Verification of reliability and validity of pain scale based on quantification of facial expression movement of premature infants

基于早产儿面部表情运动量化的疼痛量表信效度验证

• 批准号: 15390672
• 负责人: YOKOO KYOOKO
• 金额: $ 9.54万
• 依托单位: HIROSHIMA UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15390672/
• 关键词: PRETERM INFANT; PAIN; PANI SCALE; FACIAL EXRESSION MOVEMENT; 3-D BEHAVIORAL ANALYSIS; INTRA-EVALUATOR RELIABILITY; INTER- EVALUATOR RELIABILITY; DEPENDENCE VALIDITY; 認定者間信頼性; 認定者内信頼性; 併存的妥当性; 身体の動き; 信頼性; 妥当性

The purpose of this study is to examine reliability and validity of pain scale developed by the applicant based on quantification of facial expression movement by 3-D behavioral analysis in order to facilitate evaluation of pain of preterm infants inclinical settings. The plan for fiscal 2005 was 1)to collect and analyze data to evaluate intra-evaluator reliability 2)to summarize results on intra-evaluator reliability/inter-evaluators reliability/concurrent validity and evaluate the scale developed by the applicant and 3)to prepare a report.The investigation was conducted at three tertiary-level NICU facilities, with 61 recorded images of scenes from 16 preterm infants and observational data of 34 nurses. As for intra-evaluator reliability, agreement was 0.761, kcoefficient 0.626 (pretty much agree), where as for inter-evaluator reliability, agreement was 0.809 (agreement with reliability) and kcoefficient 0.707 (pretty much agree). Dependence validity was compared with PIPP and was strongly correlated, with correlation coefficient (p) of 0.766 (p<0.001).The reason why intra-evaluator reliability was lower than inter-evaluator reliability, which was high, was considered to be because of the poor quality of recorded images which were used for reproducing the scenes, due to low intensity of illumination at NICU. However, because of the good inter-evaluator reliability and good correlation to PIPP used for research, the scale developed by the applicant was considered to be convenient in clinical settings.

本研究的目的是检验由申请人开发的基于三维行为分析的面部表情运动量化的疼痛量表的信度和效度，以便于评估早产儿倾斜设置的疼痛。2005年度的计划是：1）收集和分析数据以评价评价者内信度; 2）总结评价者内信度/评价者间信度/同时效度的结果，并评价申请人开发的量表; 3）编写报告。对16名早产儿的61幅场景图像和34名护士的观察数据进行了记录。评价者内信度一致性为0.761，k系数为0.626（基本一致），评价者间信度一致性为0.809（与信度一致），k系数为0.707（基本一致）。依赖性效度与PIPP进行比较，相关性很强，相关系数（p）为0.766（p<0.001）。评价者内可靠性低于评价者间可靠性的原因被认为是因为用于再现场景的记录图像质量较差，这是由于NICU的照明强度较低。然而，由于评价者间可靠性良好，且与用于研究的PIPP具有良好的相关性，因此认为申请人开发的量表在临床环境中使用方便。

项目成果

FRONTIERS OF NEWBORN MEDICINE-PAIN CONTROLOFNEWBORNINFAT

新生儿医学前沿——新生儿脂肪疼痛控制

• 发表时间: 2005
• 期刊: JOURNAL OF KINKI SOSIETY OF NEWBORN MEDICINE 14
• 作者: KYOKO YOKOO;AKIKO ABE;SAORI FUJIMOTO;MARI MURAKANII;SATOKO NAKAGOMI;横尾京子;横尾京子;KYOKO YOKOO
• 通讯作者: KYOKO YOKOO

新生児ケアからみるエスノグラフィーの先

从新生儿护理中看到的超越民族志

• 发表时间: 2005
• 期刊: こころと文化 4・2
• 作者: KYOKO YOKOO;AKIKO ABE;SAORI FUJIMOTO;MARI MURAKANII;SATOKO NAKAGOMI;横尾京子;横尾京子
• 通讯作者: 横尾京子

横尾京子: "早産児の痛みのアセスメント・ツール開発に伴う研究課題"看護研究. 36・6. 441-447 (2003)

横尾​​恭子：“与早产儿疼痛评估工具开发相关的研究问题”《护理研究》36・6（2003）。

横尾京子: "早産児の侵害受容性刺激に対する顔面表情運動の定量的検討"看護研究. 36・6. 449-460 (2003)

横尾​​恭子：“早产儿对伤害性刺激的面部表情运动的定量研究”护理研究 36・6（2003 年）。

NON PHAMACOLOGICAL PAIN TREATMENT FOR PRETERM INFANTS

早产儿的非药物疼痛治疗

• 发表时间: 2006
• 期刊: JOURNAL OF JAPAN ACADEMY OF NEONATAL NURSING 12-1
• 作者: KYOKO YOKOO;AKIKO ABE;SAORI FUJIMOTO;MARI MURAKANII;SATOKO NAKAGOMI
• 通讯作者: SATOKO NAKAGOMI