Broome M E, Lillis P P, McGahee T W, Bates T
Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL.
Oncol Nurs Forum. 1992 Apr;19(3):499-502.
The effectiveness of a pediatric pain management program was examined using a multiple case study design. This study examined both the children's pain experience during cancer treatment, as well as their parents' anxiety and behavioral stress. Fourteen children were videotaped while receiving lumbar punctures during an 8-12 month period. Baseline data were obtained at the first of three visits prior to the introduction of relaxation, imagery, and distraction exercises. Self-ratings of child fear and parent anxiety, videotaped observations of child and parent behavior, and child pain ratings were obtained at all three visits. The children's behavioral responses to the procedure varied considerably, but their fear scores were stable and their reports of pain decreased over time. Parents reported high-trait, low-state anxiety scores that were stable over time. They were observed to be very supportive during the procedures. Implications for further research in this area and recommendations for practice are presented.
采用多案例研究设计对一项儿科疼痛管理项目的有效性进行了检验。本研究考察了儿童在癌症治疗期间的疼痛体验，以及他们父母的焦虑和行为压力。在8至12个月的时间里，对14名接受腰椎穿刺的儿童进行了录像。在引入放松、意象和分散注意力练习之前的三次就诊中的第一次获取了基线数据。在所有三次就诊中均获取了儿童恐惧和父母焦虑的自我评分、儿童和父母行为的录像观察以及儿童疼痛评分。儿童对该操作的行为反应差异很大，但他们的恐惧得分稳定，且随着时间推移疼痛报告减少。父母报告的特质焦虑得分高、状态焦虑得分低，且随时间稳定。观察发现他们在操作过程中非常支持。本文提出了该领域进一步研究的意义及实践建议。
