Neonatal Therapy Department, Nationwide Children's Hospital, Columbus, OH, USA.
Division of Physical Therapy, West Virginia University, Morgantown, WV, USA.
J Perinatol. 2023 Aug;43(8):1015-1019. doi: 10.1038/s41372-023-01682-9. Epub 2023 Apr 25.
There is no reliable evidence on how best to evaluate the overall status of infants with severe forms of bronchopulmonary dysplasia (BPD). The Behavioral Signs of Respiratory Instability (BSRI) scale was developed as an objective measure of developmental capacity during occupational and physical therapy sessions. The purpose of this study was to determine the psychometric properties of the BSRI Scale.
The BSRI and Respiratory Severity Score (RSS) were compared for 25 infants with BPD and 15 infants without BPD. A cross-sectional design was used to test inter-rater reliability among 10 NICU occupational and physical therapists. A prospective cohort design was used to evaluate validity.
The BSRI demonstrated good to excellent inter-rater reliability (ρ = 0.47-0.91) and was strongly correlated with RSS (ρ = -0.77, p < 0.001; concurrent validity).
The BSRI Scale has preliminary psychometric support. Standardized measures like the BSRI may provide accurate, objective data that can improve care planning within interdisciplinary teams that supports brain growth and potentially improves neurodevelopment.
目前尚无可靠的证据表明如何最好地评估患有严重支气管肺发育不良（BPD）的婴儿的整体状况。行为性呼吸不稳定（BSRI）量表是作为职业和物理治疗过程中发育能力的客观测量方法而开发的。本研究旨在确定 BSRI 量表的心理测量特性。
将 BSRI 与 RSS 比较，比较对象为 25 名患有 BPD 的婴儿和 15 名无 BPD 的婴儿。采用横断面设计来测试 10 名新生儿重症监护病房职业和物理治疗师之间的评分者间可靠性。采用前瞻性队列设计评估有效性。
BSRI 显示出良好到极好的评分者间可靠性（ρ=0.47-0.91），与 RSS 呈强相关（ρ=-0.77，p<0.001；同时效度）。
BSRI 量表具有初步的心理测量学支持。像 BSRI 这样的标准化测量方法可以提供准确、客观的数据，从而改善支持大脑生长并可能改善神经发育的跨学科团队的护理计划。
