Navegando por Palavras-chave "Medição Da Dor"

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    Somente Metadadados
    Há diferença entre o que profissionais de saúde e não profissionais de saúde olham em uma foto quando eles dizem que o recém-nascido sente dor
    (Universidade Federal de São Paulo (UNIFESP), 2021) Soares, Juliana Do Carmo Azevedo [UNIFESP]; Barros, Marina Carvalho De Moraes [UNIFESP]; Universidade Federal de São Paulo
    Objective: To verify the points of gaze fixation of health and non-health professionals, in the process of pain assessment in term newborn pictures. Method: Experimental study with 143 individuals, 84 health and 59 non-health professionals who evaluated 20 newborn pictures (2 of each newborn, one at rest and the other during a painful procedure) for 7 seconds, on a computer screen, with eye movement tracked by the Tobii TX300 Eye Tracker. After the evaluation, the participants gave a score from 0 to 10, corresponding to their perception of pain (0=absent pain; 10=maximum pain). For each image, the areas of interest (mouth, eyelid cleft, forehead and nasolabial forrow) were defined, in which areas the visual tracking outcomes were assessed: gaze fixation (Yes/No), and number and total time of gaze fixations. The homogeneity of visual tracking between health and non-health professionals was assessed using the intraclass correlation coefficient and Pearson's correlation coefficient, for each of the outcomes, in the four areas studied. Differences in eye tracking between health and non-health professionals were assessed by the Student's t-test for independent samples and the Bland Altman graph. Results: Health professionals (92.9% female; age 33.7±9.2 years), compared to non-health professionals (64.4% female; age 35.0±11.4 years) gave lower scores for no pain pictures (0.81±0.50 vs. 1.59±0.76; p=0.010), with no difference for pictures taken during the painful procedure (6.98±1.08 vs. 6.73±0.82; p=0.298). The visual tracking showed a homogeneity of the gaze between health and non-health professionals, with an almost perfect or strong correlation for the percentage of participants who fixed their gaze on the four areas of interest, for the number of fixations in the mouth, eyelid and forehead, and for the total time of fixation in the eyelid and forehead. Health compared to non-health professionals, fixed their gaze more on the mouth and sulconasolabial forrow, and less on the eyelid cleft and forehead. Conclusions: Health professionals and non-professionals in the neonatal pain assessment process have a homogeneous look. Health professionals, compared to non-health professionals look more at the mouth and at the nasolabial forrow and less at the eyelid cleft and forehead.
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    O que o pediatra olha em uma foto quando ele diz que o recém-nascido tem dor?
    (Universidade Federal de São Paulo (UNIFESP), 2020-12-18) Silva, Giselle Valerio Teixeira Da [UNIFESP]; Barros, Marina Carvalho De Moraes [UNIFESP]; Universidade Federal de São Paulo
    Objective: To verify the points of gaze fixation of pediatricians during the decision process regarding the presence or absence of pain in photos of newborns infants. Method: Experimental study, involving 38 pediatricians (92% female, 34.6±9.0 years, 22 neonatologists) who evaluated 20 photos (2 photos of each newborn: one at rest and one during a painful procedure), presented in random order for each participant, for 7 seconds, each photo. The Tobii TX300 equipment tracked eye movements in 4 areas of interest (mouth, eyes, forehead and nasolabial forrow). For each photo, pediatricians evaluated the intensity of pain and assigned a score from 0 to 10 (0 = no pain; 10 = maximum pain). The number of photos in which pediatricians fixed their gaze, the number of gaze fixations, and the total and average time of gaze fixations were compared among the areas of interest, by variance analysis (ANOVA). The visual tracking variables of the photos' evaluations were also compared using ANOVA, according to the perception of pain: present (score 6 to 10), undefined (3 to 5) and absent (0 to 2). The association between the total time of gaze fixations in the areas of interest and pain perception was assessed by logistic regression. Results: Pediatricians fixed their eyes on a greater number of photos in the mouth than in the nasolabial forrow. The number of gaze fixations was greater in the mouth, eyes and forehead than in the nasolabial forrow, and the total time of gaze fixation in the mouth and forehead was greater than in the nasolabial forrow. Controlling for the time of gaze fixation in the areas of interest, each additional second in the time of gaze fixation in the mouth (OR 1.26; 95% CI: 1.08-1.46) and in the forehead (OR 1.16; 95% CI: 1.02-1.33) was associated with an increase in the chance of the presence of pain perception in the photo presented. Conclusions: When challenged to say whether or not pain is present in photos of newborns' faces, pediatricians fix their gaze preferably in the mouth. The time of gaze fixation in the mouth and forehead is associated with an increase in the perception of the presence of pain.