Miller A C, Johann-Murphy M, Zhelezniak V
Rusk Institute of Rehabilitation Medicine, New York University Medical Centre, NY 10016, USA.
Dev Med Child Neurol. 2001 Feb;43(2):118-23. doi: 10.1017/s0012162201000202.
This study examined the effects of physical therapists' behaviors on the levels of distress and coping of 32 children (19 males, 11 females; age range 2.6 to 9.1 years) during a painful medical procedure. This is the second study to assess children throughout rehabilitation following selective posterior rhizotomy and the first to assess the impact of physical therapists' behaviors. Results of the Child-Adult Medical Procedure Interaction Scale-Revised confirmed the hypotheses that: (1) children exhibit more coping behaviors and fewer distress behaviors over time, and (2) positive relationships exist between coping-promoting behaviors in physical therapists and coping in children, and distress-promoting behaviors in physical therapists and distress in children. Prompts for children to use a coping strategy, reassuring comments, and non-procedural talk by therapists explained 67% of the variance in children's coping. Criticism, reassurance, checking child's status, praise, and empathic statements by therapists explained 65% of the variance in children's distress. Older children and children with higher IQ scores exhibited more coping behaviors.
本研究考察了在一项痛苦的医疗程序中，物理治疗师的行为对32名儿童（19名男性，11名女性；年龄范围2.6至9.1岁）的痛苦程度和应对方式的影响。这是第二项在选择性后根切断术后整个康复过程中评估儿童的研究，也是第一项评估物理治疗师行为影响的研究。儿童 - 成人医疗程序互动量表修订版的结果证实了以下假设：（1）随着时间的推移，儿童表现出更多的应对行为和更少的痛苦行为；（2）物理治疗师的促进应对行为与儿童的应对之间存在正相关关系，物理治疗师的促进痛苦行为与儿童的痛苦之间也存在正相关关系。治疗师促使儿童使用应对策略、安慰性话语以及非程序性交谈解释了儿童应对方式中67%的差异。治疗师的批评、安慰、检查儿童状态、赞扬和共情性陈述解释了儿童痛苦程度中65%的差异。年龄较大的儿童和智商得分较高的儿童表现出更多的应对行为。
