Peterson Carole, Ross Abraham, Tucker V Charlene
Memorial University of Newfoundland.
J Pediatr Psychol. 2002 Apr-May;27(3):281-91. doi: 10.1093/jpepsy/27.3.281.
To assess attitudes of children requiring hospital emergency room (ER) treatment for trauma injuries 5 years afterward to evaluate the long-term effect of treatment distress. For comparison, health care attitudes of a large random sample of children were assessed.
Children (N = 139, 7-19 years old) recruited from the ER completed a health care attitude questionnaire. Comparable schoolchildren (N = 1,300) completed the same questionnaire, with the addition of a few questions asking about hospital contact. The ER-recruited group was part of a 5-year follow-up study, and at the time of initial recruitment, their parents had rated their children's degree of distress at both the time of injury and of ER treatment on a 6-point scale.
For the ER-recruited sample, the degree of distress during ER treatment did not seem to have longterm effects on children's attitudes. For the random sample, contact with the ER, especially for a trauma injury, was related to children liking the ER more.
Although other research has shown that aversive medical experiences may negatively affect children's attitudes, these findings suggest that the nature of the medical contact is important in how children interpret medically induced pain, which is related to their attitudes.
评估因创伤而需在医院急诊室接受治疗的儿童在5年后对治疗痛苦的态度，以评估治疗痛苦的长期影响。作为比较，对一大组随机抽取的儿童的医疗态度进行了评估。
从急诊室招募的儿童（N = 139，7至19岁）完成了一份医疗态度问卷。可比的学童（N = 1300）完成了相同的问卷，并增加了一些关于与医院接触的问题。从急诊室招募的组是一项为期5年的随访研究的一部分，在最初招募时，他们的父母已用6分制对其孩子在受伤时和急诊治疗时的痛苦程度进行了评分。
对于从急诊室招募的样本，急诊治疗期间的痛苦程度似乎对儿童的态度没有长期影响。对于随机样本，与急诊室的接触，尤其是因创伤受伤而接触，与儿童更喜爱急诊室有关。
尽管其他研究表明厌恶的医疗经历可能会对儿童的态度产生负面影响，但这些发现表明医疗接触的性质在儿童如何理解医源性疼痛方面很重要，而这与他们的态度有关。
