Harrison Denise, Evans Cheryl, Johnston Linda, Loughnan Peter
Royal Children's Hospital, Melbourne, Victoria, Australia.
J Obstet Gynecol Neonatal Nurs. 2002 Sep-Oct;31(5):551-7. doi: 10.1111/j.1552-6909.2002.tb00080.x.
To evaluate a method of pain assessment to be used for hospitalized infants requiring blood test by a heel lance procedure.
Observational study evaluating pain measurement and interrater reliability of pain measurement in hospitalized infants.
A Level III neonatal unit and a cardiac surgical unit at a major pediatric teaching hospital.
20 infants whose gestational age ranged from 28 weeks to full-term.
Observations included behavioral measurements (facial expressions, body movements, and crying characteristics) and the physiologic measure of heart rate. Interrater reliability and the feasibility of using the procedural pain assessment method at the bedside were considered.
The three behavioral measurements and heart rate were responsive to the heel lance. Interrater reliability was high for facial expressions and crying scores but was low for body movements.
Modifications have been made to the method of procedural pain assessment to be used in a subsequent study. The modified method is expected to be a reliable measure of procedural pain caused by a heel lance and can easily be used at the bedside during the course of further research.
评估一种用于需通过足跟采血进行血液检测的住院婴儿的疼痛评估方法。
观察性研究，评估住院婴儿疼痛测量及疼痛测量的评估者间信度。
一家大型儿科教学医院的三级新生儿病房和心脏外科病房。
20名胎龄在28周至足月之间的婴儿。
观察包括行为测量（面部表情、身体动作和哭声特征）以及心率的生理测量。考虑了评估者间信度以及在床边使用该操作疼痛评估方法的可行性。
三项行为测量和心率对足跟采血有反应。面部表情和哭声评分的评估者间信度较高，但身体动作的评估者间信度较低。
已对操作疼痛评估方法进行修改，以便用于后续研究。预期修改后的方法能可靠地测量足跟采血引起的操作疼痛，且在进一步研究过程中可轻松在床边使用。
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