新生儿口腔运动评估量表在临床中的应用  

The psychometric characteristics of Neonatal Oral- motor Assessment Scale in clinical practice

作　　者：张崇芳[1] 尹华英[1] 

机构地区：[1]重庆医科大学附属儿童医院,400014

出　　处：《中国实用护理杂志》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）

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.

关 键 词：早产儿 新生儿口腔运动评估量表 信度 效度 反应度 

分 类 号：R473.72[医药卫生—护理学]