Blount R L, Landolf-Fritsche B, Powers S W, Sturges J W
Department of Psychology, University of Georgia, Athens 30602.
J Pediatr Psychol. 1991 Dec;16(6):795-809. doi: 10.1093/jpepsy/16.6.795.
Coded behaviors of pediatric oncology patients undergoing bone marrow aspirations and lumbar punctures, parents, and medical staff using the Child-Adult Medical Procedure Interaction Scale. Children were grouped into high and low coping groups for three analyses. Results indicated that adults with the high coping children engaged in more coping-promoting behaviors than adults with the low coping children. Further, high coping children were more likely to respond with coping to coping-promoting prompts. However, both groups of children were more likely to respond by coping following coping-promoting antecedents than following distress-promoting or adult neutral antecedents. Both groups were more likely to respond with distress following distress-promoting antecedents. When interacting with children, staff engaged in a higher proportions of giving control to the child and apologies than did parents. Also, children were more likely to display coping than distress following staff's and parents' nonprocedural talk (distraction).
使用儿童-成人医疗程序互动量表对接受骨髓穿刺和腰椎穿刺的儿科肿瘤患者、家长及医护人员的行为进行编码。在三项分析中，儿童被分为高应对组和低应对组。结果表明，与低应对儿童的家长相比，高应对儿童的家长表现出更多促进应对的行为。此外，高应对儿童对促进应对的提示更有可能以应对方式做出反应。然而，两组儿童在促进应对的先行因素之后比在促进痛苦或成人中性先行因素之后更有可能以应对方式做出反应。两组在促进痛苦的先行因素之后更有可能以痛苦方式做出反应。与儿童互动时，医护人员比家长给予儿童控制权和道歉的比例更高。此外，在医护人员和家长进行非程序性谈话（分散注意力）后，儿童更有可能表现出应对而非痛苦。
