Deindl Philipp, Luister Alexandra, Vettorazzi Eik, Pointner Nadine, Singer Dominique, Berger Angelika, Wagner Michael, Giordano Vito
Department of Neonatology and Pediatric Intensive Care Medicine, University Children's Hospital, University Medical Center Hamburg Eppendorf, Hamburg, Germany.
Department of Neonatology and Pediatric Intensive Care Medicine, University Hospital Bonn, Bonn, Germany.
Eur J Pain. 2025 Mar;29(3):e4791. doi: 10.1002/ejp.4791.
Assessing pain in neonates is crucial for their management but is inherently subjective. This study investigated the effects of visual attention, gaze patterns, and empathic responses of neonatal healthcare professionals on their assessments of neonatal pain.
Conducted at the Department of Neonatology, University Medical Center Hamburg-Eppendorf, we employed eye-tracking to monitor staff's responses to videos depicting neonates experiencing non-noxious thermal, brief noxious, and prolonged noxious stimuli. Videos were presented in two formats: full body view, providing contextual information, and face-only view, lacking contextual details. Pain assessments were measured using a Faces Pain Rating Scale (FPRS), exploring the impacts of contextual cues, professional experience, and job roles.
The study found brief and prolonged noxious stimuli eliciting significantly higher FPRS scores compared to non-painful stimuli, with the full body view resulting in higher pain ratings than the face-only view. The mouth region attracted focused attention. Nurses generally reported higher pain scores and exhibited larger pupil diameters compared to physicians, suggesting a stronger empathic response.
This research highlights the essential role of visual cues and empathic responses in neonatal pain assessment, demonstrating how professional roles and stimulus presentation format impact evaluations, and underlining the need for standardised protocols to improve neonatal pain management accuracy.
The study emphasises the importance of visual cues and empathy in neonatal pain assessment, highlighting the roles of healthcare professionals and stimulus presentation formats. It addresses challenges in understanding neonatal pain, advocating for standardised protocols. Using eye-tracking technology, the research explores how professionals' visual attention and empathy affect pain evaluations, suggesting more objective assessment methods.
评估新生儿疼痛对其治疗至关重要，但本质上具有主观性。本研究调查了新生儿医护人员的视觉注意力、注视模式和共情反应对其新生儿疼痛评估的影响。
该研究在汉堡-埃彭多夫大学医学中心新生儿科进行，我们采用眼动追踪技术来监测工作人员对描绘新生儿经历非有害热刺激、短暂有害刺激和长时间有害刺激的视频的反应。视频以两种形式呈现：全身视图，提供背景信息；仅面部视图，缺乏背景细节。使用面部疼痛评分量表（FPRS）测量疼痛评估，探讨背景线索、专业经验和工作角色的影响。
研究发现，与非疼痛刺激相比，短暂和长时间的有害刺激引发的FPRS评分显著更高，全身视图导致的疼痛评分高于仅面部视图。嘴部区域吸引了集中注意力。与医生相比，护士通常报告的疼痛评分更高，且瞳孔直径更大，表明共情反应更强。
本研究强调了视觉线索和共情反应在新生儿疼痛评估中的重要作用，展示了专业角色和刺激呈现形式如何影响评估，并强调需要标准化方案来提高新生儿疼痛管理的准确性。
该研究强调了视觉线索和共情在新生儿疼痛评估中的重要性，突出了医护人员和刺激呈现形式的作用。它解决了理解新生儿疼痛方面的挑战，倡导采用标准化方案。通过使用眼动追踪技术，该研究探索了专业人员的视觉注意力和共情如何影响疼痛评估，提出了更客观的评估方法。
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