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简要报告:葡萄牙人群中,常规免疫接种期间父母和护士的行为与儿童痛苦相关。

Brief report: parents and nurses' behaviors associated with child distress during routine immunization in a portuguese population.

机构信息

Faculdade de Psicologia, Alameda da Universidade, 1649-013 Lisboa.

出版信息

J Pediatr Psychol. 2010 Jul;35(6):602-10. doi: 10.1093/jpepsy/jsp062. Epub 2009 Aug 14.

DOI:10.1093/jpepsy/jsp062
PMID:19684119
Abstract

OBJECTIVES

To explore the behaviors of parents and nurses during the immunization process and their association with children's distress and coping in a sample of Portuguese preschool-aged children; to identify similarities and differences in the behavior of parents, nurses, and children, as well as in the relation between adults' behaviors and child distress and coping, with those previously identified by the Interactive Model of Acute Child Distress, from Blount et al. (1992).

METHOD

A total of nine nurses, 89 children aged 3-6, and their parents participated. Behaviors were videotaped and scored according to CAMPIS-R operational definitions. Measures of parents and nurses' ratings of children's distress and of child-rated distress were obtained.

RESULTS

Our results show not only similarities, but also important divergences from previous research. New adult codes were proposed. Only two new codes, and another code previously considered neutral, significantly contributed to explain the association between adult and child behavior.

CONCLUSIONS

Portuguese nurses and parents' behaviors during immunization show some important cultural differences.

摘要

目的

在葡萄牙学龄前儿童样本中,探索父母和护士在免疫接种过程中的行为及其与儿童痛苦和应对方式的关系;识别父母、护士和儿童行为以及成人行为与儿童痛苦和应对方式之间的相似性和差异,与 Blount 等人(1992 年)提出的急性儿童痛苦互动模型的行为相似。

方法

共有 9 名护士、89 名 3-6 岁儿童及其家长参与。行为被录像并根据 CAMPIS-R 操作定义进行评分。还获得了父母和护士对儿童痛苦的评分以及儿童自评痛苦的评分。

结果

我们的结果不仅显示了相似之处,还显示了与以往研究的重要差异。提出了新的成人行为编码。只有两个新的编码,以及另一个之前被认为是中性的编码,显著有助于解释成人和儿童行为之间的关联。

结论

葡萄牙护士和父母在免疫接种过程中的行为表现出一些重要的文化差异。

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