Zelikovsky N, Rodrigue J R, Gidycz C A, Davis M A
University of Florida, USA.
J Pediatr Psychol. 2000 Dec;25(8):535-43. doi: 10.1093/jpepsy/25.8.535.
To reduce young children's distress and increase coping behavior among children undergoing a voiding cystourethrogram (VCU).
Three- to seven-year-old children were stratified based on prior VCU experience and randomly assigned to an intervention (n = 20) or a standard care (n = 20) condition. The intervention included provision of information, coping skills training, and parent coaching. We hypothesized that the intervention would reduce children's distress as assessed by child report, parent and technician ratings, and behavioral observations.
Children in the intervention displayed fewer distress behaviors and greater coping behaviors and were rated as more cooperative than children receiving standard care. Children's fear and pain ratings did not differ significantly between groups.
A cognitive-behavioral treatment package effectively reduced children's distress, increased coping, and increased cooperation during voiding cystourethrogram procedures. This type of an intervention should be integrated into routine pediatric radiological procedures.
减轻接受排尿性膀胱尿道造影（VCU）检查的幼儿的痛苦，并增加其应对行为。
根据先前的VCU检查经历对3至7岁的儿童进行分层，并随机分配至干预组（n = 20）或标准护理组（n = 20）。干预措施包括提供信息、应对技能培训和家长指导。我们假设该干预措施能够减少儿童的痛苦，这通过儿童报告、家长和技术人员评分以及行为观察来评估。
与接受标准护理的儿童相比，干预组儿童表现出的痛苦行为更少，应对行为更多，且被评为更具合作性。两组儿童的恐惧和疼痛评分无显著差异。
一套认知行为治疗方案有效地减轻了儿童在排尿性膀胱尿道造影检查过程中的痛苦，增强了应对能力，并提高了合作性。这种干预措施应纳入常规儿科放射检查程序中。
