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Journal of Korean Academy of Fundamentals of Nursing 2006;13(3): 510
미숙아 통증지표(Premature Infant Pain Scale) 개발
김미순1, 김미진2, 함은하3, 김경미4
1삼성서울병원 신생아중환자실
2삼성서울병원 신생아중환자실
3삼성서울병원 신생아중환자실
4삼성서울병원 신생아중환자실
Development of a Premature Infant Pain Scale (PIPS)
Mi-Soon Kim1, Mi-Jin Kim2, Eun-Ha Ham3, Kyoung-Mi Kim4
1Neonatal Intensive Care Unit, Samsung Medical Center
2Neonatal Intensive Care Unit, Samsung Medical Center
3Neonatal Intensive Care Unit, Samsung Medical Center
4Neonatal Intensive Care Unit, Samsung Medical Center
Abstract
Purpose: To develop and validate a scale suitable and efficient scale for use in clinical practice as to assess pain in premature infants.
Method: Pain indicators identified by observation of preform infants. A cohort of preform infants was studied prospectively to determine the construct validity, inter-rater reliability, and internal consistency of the scale. The PIPS uses four indicators of pain: corrected gestational age, heart rate, oxygen saturation, behavioral state. The validation study included 45 premature infants with gestational age of 37 weeks or less.
Results: The inter-rater reliability of the PIPS was acceptable, with Pearson correlations ranging from.720 to.970. Internal consistency was high: Cronbach's alpha coefficients ranged from.551 to.653. There was a strong correlation between the PIPS and PIPP scores (each researcher's r=.743, each indicator's r=.914). Although gestational age showed no association between these factors and the sum, the other variables were positively associated with the sum. Time needed to calculate PIPS scores is was less than Premature Infant Pain Profile (PIPP) scores(p<.000).
Conclusion: The validation data suggest that the PIPS is appropriate and efficient for assessing pain in premature infants. Further studies are required about to determine appropriate interventions for each pain score on the PIPS.
Key words: Premature infant | Pain | Reliability | Validity
주요어: 미숙아 | 미숙아통증지표 | 신뢰도 | 타당도
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