Young-Mee Ahn; Min Sohn; Sang-Mi Lee

doi:10.4040/jkan.2010.40.4.561

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Original Article
Evaluation of Mental Status in High-Risk Neonates using Infants Coma Scale: Young-Mee Ahn, Min Sohn, Sang-Mi Lee; Journal of Korean Academy of Nursing 2010;40(4):561-570.
DOI: https://doi.org/10.4040/jkan.2010.40.4.561
Published online: August 31, 2010

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: February 25, 2010 • Accepted: August 16, 2010

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Abstract
NOTES
REFERENCES

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

This paper was supported by an Inha University Research Grant.

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Table 1

Infants Coma Scale (ICS)

Table 2

Clinical Variables of the Study Participants, (N=88)

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

Table 4

Mental Status in High Risk Infants Assessed with Infants Coma Scale

Figure & Data

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