COMFORTneo 量表：一种可靠且有效的测量新生儿持续性疼痛的工具？
COMFORTneo scale: a reliable and valid instrument to measure prolonged pain in neonates?
机构信息
Department of Pediatrics, Division of Neonatology, Erasmus MC -Sophia Children's Hospital, Rotterdam, the Netherlands.
Nursing and Midwifery Sciences, Centre for Research and Innovation in Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
出版信息
J Perinatol. 2023 May;43(5):595-600. doi: 10.1038/s41372-023-01628-1. Epub 2023 Feb 6.
OBJECTIVE
We studied the reliability and validity of the COMFORTneo scale, designed to measure neonatal prolonged pain.
STUDY DESIGN
This prospective observational study evaluated four clinimetric properties of the COMFORTneo scale from NICU nurses' assessments of neonates' pain. Intra-rater reliability was determined from three video fragments at two time points. Inter-rater reliability and construct validity were determined in five neonates per nurse with the COMFORTneo and numeric rating scales (NRS) for pain and distress. Pain scores using N-PASS were correlated with COMFORTneo scores to further evaluate construct validity.
RESULT
Intra-rater reliability: Twenty-two nurses assessed pain twice with an intraclass correlation coefficient (ICC) of 0.70. Inter-rater reliability: The ICC for 310 COMFORTneo scores together with 62 nurses was 0.93. Construct validity: Correlation between COMFORTneo and NRS pain, distress, and N-PASS was 0.34, 0.72, and 0.70, respectively.
CONCLUSION
The COMFORTneo can be used to reliably and validly assess pain in NICU patients.
目的
我们研究了 COMFORTneo 量表的可靠性和有效性，该量表旨在测量新生儿的长时间疼痛。
研究设计
本前瞻性观察研究评估了从新生儿重症监护病房（NICU）护士对新生儿疼痛评估的三个视频片段中评估 COMFORTneo 量表的四项临床特性。内部评估者可靠性通过两次评估确定。内部评估者可靠性和结构效度通过每位护士对五名新生儿使用 COMFORTneo 和疼痛数字评分量表（NRS）评估疼痛和不适来确定。使用 N-PASS 的疼痛评分与 COMFORTneo 评分相关，以进一步评估结构效度。
结果
内部评估者可靠性：22 名护士两次评估疼痛，组内相关系数（ICC）为 0.70。外部评估者可靠性：62 名护士共评估的 310 个 COMFORTneo 评分的 ICC 为 0.93。结构效度：COMFORTneo 与 NRS 疼痛、不适和 N-PASS 的相关性分别为 0.34、0.72 和 0.70。
结论
COMFORTneo 可用于可靠和有效地评估 NICU 患者的疼痛。
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