某些COMFORTneo产品需要重新评估它们对EPT婴儿的有效性,特别是那些需要机械通风的产品.
- 需要进一步的研究来完善疼痛评估工具,以满足极度早产婴儿的独特需求.
更多相关视频
06:29Electrophysiological Measurement of Noxious-evoked Brain Activity in Neonates Using a Flat-tip Probe Coupled to Electroencephalography
Published on: November 29, 2017
6.8K
05:58Application of an Amplitude-integrated EEG Monitor Cerebral Function Monitor to Neonates
Published on: September 6, 2017
39.3K
相关概念视频
01:29Reliability and Validity
13.2K
Reliability and validity are two important considerations that must be made with any type of data collection. Reliability refers to the ability to consistently produce a given result. In the context of psychological research, this would mean that any instruments or tools used to collect data do so in consistent, reproducible ways.
13.2K
01:15Nursing Evaluation
3.6K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.6K
01:14Temperature Measurement Sites
2.2K
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
2.2K