Specific newborn individualized developmental care and assessment program movements are associated with acute pain in preterm infants in the Neonatal Intensive Care Unit.
OBJECTIVE: The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is widely used in neonatal intensive care units and comprises 85 discrete infant behaviors, some of which may communicate infant distress. The objective of this study was to identify developmentally relevant mov...
| Publicado en: | Pediatrics Vol. 114; no. 1; pp. 65 - 73 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Academy of Pediatrics
Jul2004
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106624014&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106624014 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00314005 PDT jtl: Pediatrics issn: 00314005 maglogo: N pubinfo: dt: Jul2004 vid: 114 iid: 1 pid: 1659 pub: American Academy of Pediatrics place: Elk Grove Village, Illinois artinfo: ui: 106624014 2005077870 10.1542/peds.114.1.65 NLM15231909 106624014 ppf: 65 ppct: 8 formats: tig: atl: Specific newborn individualized developmental care and assessment program movements are associated with acute pain in preterm infants in the Neonatal Intensive Care Unit. aug: au: Holsti L Grunau RE Oberlander TF Whitfield MF affil: Centre for Community Child Health Research, British Columbia Research Institute for Children's and Women's Health, Vancouver, British Columbia, Canada; lholsti@cw.bc.ca sug: subj: Infant Behavior Classification Infant, Premature Physiology Pain Measurement Methods Pain Diagnosis Acute Disease Analysis of Variance British Columbia Clinical Assessment Tools Facial Expression Female Funding Source Heart Rate Infant Care Infant, Newborn Infant, Premature Psychosocial Factors Intensive Care Units Intensive Care Units, Neonatal Male Movement Pearson's Correlation Coefficient Post Hoc Analysis Repeated Measures Sleep T-Tests Videorecording Wakefulness Human Infant, Newborn: birth-1 month Female Male ab: OBJECTIVE: The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is widely used in neonatal intensive care units and comprises 85 discrete infant behaviors, some of which may communicate infant distress. The objective of this study was to identify developmentally relevant movements indicative of pain in preterm infants. METHODS: Forty-four preterm infants were assessed at 32 weeks' gestational age (GA) during 3 phases (baseline, lance/squeeze, and recovery) of routine blood collection in the neonatal intensive care unit. The NIDCAP and Neonatal Facial Coding System (NFCS) were coded from separate continuous bedside video recordings; mean heart rate (mHR) was derived from digitally sampled continuous electrographic recordings. Analysis of variance (phase x gender) with Bonferroni corrections was used to compare differences in NIDCAP, NFCS, and mHR. Pearson correlations were used to examine relationships between the NIDCAP and infant background characteristics. RESULTS: NFCS and mHR increased significantly to lance/squeeze. Eight NIDCAP behaviors also increased significantly to lance/squeeze. Another 5 NIDCAP behaviors decreased significantly to lance/squeeze. Infants who had lower GA at birth, had been sicker, had experienced more painful procedures, or had greater morphine exposure showed increased hand movements indicative of increased distress. CONCLUSIONS: Of the 85 NIDCAP behaviors, a subset of 8 NIDCAP movements were associated with pain. Particularly for infants who are born at early GAs, addition of these movements to commonly used measures may improve the accuracy of pain assessment. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|