Center for Shared Decision Making and Nursing Research, Oslo University Hospital, Oslo, Norway.
Patient Educ Couns. 2010 Sep;80(3):399-404. doi: 10.1016/j.pec.2010.06.026.
Adult patients present concerns as defined in the Verona Coding Definitions of Emotional Sequences (VR-CoDES), but we do not know how children express their concerns during medical consultations. This study aimed to evaluate the applicability of VR-CoDES to pediatric oncology consultations.
Twenty-eight pediatric consultations were coded with the Verona Coding Definitions of Emotional Sequences (VR-CoDES), and the material was also qualitatively analyzed for descriptive purposes. Five consultations were randomly selected for reliability testing and descriptive statistics were computed.
Perfect inter-rater reliability for concerns and moderate reliability for cues were obtained. Cues and/or concerns were present in over half of the consultations. Cues were more frequent than concerns, with the majority of cues being verbal hints to hidden concerns or non-verbal cues. Intensity of expressions, limitations in vocabulary, commonality of statements, and complexity of the setting complicated the use of VR-CoDES. Child-specific cues; use of the imperative, cues about past experiences, and use of onomatopoeia were observed.
Children with cancer express concerns during medical consultations. VR-CoDES is a reliable tool for coding concerns in pediatric data sets.
For future applications in pediatric settings an appendix should be developed to incorporate the child-specific traits.
成人患者表现出 Verona 编码情绪序列定义（VR-CoDES）中定义的担忧，但我们不知道儿童在医疗咨询期间如何表达他们的担忧。本研究旨在评估 VR-CoDES 在儿科肿瘤学咨询中的适用性。
使用 Verona 编码情绪序列定义（VR-CoDES）对 28 次儿科咨询进行编码，并对材料进行定性分析以进行描述性分析。随机选择了五个咨询进行可靠性测试，并计算了描述性统计数据。
获得了完美的关心者间可靠性和中等的线索可靠性。超过一半的咨询都存在线索和/或担忧。线索比担忧更频繁，大多数线索是隐藏担忧的口头暗示或非语言线索。表达的强度、词汇量的限制、陈述的普遍性和环境的复杂性使 VR-CoDES 的使用复杂化。观察到儿童特定的线索、祈使语气的使用、过去经历的线索和拟声词的使用。
癌症儿童在医疗咨询期间表达担忧。VR-CoDES 是对儿科数据集进行编码的可靠工具。
为了将来在儿科环境中的应用，应开发一个附录，以纳入儿童特有的特征。
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