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首页> 外文学位 >Generating basic knowledge about neonatal distress behavior associated with acute pain (newborn distress related pain behavior).
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Generating basic knowledge about neonatal distress behavior associated with acute pain (newborn distress related pain behavior).

机译：生成有关与急性疼痛有关的新生儿窘迫行为的基本知识（与新生儿窘迫有关的疼痛行为）。

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摘要

One of the most difficult challenges facing researchers and clinicians is assessing pain in the newborn infant. Twenty-five years of investigation have furthered our understanding of many aspects of newborn pain, however, no uniform technique exists to reliably assess neonatal pain. Behaviors provide one of the most promising avenues for generating basic understanding of complex behavioral phenomenon and they are key to developing the kinds of descriptive knowledge required to further pain assessment and measurement efforts. In this research, basic descriptive knowledge about newborn pain behavior was generated using ethological methods.; In Phase One, the videotaped behaviors of ten newborn male infants were repeatedly observed as each underwent circumcision and non-noxious but distress-inducing events such as diaper change and restraint application. A reliable ethogram (an exhaustive listing) was developed that contained 235 molar and molecular behavioral items for describing variation in neonatal motor movement, body postures, responsiveness, self-comfort, respiration and vocalization. In Phase Two, precise duration and frequency measures of behaviors were obtained along with descriptions of the pain context from 67 minutes of videotaped data, involving four other male neonates who had undergone the same surgery. The same distress events were coded at 1-second intervals (4010 seconds total) using the ethogram from Phase One. Rank ordering of the duration scores led to the identification of 40 distress behaviors as they occurred along the continuum of distress; 13 behaviors as they occurred specific to the acute noxious event; and 25 behaviors that occurred following the three distress events. Two neonates exhibited increased sensitivity to otherwise neutral stimuli and increased frequency and prolonged durations of extreme distress following circumcision.; The thesis includes four manuscripts; two present the findings of the sequential phases of the research. One manuscript gives an overview of the research literature on neonatal pain responses and another discusses the utility of ethological methods for developing nursing knowledge about human behaviors. The document concludes with a summary chapter containing recommendations for further study.
机译：研究人员和临床医生面临的最困难的挑战之一是评估新生婴儿的疼痛。 25年的研究使我们对新生儿疼痛的许多方面有了进一步的了解，但是，尚无统一的技术可靠地评估新生儿疼痛。行为是产生对复杂行为现象的基本理解的最有前途的途径之一，它们对于开发进一步的疼痛评估和测量工作所需的各种描述性知识至关重要。在这项研究中，有关新生儿疼痛行为的基本描述性知识是使用伦理学方法获得的。在第一阶段中，反复观察了十名新生婴儿的录像带行为，因为他们每个人都进行了包皮环切术和无毒但引起痛苦的事件，例如换尿布和施加约束。开发了一个可靠的心电图（详尽的清单），其中包含235个摩尔和分子行为项，用于描述新生儿运动运动，身体姿势，反应能力，自慰，呼吸和发声的变化。在第二阶段中，从67分钟的录像数据中获得了行为的精确持续时间和频率测量值，以及对疼痛情况的描述，涉及其他四名接受过相同手术的男性新生儿。使用第一阶段的人格图，以1秒的间隔（总共4010秒）对相同的遇难事件进行编码。持续时间分数的等级排序导致在遇险连续体中发生的40种遇险行为得以识别。发生于急性有害事件的13种行为；在这三个遇险事件之后发生了25种行为。两名新生儿对包皮环切术后的中性刺激表现出更高的敏感性，频率增加，极端痛苦的持续时间延长。论文包括四篇手稿。两个提出了研究的连续阶段的发现。一份手稿概述了有关新生儿疼痛反应的研究文献，另一份手稿讨论了用伦理学方法发展有关人类行为的护理知识的实用性。该文件以总结性章节结尾，其中包含有待进一步研究的建议。

著录项

  • 作者

    Warnock, Fay Fathalee.;

  • 作者单位

    University of Alberta (Canada).;

  • 授予单位 University of Alberta (Canada).;
  • 学科 Health Sciences Nursing.
  • 学位 Ph.D.
  • 年度 2002
  • 页码 160 p.
  • 总页数 160
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;
  • 关键词

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