个性化新生儿脸谱疼痛量表的编制及信效度检验

doi:10.3761/j.issn.2096-7446.2026.01.007

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (1): 49-53.doi: 10.3761/j.issn.2096-7446.2026.01.007

个性化新生儿脸谱疼痛量表的编制及信效度检验

程晓英¹(), 舒琪¹, 赵益晟², 朱怀宇², 陈朔晖¹^,^*()

1.浙江大学医学院附属儿童医院护理部杭州市 310052
2.浙江大学信息与工程技术学院杭州市 310027

收稿日期:2025-01-23 出版日期:2026-01-10 发布日期:2026-01-06
通讯作者: 陈朔晖，E-mail：chsh2@zju.edu.cn
作者简介:程晓英：女，硕士，副主任护师，E-mail：cxynicu@163.com
基金资助:
浙江省医药卫生科技计划一般项目(2023KY129)

Design and verification of Personalized Neonatal Facial Pain Scale

CHENG Xiaoying¹(), SHU Qi¹, ZHAO Yisheng², ZHU Huaiyu², CHEN Shuohui¹^,^*()

^1. Nursing Department， Chidren’s Hospital Zhejiang University School of Medicine， Hangzhou 310052， China
^2. College of Information Science and Electronic Engineering， Zhejiang University， Hangzhou 310027， China

Received:2025-01-23 Online:2026-01-10 Published:2026-01-06
Contact: CHEN Shuohui，E-mail：chsh2@zju.edu.cn
Supported by:
Zhejiang Provincial Medical and Health Science and Technology Program(2023KY129)

摘要/Abstract

摘要：

目的编制个性化新生儿脸谱疼痛量表，在急性疼痛的临床场景下进行信效度检验。方法选取浙江省某三级甲等儿童专科医院中需要进行采血操作的118例新生儿作为研究对象，通过在采血操作过程中拍摄视频，输入不同身份信息的基础脸部图像，自动生成了高度真实的个性化新生儿脸谱疼痛量表。采用新生儿面部编码系统和新生儿疼痛量表进行对照评价。由36名儿科护士分别使用3种方法对118例新生儿的录制视频进行疼痛评分。结果个性化新生儿脸谱疼痛量表的区分度指数为0.52；评估者间一致性的组内相关系数为0.792，重测信度为0.961；以新生儿疼痛量表和新生儿面部编码系统作为效标，个性化新生儿脸谱疼痛量表效标效度Spearman相关系数分别为0.733（P<0.001）和0.721（P<0.001），Bland-Altman分析分别有94.47%和96.37%的点数落在一致性区间内。结论个性化新生儿脸谱疼痛量表对疼痛状态具有较好的区分能力与良好的信度、效度，可作为更便捷的工具用于评估新生儿急性疼痛。

关键词: 新生儿, 疼痛, 脸谱, 量表, 信度, 效度, 个性化

Abstract:

Objective To design a personalized neonatal facial pain scale and conduct reliability and validity tests in clinical scenarios of acute pain. Methods 118 newborns who required blood collection procedures in a tertiary class A children’s specialized hospital were selected as the research subjects. By taking videos during the blood collection process and inputting basic facial images with different identity information，a highly realistic personalized neonatal facial pain scale was automatically generated. The neonatal facial coding system and neonatal infant pain scale were compared and evaluated. 36 pediatric nurses were selected to use three different evaluation tools to rate pain in recorded videos of 118 newborns. Results The discrimination indices of Personalized Neonatal Facial Pain Scale was 0.52，The intra group correlation coefficient of inter-rater consistency for the Personalized Neonatal Facial Pain Scale was 0.792，with a test-retest reliability of 0.961. Using the Neonatal Pain Scale and the Neonatal Facial Coding System as criteria，the Spearman correlation coefficients for the validity of the Personalized Neonatal Facial Pain Scale were 0.733（P<0.001） and 0.721（P<0.001），respectively. Bland Altman analysis showed that 94.47% and 96.37% of the points fell within the consistency interval. Conclusion The Personalized Neonatal Facial Pain Scale have good discrimination of pain，reliability and validity，and can be used as a more convenient scale for evaluating acute pain in newborns.

Key words: Neonatal, Pain, Face, Scale, Reliability, Validity, Personalization

程晓英, 舒琪, 赵益晟, 朱怀宇, 陈朔晖. 个性化新生儿脸谱疼痛量表的编制及信效度检验[J]. 中华急危重症护理杂志, 2026, 7(1): 49-53.

CHENG Xiaoying, SHU Qi, ZHAO Yisheng, ZHU Huaiyu, CHEN Shuohui. Design and verification of Personalized Neonatal Facial Pain Scale[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 49-53.

图/表 2

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个性化新生儿脸谱疼痛量表的编制及信效度检验

Design and verification of Personalized Neonatal Facial Pain Scale

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