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Assessing Distress in Pediatric Intensive Care Environments: The COMFORT Scale
Abstract
Managing psychological distress is a central treatment goal in Pediatric Intensive Care Units (PICUs), with medical and psychological implications. However, there is no objective measure for assessing efficacy of pharmacologic and psychological interventions used to reduce distress. Development of the COMFORT scale is described, a nonintrusive measure for assessing distress in PICU patients. Eight dimensions were selected based upon a literature review and survey of PICU nurses. Interrater agreement and internal consistency were high. Criterion validity, assessed by comparison with concurrent global ratings of PICU nurses, was also high. Principal components analysis revealed 2 correlated factors, behavioral and physiologic, accounting for 84% of variance. An ecological-developmental model is presented for further study of children's distress and coping in the PICU.
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Breivik, H., Borchgrevink, P. C., Allen, S. M., Rosseland, L. A., Romundstad, L., Breivik Hals, E. K., Kvarstein, G., & Stubhaug, A. (2008) · British Journal of Anaesthesia · doi:10.1093/bja/aen103 · Cited by 2,108
Jacobi, J., Fraser, G. L., Coursin, D. B., Riker, R. R., Fontaine, D., Wittbrodt, E. T., Chalfin, D. B., Masica, M. F., Bjerke, H. S., Coplin, W. M., et al. (2002) · Critical Care Medicine · doi:10.1097/00003246-200201000-00020 · Cited by 1,895
Assessing pain in critically ill sedated patients by using a behavioral pain scale
Payen, J.-F., Bru, O., Bosson, J.-L., Lagrasta, A., Novel, E., Deschaux, I., Lavagne, P., & Jacquot, C. (2001) · Critical Care Medicine · doi:10.1097/00003246-200112000-00004 · Cited by 1,043
Prospective evaluation of the Sedation-Agitation Scale for adult critically ill patients
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McGrath, P. J., Walco, G. A., Turk, D. C., Dworkin, R. H., Brown, M. T., Davidson, K., Eccleston, C., Finley, G. A., Goldschneider, K., Haverkos, L., et al. (2008) · The Journal of Pain · doi:10.1016/j.jpain.2008.04.007 · Cited by 851
Metadata
- Authors
- Ambuel, B., Hamlett, K. W., Marx, C. M., & Blumer, J. L.
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 1992
- Volume
- 17
- Issue
- 1
- Pages
- 95-109
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2148393693
- Cited by
- 778
- References
- 0
- FWCI
- 2.20
- Type
- journal article
- Language
- en
- Open access
- closed
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- Ambuel, B., Hamlett, K. W., Marx, C. M., & Blumer, J. L. (1992). Assessing Distress in Pediatric Intensive Care Environments: The COMFORT Scale. Journal of Pediatric Psychology. https://doi.org/10.1093/jpepsy/17.1.95
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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