Jacobsen P B, Manne S L, Gorfinkle K, Schorr O, Rapkin B, Redd W H
Psychiatry Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
Health Psychol. 1990;9(5):559-76. doi: 10.1037//0278-6133.9.5.559.
Examined (a) the impact of demographic, medical, and psychological factors on overall child distress during an invasive medical procedure required for pediatric cancer treatment and (b) the relationship of individual parent behaviors to child distress across phases of the procedure. Seventy 3- to 10-year-old pediatric cancer patients receiving outpatient venipuncture and their parents participated. Overall distress was greater in younger children who had fewer previous venipunctures and poorer venous access and whose parents rated them prior to the procedure as less likely to be cooperative. Providing explanations regarding the procedure was the parent behavior most clearly associated with child distress. The impact of parent explanation depended on when the explanation was given and on the child's level of distress at the time.
研究了（a）人口统计学、医学和心理因素对小儿癌症治疗所需侵入性医疗程序中儿童总体痛苦的影响，以及（b）在该程序各阶段中父母个体行为与儿童痛苦之间的关系。70名接受门诊静脉穿刺的3至10岁小儿癌症患者及其父母参与了研究。年龄较小、以前静脉穿刺次数较少、静脉通路较差且父母在程序前认为其不太可能配合的儿童总体痛苦更大。就该程序提供解释是与儿童痛苦最明显相关的父母行为。父母解释的影响取决于解释的时机以及当时孩子的痛苦程度。
