Adaptación transcultural y características de la versión española de la escala COMFORT Behavior Scale en el paciente crítico pediátrico

Bosch-Alcaraz, A.; Jordán, Iolanda; Olmos, Joan Guàrdia; Falcó‐Pegueroles, Anna

doi:10.1016/j.medin.2019.07.001

Cited by 7 publications

(3 citation statements)

References 31 publications

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“…We used the COMFORT Behavior ScaledSpanish version (CBS-S) to assess the degree of discomfort of critically ill paediatric patients. 24 The CBS-S has adequate measurement properties in terms of reliability (Cronbach's alpha coefficient of 0.715), although the data obtained are weaker than those obtained from the psychometric studies of the COMFORT scale (Cronbach alpha coefficient of 0.90) and the COMFORT Behavior Scale (Cronbach alpha coefficient of 0.90e0.92). 25,26 The CBS-S comprises three dimensions with two factors each assessed by means of a Likert scale ranging from 1 to 5 points: (1) "Alertness and physical movement"; (2) "Calmness/Agitation" and "Respiratory response/ Flat", and (3) "Muscle tone" and "Facial tension".…”

Section: Instrumentsmentioning

confidence: 91%

Discomfort of the critically ill paediatric patient and correlated variables

Bosch-Alcaraz

Jordán

Benito-Aracil³

et al. 2020

Australian Critical Care

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Introduction: The care of critically ill children is usually invasive and aggressive, requiring numerous traumatic procedures that may cause fear, pain, and discomfort. Objectives: The aim of this study was to analyse the level of discomfort of patients admitted to the paediatric intensive care unit of a specialist children's hospital and to determine the sociodemographic and clinical variables that influence the degree of discomfort experienced by critically ill paediatric patients. Methods: We performed a descriptive observational cross-sectional study that included a total of 311 children with a median age of 5.07 y (interquartile range ¼ 0.9e11.7). A team of 10 paediatric critical care nurses assessed the degree of discomfort once for each shift (morning, afternoon, and night) on 2 successive days using the COMFORT Behavior ScaledSpanish version. Results: In total, 49.8% (n ¼ 155) of the patients were free of discomfort (score 10 points) vs. 50.2% (n ¼ 156) who experienced discomfort. There was a significant negative correlation between discomfort and the length of stay in days (Rho ¼ 0.16; p ¼ 0.02), that is, the longer the stay, the less discomfort the patient felt. The correlation between age and degree of discomfort was found to be both positive and significant (Rho ¼ 0.230, p < 0.001); the greater the age, the greater the discomfort. In comparison of all children who received analgosedation (n ¼ 205), with discomfort levels of 10.77 ± 2.94, with those who did not receive analgosedation (n ¼ 106), with discomfort levels of 11.96 ± 2.80, we did find a statistically significant difference (c 2 ¼ À4.05; p < 0.001). Conclusions: Half of the patients admitted to the paediatric intensive care unit experienced discomfort. Age and analgosedation were the two most important variables involved with a high degree of discomfort. Clinical care practices must consider these factors and try to plan activities designed to relieve discomfort in all critically ill paediatric patients.

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Section: Instrumentsmentioning

confidence: 91%

Discomfort of the critically ill paediatric patient and correlated variables

Bosch-Alcaraz

Jordán

Benito-Aracil³

et al. 2020

Australian Critical Care

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“…Among them, the COMFORT scale allows for assessing distress levels, states, sedation, and pain in nonverbal pediatric patients, being cry characteristics part of the assessment ( Van Dijk et al, 2000 ; Wielenga et al, 2004 ). The COMFORT scale was adapted to Spanish, and it has been shown to be a valid and reliable tool (Cronbach alpha coefficient of 0.785 for newborns) to assess comfort levels in a group of children admitted to a Spanish Intensive Care Unit ( Bosch-Alcaraz et al, 2020 , 2022 ). The COMFORT scale has been used to qualitatively evaluate the video recordings of facial expressions and body movements during each session and to identify the levels of cry distress.…”

Section: Methodsmentioning

confidence: 99%

How can cry acoustics associate newborns’ distress levels with neurophysiological and behavioral signals?

Laguna,

Pusil,

Acero-Pousa

et al. 2023

Front. Neurosci.

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IntroductionEven though infant crying is a common phenomenon in humans’ early life, it is still a challenge for researchers to properly understand it as a reflection of complex neurophysiological functions. Our study aims to determine the association between neonatal cry acoustics with neurophysiological signals and behavioral features according to different cry distress levels of newborns.MethodsMultimodal data from 25 healthy term newborns were collected simultaneously recording infant cry vocalizations, electroencephalography (EEG), near-infrared spectroscopy (NIRS) and videos of facial expressions and body movements. Statistical analysis was conducted on this dataset to identify correlations among variables during three different infant conditions (i.e., resting, cry, and distress). A Deep Learning (DL) algorithm was used to objectively and automatically evaluate the level of cry distress in infants.ResultsWe found correlations between most of the features extracted from the signals depending on the infant’s arousal state, among them: fundamental frequency (F0), brain activity (delta, theta, and alpha frequency bands), cerebral and body oxygenation, heart rate, facial tension, and body rigidity. Additionally, these associations reinforce that what is occurring at an acoustic level can be characterized by behavioral and neurophysiological patterns. Finally, the DL audio model developed was able to classify the different levels of distress achieving 93% accuracy.ConclusionOur findings strengthen the potential of crying as a biomarker evidencing the physical, emotional and health status of the infant becoming a crucial tool for caregivers and clinicians.

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“…Among them, the COMFORT scale allows for assessing distress states, sedation, and pain in nonverbal pediatric patients, being cry characteristics part of the assessment 57,58 . The COMFORT scale was adapted to Spanish, and it has been shown to be a valid and reliable tool (Cronbach alpha coe cient of 0.785 for newborns) to assess comfort in a group of children admitted to a Spanish Intensive Care Unit 59,60 . The COMFORT scale has been used to qualitatively evaluate the video recordings of facial expressions and body movements during each session and to identify the levels of distress.…”

Section: Facial Expression and Body Movement Analysismentioning

confidence: 99%

How can cry acoustics associate newborns’ distress levels with neurophysiological and behavioral signals?

LAGUNA¹,

Pusil²,

ACERO³

et al. 2022

Preprint

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Even though infant crying is a common phenomenon in humans' early life, it is still a challenge for researchers to properly understand it as a reflection of complex neurophysiological functions. Our study aims to determine the association between neonatal cry acoustics with neurophysiological signals and behavioral features according to different distress levels of newborns. Multimodal data from 25 healthy term newborns were collected simultaneously recording infant cry vocalizations, electroencephalography (EEG), near-infrared spectroscopy (NIRS) and videos of facial expressions and body movements. Results showed correlations between most of the features extracted from the signals depending on the infant’s arousal state, among them: fundamental frequency (F0), brain activity (delta, theta and alpha frequency bands), cerebral and body oxygenation, heart rate, facial tension and body rigidity. Additionally, these associations reinforce that what is occurring at an acoustic level can be characterized by behavioral and neurophysiological patterns. Our findings strengthen the potential of crying as a biomarker evidencing the physical, emotional and health status of the infant becoming a crucial tool for caregivers and clinicians.

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Adaptación transcultural y características de la versión española de la escala COMFORT Behavior Scale en el paciente crítico pediátrico

Cited by 7 publications

References 31 publications

Discomfort of the critically ill paediatric patient and correlated variables

Discomfort of the critically ill paediatric patient and correlated variables

How can cry acoustics associate newborns’ distress levels with neurophysiological and behavioral signals?

How can cry acoustics associate newborns’ distress levels with neurophysiological and behavioral signals?

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