Amanda Dos Santos Erhardt, Mariana Bueno, Taís Beppler Martins, Natália Alves Menegol, André Luís Ferreira Meireles, Dayane Montemezzo, Monique van Dijk, Luciana Sayuri Sanada
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引用次数: 0
摘要
目的：评价COMFORTneo-Brazil量表的收敛构效度、量表内信度和量表间信度以及量表内部一致性。研究设计：研究对象为24 - 42周胎龄的新生儿。通过比较COMFORTneo-Brazil得分与Échelle Douleur nouveau - n (EDIN)量表的得分来分析收敛结构效度。两名训练有素的评分员进行床边评估和视频评估，间隔10-14天，以评估评分员内部和内部的可靠性。分析采用Spearman相关、线性加权kappa、类内相关系数（ICC）、Bland-Altman图和Cronbach’s alpha。结果：共进行了133次评价。COMFORTneo-Brazil与EDIN评分之间有极好的收敛效度（rho = 0.929; p 0.9）。内部一致性也很高（Cronbach’s alpha = 0.858）。结论：COMFORTneo-Brazil是一种有效和可靠的评估新生儿长期疼痛的工具。
Validation and reliability of a scale for prolonged pain assessment in Brazilian neonates.
To evaluate the convergent construct validity, intra- and inter-rater reliability, and internal consistency of the COMFORTneo-Brazil scale.
Study design: The study included neonates between 24 and 42 weeks of gestational age. Convergent construct validity was analyzed by comparing COMFORTneo-Brazil scores with those from the Échelle Douleur Inconfort Nouveau-Né (EDIN) scale. Two trained raters performed bedside evaluations and video assessments, separated by 10-14 days, to assess intra- and inter-rater reliability. Spearman's correlation, linear weighted kappa, intraclass correlation coefficient (ICC), Bland-Altman plots, and Cronbach's alpha were used in the analysis.
Results: One hundred and thirty-three evaluations were conducted. There was excellent convergent validity between COMFORTneo-Brazil and EDIN scores (rho = 0.929; p < 0.001). The COMFORTneo-Brazil demonstrated excellent intra- and inter-rater reliability (ICC > 0.9). Internal consistency was also high (Cronbach's alpha = 0.858).
Conclusions: The COMFORTneo-Brazil is a valid and reliable tool for prolonged pain assessment in neonates.
期刊介绍：
The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development.
The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.
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