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COMFORTneo scale: a reliable and valid instrument to measure prolonged pain in neonates?
- Source :
-
Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2023 May; Vol. 43 (5), pp. 595-600. Date of Electronic Publication: 2023 Feb 06. - Publication Year :
- 2023
-
Abstract
- Objective: We studied the reliability and validity of the COMFORTneo scale, designed to measure neonatal prolonged pain.<br />Study Design: This prospective observational study evaluated four clinimetric properties of the COMFORTneo scale from NICU nurses' assessments of neonates' pain. Intra-rater reliability was determined from three video fragments at two time points. Inter-rater reliability and construct validity were determined in five neonates per nurse with the COMFORTneo and numeric rating scales (NRS) for pain and distress. Pain scores using N-PASS were correlated with COMFORTneo scores to further evaluate construct validity.<br />Result: Intra-rater reliability: Twenty-two nurses assessed pain twice with an intraclass correlation coefficient (ICC) of 0.70. Inter-rater reliability: The ICC for 310 COMFORTneo scores together with 62 nurses was 0.93. Construct validity: Correlation between COMFORTneo and NRS pain, distress, and N-PASS was 0.34, 0.72, and 0.70, respectively.<br />Conclusion: The COMFORTneo can be used to reliably and validly assess pain in NICU patients.<br /> (© 2023. The Author(s), under exclusive licence to Springer Nature America, Inc.)
Details
- Language :
- English
- ISSN :
- 1476-5543
- Volume :
- 43
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of perinatology : official journal of the California Perinatal Association
- Publication Type :
- Academic Journal
- Accession number :
- 36746985
- Full Text :
- https://doi.org/10.1038/s41372-023-01628-1