Stevens B, Johnston C, Petryshen P, Taddio A
University of Toronto, Ontario, Canada.
Clin J Pain. 1996 Mar;12(1):13-22. doi: 10.1097/00002508-199603000-00004.
Inadequate assessment of pain in premature infants is a persistent clinical problem. The objective of this research was to develop and validate a measure for assessing pain in premature infants that could be used by both clinicians and researchers.
The Premature Infant Pain Profile (PIPP) was developed and validated using a prospective and retrospective design. Indicators of pain were identified from clinical experts and the literature. Indicators were retrospectively tested using four existing data sets.
Infants of varying gestational ages undergoing different painful procedures from three different settings were utilized to develop and validate the measure.
The largest data set (n = 124) was used to develop the PIPP. The development process included determining the factor structure of the data, developing indicators and indicator scales and establishing internal consistency. The remaining three data sets were utilized to establish beginning construct validity.
The PIPP is a newly developed pain assessment measure for premature infants with beginning content and construct validity. The practicality and feasibility for using the PIPP in clinical practice will be determined in prospective research in the clinical setting.
对早产儿疼痛评估不足是一个长期存在的临床问题。本研究的目的是开发并验证一种可被临床医生和研究人员用于评估早产儿疼痛的方法。
采用前瞻性和回顾性设计开发并验证早产儿疼痛量表（PIPP）。从临床专家和文献中确定疼痛指标。使用四个现有数据集对指标进行回顾性测试。
利用来自三个不同地点、胎龄各异且正在接受不同疼痛治疗程序的婴儿来开发和验证该评估方法。
最大的数据集（n = 124）用于开发PIPP。开发过程包括确定数据的因子结构、制定指标和指标量表以及建立内部一致性。其余三个数据集用于建立初步的结构效度。
PIPP是一种新开发的用于评估早产儿疼痛的方法，具有初步的内容效度和结构效度。PIPP在临床实践中的实用性和可行性将在临床环境中的前瞻性研究中确定。
