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Ahn, Sohn, and Lee: Evaluation of Mental Status in High-Risk Neonates using Infants Coma Scale
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2010; 40(4): 561-570.

Published online: 31 August 2010

DOI: https://doi.org/10.4040/jkan.2010.40.4.561

Evaluation of Mental Status in High-Risk Neonates using Infants Coma Scale

Young-Mee Ahn1, Min Sohn2, Sang-Mi Lee3

1Professor, Department of Nursing, Inha University, Incheon, Korea.

2Assistant Professor, Department of Nursing, Inha University, Incheon, Korea.

3Doctoral Student, Department of Nursing, Inha University, Incheon, Korea.

Address reprint requests to: Sohn, Min. Department of Nursing, Inha University, 253 Yonghyeon-dong, Nam-gu, Incheon 402-751, Korea. Tel: 82-32-860-8212, Fax: 82-32-874-5880, sohnmin@inha.ac.kr

Received 25 February 2010       Accepted 16 August 2010

Copyright © 2010 Korean Society of Nursing Science

Abstract

Purpose

This was a cross sectional descriptive study to introduce the Infants Coma Scale (ICS), describe mental status of high risk infants using ICS and explore the relationships between ICS and clinical variables in infants hospitalized in a neonatal intensive care unit of a university hospital in Korea.

Methods

After ICS was developed and tested by the authors, a research nurse evaluated the mental status of the infants using the English version of ICS and obtained clinical information on the infants from their medical records.

Results

Data from 88 infants were analyzed. About 60% were male, 90% were preterm births, and 40% had pathologic abnormalities. Their mean gestational age was 32.4 (±3.50) weeks and the mean birth weight was 1,842 (±728.6) grams. The Cronbach's alpha for the ICS was .78. There was a statistically significant positive correlation between ICS total score and five clinical variables including gestational age, birth weight, 1 and 5 min Apgar scores and respiration status.

Conclusion

Mental status is an important parameter in nursing assessment. ICS is a valid and reliable instrument, which clinicians can easily use to evaluate the mental status of high risk infants.

Keywords: Neonatal intensive care, Nursing assessment, Neurologic examination, Glasgow Coma Scale, Infant

Figures and Tables

Table 1
Infants Coma Scale (ICS)
jkan-40-561-i001
Table 2
Clinical Variables of the Study Participants, (N=88)
jkan-40-561-i002

PTB=Preterm birth; RDS=Respiratory distress syndrome; TTN=Transient tachypnea of the newborn; IUGR=Intrauterine growth retardation.

Table 3
Correlations between Infants Coma Scale and Clinical Variables
jkan-40-561-i003
Table 4
Mental Status in High Risk Infants Assessed with Infants Coma Scale
jkan-40-561-i004

Notes

This paper was supported by an Inha University Research Grant.

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