Psychometric testing of a Norwegian version of the Premature Infant Pain Profile: an acute pain assessment tool. A clinical validation study.
As neonates are submitted to pain, assessing the pain is crucial in effective pain control. The Premature Infant Pain Profile, an acute measurement tool combining physiological, behavioural and contextual indicators, was translated into Norwegian and tested clinically. The purpose was to establish construct validity, interrater reliability and internal consistency. In addition, the effect of sucrose as pain analgesia was tested in neonates >or= 36 weeks of gestational age. In a known-groups comparisons design with repeated measures, 111 consecutive neonates, preterm and term, were all observed at baseline, non-pain and pain event. Neonates in the neonatal unit received sucrose at pain event. A significant interaction effect of gestational age and events was found in the sucrose neonates. A significant interaction effect was detected from sucrose and event type for neonates from 36 weeks. The internal consistency of the six-item score was acceptable. A correlation coefficient of 0.89-0.97 was obtained for interrater reliability. The Norwegian version of the Premature Infant Pain Profile seems to be a reliable and valid instrument for pain assessment in neonates.
Vederhus
Bente Johanne
BJ
Section of Nursing Science, Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway. bente.vederhus@helse-bergen.no
Eide
Geir Egil
GE
Natvig
Gerd Karin
GK
D000208:Acute Disease; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D009664:Norway; D015588:Observer Variation; D010146:Pain / Q000517:prevention & control; D010147:Pain Measurement / Q000379:methods*; D011594:Psychometrics; D015203:Reproducibility of Results; D013395:Sucrose / Q000627:therapeutic use
D013395:Sucrose