دورية أكاديمية

COMFORT behaviour scale and skin conductance activity: what are they really measuring?

التفاصيل البيبلوغرافية
العنوان: COMFORT behaviour scale and skin conductance activity: what are they really measuring?
المؤلفون: Tristão RM; Faculty of Medicine, Campus Darcy Ribeiro, University of Brasilia, DF, Brazil. rmtt@unb.br, Garcia NV, de Jesus JA, Tomaz C
المصدر: Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2013 Sep; Vol. 102 (9), pp. e402-6. Date of Electronic Publication: 2013 Jul 10.
نوع المنشور: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: Norway NLM ID: 9205968 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1651-2227 (Electronic) Linking ISSN: 08035253 NLM ISO Abbreviation: Acta Paediatr Subsets: MEDLINE
أسماء مطبوعة: Publication: 2007- : Oslo : Wiley-Blackwell
Original Publication: Oslo : Scandinavian University Press, c1992-
مواضيع طبية MeSH: Acute Pain/*diagnosis , Galvanic Skin Response/*physiology , Infant Behavior/*physiology , Pain Measurement/*methods , Pain Perception/*physiology, Blood Glucose/analysis ; Blood Specimen Collection/methods ; Cohort Studies ; Facial Expression ; Female ; Gestational Age ; Humans ; Infant, Newborn ; Male ; Needles ; Prospective Studies ; ROC Curve ; Sensitivity and Specificity ; Statistics, Nonparametric
مستخلص: Aim: To assess how efficiently the COMFORT behaviour scale measures acute pain in neonates, in comparison with skin conductance activity, a validated measure of pain and stress.
Methods: Images of 36 newborns were analysed before, during and after painful heel pricks to measure glucose levels and compared with skin conductance activity variables.
Results: Scale indicators and skin conductance variables were sensitive to changes in the periods 'during-before' and 'during-after' (Wilcoxon's test, p < 0.01). Significant values were found between all scale indicators and number of waves for Kendall's coefficient (p < 0.05), although responses differed when it came to how long they took to increase and correlations varied from fair to moderate (r < 0.6). Facial tension was more closely related to 15 sec after the painful event, while crying and calmness were more closely related to the later intervals (30 and 180 sec).
Conclusion: All scale indicators were related to skin conductance activity in all periods, indicating pain perception. Facial tension was the most efficient indicator, while others varied in performance after painful events and possibly indicated stress after trauma. These results are discussed from a phenomenological approach and in an anxiety paradigm.
(©2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.)
فهرسة مساهمة: Keywords: COMFORT behaviour scale; Neonate; Pain; Phenomenological approach; Skin conductance
المشرفين على المادة: 0 (Blood Glucose)
تواريخ الأحداث: Date Created: 20130621 Date Completed: 20131031 Latest Revision: 20130805
رمز التحديث: 20240628
DOI: 10.1111/apa.12325
PMID: 23782068
قاعدة البيانات: MEDLINE
الوصف
تدمد:1651-2227
DOI:10.1111/apa.12325