摘要
目的检验新生儿口腔运动评估量表(neonataloral.motorassessmentscale,NOMAS)在临床应用中的测量学特性及测评时间对测评结果的影响,为早产儿口腔运动功能评估工具的选择及应用提供依据。方法将91例早产儿最初2min的吸吮过程录制成录像,应用NOMAS对早产儿口腔吸吮运动进行评估。结果NOMAS在早产儿胎龄〈35周具有良好的内部一致性;NOMAS评分与早产儿喂养效率在胎龄〈35周具有较好的相关性(正常吸吮r=0.58,吸吮紊乱r=-0.61);NOMAS对吸吮紊乱的反应度较低(SRM=0.02—0.49);测评时间30S与测评时间2min的NOMAS评估结果不一致,前者的评分较高差异有统计学意义。结论NOMAS在评估胎龄〈35周的早产儿中应用具有良好的信效度,测评时间以2min最为合适。
Objective To examine the psychometric characteristics of the Neonatal Oral-motor Assessment Scale (NOMAS) and the influence of evaluation time on assessment results of oral motor skills for preterm infants., and to provide advice for the application of oral-motor assessment in clinic practice. Methods Following Palmer's method, a video recording was made for the preterm infants at different age during the first 2 min of nutritive sucking(NS). We stored the recordings on a digital videodisc and two NOMAS assessors assessed each recording. Results The NOMAS had acceptable internal con- sistency for less than 35 weeks' PMA (postmenstrual age). Moderate correlation were found between scores on the NOMAS and feeding performance for less than 35 weeks' PMA (normal sucking r=0.58, sucking dis- order r=-0.61 ).The NOMAS demonstrated low responsiveness to changes in oral-motor skill in a week period, ranging from 33 to 36 weeks' PMA (SRM=0.02-0.49). The NOMAS scores for evaluating 30 seconds and 2 minutes were not consistent, the former scores was higher. Conclusions The reliabihty and validity of NOMAS were acceptable in assessing the oral-motor function of preterm infants for less than 35 weeks' PMA. The evaluation time of NOMAS was suitable for 2 min.
出处
《中国实用护理杂志》
北大核心
2013年第9期1-4,共4页
Chinese Journal of Practical Nursing
基金
基金项目:重庆市卫生局医学科研项目(20i12251)
关键词
早产儿
新生儿口腔运动评估量表
信度
效度
反应度
Pretenn infant
Neonatal oral-motor assessment scale
Reliability
Validity
Responsiveness