pain and stress assessment after retinopathy of prematurity screening examination indirect ophthalmoscopy versus digital retinal imaging疼痛和压力评估早产儿视网膜病变后筛选检查眼底视网膜成像和数字.pdfVIP

Moral-Pumarega et al. BMC Pediatrics 2012, 12:132 /1471-2431/12/132 RESEARCH ARTICLE Open Access Pain and stress assessment after retinopathy of prematurity screening examination: Indirect ophthalmoscopy versus digital retinal imaging 1 1 1,2* 1 M Teresa Moral-Pumarega , Sonia Caserío-Carbonero , Javier De-La-Cruz-Bértolo , Pilar Tejada-Palacios , David Lora-Pablos2 and Carmen R Pallás-Alonso1 Abstract Background: Increasingly, neonatal clinics seek to minimize painful experiences and stress for premature infants. Fundoscopy performed with a binocular indirect ophthalmoscope is the reference examination technique for screening of retinopathy of prematurity (ROP), and it is associated with pain and stress. Wide-field digital retinal imaging is a recent technique that should be evaluated for minimizing infant pain and stress. Methods: The purpose of the study was to assess and compare the impact of using a binocular indirect ophthalmoscope (BIO), or wide-field digital retinal imaging (WFDRI) on pain and stress in infants undergoing ROP screening examination. This was a comparative evaluation study of two screening procedures. Ophthalmologic examinations (N = 70) were performed on 24 infants with both BIO and WFDRI. Pain assessments were performed with two specific neonatal scales (Crying, requires oxygen, increased vital signs, expression and sleeplessness, CRIES and, Premature infant pain profile, PIPP) just prior to the examination, and 30 seconds, 1 hour, and 24 hours later after ending the examination. Results: Changes over time were significantly different between BIO and WFDRI with both scales (PIPP score, p = .007, and CRIES score, p = .001). Median PIPP score (interqua