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首页> 外文期刊>Sao Paulo Medical Journal >Reliability of two behavioral tools to assess pain in preterm neonates
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Reliability of two behavioral tools to assess pain in preterm neonates

机译：两种行为工具评估早产儿疼痛的可靠性

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CONTEXT: One of the main difficulties in adequately treating the pain of neonatal patients is the scarcity of validated pain evaluation methods for this population. OBJECTIVE: To analyze the reliability of two behavioral pain scales in neonates. TYPE OF STUDY: Cross-sectional. SETTING: University hospital neonatal intensive care unit. PARTICIPANTS: 22 preterm neonates were studied, with gestational age of 34 ± 2 weeks, birth weight of 1804 ± 584 g, 68% female, 30 ± 12 hours of life, and 30% intubated. PROCEDURES: Two neonatologists (A and B) observed the patients at the bedside and on video films for 10 minutes. The Neonatal Facial Coding System and the Clinical Scoring System were scored at 1, 5, and 10 minutes. The final score was the median of the three values for each observer and scale. A and B were blinded to each other. Video assessments were made three months after bedside evaluations. MAIN MEASUREMENTS: End scores were compared between the observers using the intraclass correlation coefficient and bias analysis (paired t test and signal test). RESULTS: For the Neonatal Facial Coding System, at the bedside and on video, A and B showed a significant correlation of scores (intraclass correlation score: 0.62), without bias between them (t test and signal test: p > 0.05). For the Clinical Scoring System bedside assessment, A and B showed correlation of scores (intraclass correlation score: 0.55), but bias was also detected between them: A scored on average two points higher than B (paired t test and signal test: p < 0.05). For the Clinical Scoring System video assessment, A and B did not show correlation of scores (intraclass correlation score: 0.25), and bias was also detected between them (paired t-test and signal test: p < 0.05). CONCLUSION: The results strengthen the reliability of the Neonatal Facial Coding System for bedside pain assessment in preterm neonates.
机译：语境：适当治疗新生儿患者疼痛的主要困难之一是该人群缺乏有效的疼痛评估方法。目的：分析新生儿两种行为疼痛量表的可靠性。研究类型：横断面。地点：大学医院新生儿重症监护室。研究对象：22例早产儿，其胎龄为34±2周，出生体重为1804±584 g，女性为68％，寿命为30±12小时，并有30％经插管。程序：两名新生儿科医生（A和B）在床边和录像片上观察患者10分钟。新生儿面部编码系统和临床评分系统的评分分别为1、5和10分钟。最终分数是每个观察者和量表的三个值的中位数。 A和B彼此看不见。在床边评估后三个月进行视频评估。主要测量：使用组内相关系数和偏差分析（配对t检验和信号检验）比较观察者的最终得分。结果：对于新生儿面部编码系统，在床头和视频上，A和B表现出得分的显着相关性（类内相关性得分：0.62），而两者之间没有偏差（t检验和信号检验：p> 0.05）。对于临床评分系统床旁评估，A和B显示得分相关（类内相关得分：0.55），但它们之间也存在偏倚：A的得分平均比B高2分（配对t检验和信号检验：p < 0.05）。对于临床评分系统视频评估，A和B没有显示评分的相关性（类内相关性评分：0.25），并且它们之间也存在偏倚（配对t检验和信号检验：p <0.05）。结论：该结果增强了新生儿面部编码系统在早产儿床旁疼痛评估中的可靠性。

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