Skip to main content

Open Access Determining the Structure of Acute Pain Responses in Vulnerable Neonates Analyse de la structure des réponses à la douleur aiguë chez des nouveau-nés vulnérables

Download Article:
 Download
(PDF 240.197265625 kb)
 

Abstract:

The primary purpose was to determine the underlying structure of the vulnerable infant's response to an acute painful procedure. The secondary purpose was to explore the influence of context (e.g., risk for neurological impairment [NI] and gestational age [GA]). A descriptive cohort design determined contributions of selected indicators to the structure of infant pain. The magnitude of variance for 19 pain indicators was assessed using 3 exploratory factor analyses in 149 neonates. The basic exploratory factor structure included behavioural (e.g., facial actions) and physiological (e.g., oxygen saturation, heart rate) indicators. Facial actions accounted for the greatest variance across all factor solutions (29–39%). Physiological indicators explained 8 to 26% additional variance. There were no consistent differences in the factor structures when contextual factors were explored.

French
Le but principal du projet était de déterminer la structure sous-jacente de la réponse du nouveau-né vulnérable à une intervention causant une douleur aiguë. Son but secondaire était d'analyser l'influence du contexte (p. ex. risque d'affection neurologique [AN] et âge gestationnel [AG]). L'étude d'une cohorte descriptive a permis d'établir le rôle des indicateurs sélectionnés relativement à la structure de la douleur chez le nourrisson. On a effectué une analyse de variance sur 19 indicateurs de la douleur à l'aide de trois analyses factorielles chez 149 nouveau-nés. La structure factorielle préliminaire comprenait des indicateurs comportementaux (p. ex. mouvements faciaux) et physiologiques (p. ex. saturation en oxygène, fréquence cardiaque). Les mouvements faciaux ont obtenu la variance la plus élevée pour toutes les solutions factorielles (29-39 %). Les indicateurs physiologiques expliquent 8 à 26 % de la variance additionnelle. On n'a observé aucune différence systématique entre les structures factorielles dans l'analyse des facteurs contextuels.

Keywords: ASSESSMENT; FACTOR ANALYSES; INDICATORS; INFANT; PAIN

Document Type: Research Article

Publication date: 2007-06-01

More about this publication?
  • To the CJNR Readership:

    We are excited to report that as of January 2016, the CJNR (Canadian Journal of Nursing Research) is being published under the SAGE Publications, Inc. banner.

    All inquiries relating to future issues of CJNR should be directed to:

    Daniel Ruth
    Senior Acquisitions Editor
    SAGE Publications In
    T (805) 410-7251
    E dan.ruth@sagepub.com
    www.sagepub.com

    Currently published issues of the CJNR (1969-2015) are being moved to the McGill online archives where they will be hosted in perpetuity. This migration should be completed by Spring 2016. During this transition, all issues of CJNR remain accessible to our readers as before:

    1) Past issues of CJNR from 2003 to December 2015 through ingentaconnect.

    2) Issues from 2002 to 1969 can be accessed through the CJNR digital archive.

    We understand that this is a significant change. Please be confident that all parties are working diligently to make this a seamless transition that will further advance the scope and impact of CJNR.

    Thank you.
  • Editorial Board
  • Information for Authors
  • Subscribe to this Title
  • Archives
  • Overview / Permissions
  • Ingenta Connect is not responsible for the content or availability of external websites
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more