Pressler J L, Hepworth J T, Appelbaum M I, Sevcik R H, Hoffman E L
School of Nursing, College of Health & Human Development, Pennsylvania State University, University Park 16802-6508, USA.
J Nurs Meas. 1998 Winter;6(2):123-36.
The purpose of this study was to compare results found using a total summative score of abnormal reflex responses with the results found using individual reflex scores. The 20 reflexes included as part of the Brazelton Neonatal Behavioral Assessment Scale (NBAS) were assessed on 196 neonates on the 1st and 2nd days postnatally. Differences due to of type of delivery, birth weight, whether their mothers were insulin-dependent diabetics or nondiabetics, and day of testing were assessed by using analysis of variance. The key results were that all effects found using the total reflex score were replicated with individual reflex scores and that individual reflex scores also revealed effects not shown using the total score. It was concluded that the individual reflex scores, rather than the total score, should be used when evaluating newborn reflex performance.
本研究的目的是比较使用异常反射反应的总汇总分数所得到的结果与使用个体反射分数所得到的结果。对196名新生儿在出生后第1天和第2天进行了评估,这些新生儿的20种反射作为布雷泽尔顿新生儿行为评估量表(NBAS)的一部分。通过方差分析评估了分娩类型、出生体重、母亲是否为胰岛素依赖型糖尿病患者或非糖尿病患者以及测试日等因素造成的差异。关键结果是,使用总反射分数所发现的所有效应都可以用个体反射分数重现,并且个体反射分数还揭示了使用总分未显示的效应。得出的结论是,在评估新生儿反射表现时,应使用个体反射分数而非总分。