VALIDATION OF THE CHILDREN'S HOSPITAL OF IOWA INFANT PAIN SCALE

这个子项目是许多研究子项目中的一个 由NIH/NCRR资助的中心赠款提供的资源。子项目及 研究者（PI）可能从另一个NIH来源获得了主要资金， 因此可以在其他CRISP条目中表示。所列机构为 研究中心，而研究中心不一定是研究者所在的机构。 新生儿疼痛的评估和量化是一项艰难的奋进，已经研究了几十年。 许多疼痛量表已开发的各种亚组的婴儿，但大多数缺乏临床实用性的各种原因。 需要一种疼痛评估工具，该工具在心理测量学上是合理的，临床上是可行的，并且对不同胎龄的婴儿有用，从非常非常早产（小于26周）到足月新生儿（40周）。 极早产儿和足月儿的疼痛行为差异显著。 需要一种评估工具，可以用于广泛不同的胎龄组。 爱荷华州儿童医院婴儿疼痛（CHIIP）量表，由爱荷华州儿童医院开发，是一种潜在的有用量表。 这项工作扩展了CHIIP的有效性和可靠性估计。 在UIHC的NICU中接受止痛药治疗的婴儿将在用药前和用药后约30分钟进行录像。 不知道医学前或医学后状态的评分者将使用CHIIP量表对视频进行评分。 将对60名婴儿进行录像，每个胎龄组（<28周、28至36周和>36周）各20名。 将分析配对视频之间疼痛评分的差异。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The assessment and quantification of neonatal pain is a difficult endeavor that has been studied for several decades. Numerous pain scales have been developed for various subgroups of infants, but most lack clinical utility for various reasons. A pain assessment tool is needed that is psychometrically sound, clinically feasible, and useful with infants of varying gestational ages, from the very, very preterm (less than 26 weeks) to the full term neonate (40 weeks). Pain behaviors of very preterm infants and full term infants differ remarkably. An assessment tool is needed that can be used for widely different gestational age groups. Children's Hospital of Iowa Infant Pain (CHIIP) Scale, developed at Children's Hospital of Iowa, is a potentially useful scale. This work extends the validity and reliability estimations for the CHIIP. Infants in the NICU at UIHC who are receiving pain medication will be videotaped just before the medication and approximately 30 minutes after the medication. Raters who are blind to pre-med or post-med status will score the videos using the CHIIP scale. Sixty babies, with 20 in each gestational age group (<28 weeks, 28 through 36 weeks, and >36 weeks), will be videotaped. Differences in pain scores between paired videos will be analyzed.