Schlenz Alyssa M, Schatz Jeffrey, McClellan Catherine B, Sweitzer Sarah M, Roberts Carla W
Department of Psychology, University of South Carolina, Columbia, SC, USA.
Pain Manag Nurs. 2013 Sep;14(3):e54-8. doi: 10.1016/j.pmn.2011.04.001. Epub 2011 Nov 4.
This study examined the frequency of information-seeking coping behaviors in 37 African-American children (ages 5-17 years) with sickle cell disease during venipuncture. The relationships between coping behaviors and child- and parent-reported pain and observational distress were also assessed. The majority of children attended to the procedure, but did not seek information via questions. This pattern of coping was only partially effective at reducing distress and had no relation to pain. This pattern of coping is discussed within the context of cultural factors that may be important in understanding responses to procedural pain in pediatric sickle cell disease.
本研究调查了37名患有镰状细胞病的非裔美国儿童(年龄在5至17岁之间)在静脉穿刺过程中寻求信息应对行为的频率。同时还评估了应对行为与儿童及家长报告的疼痛以及观察到的痛苦之间的关系。大多数儿童关注操作过程,但未通过提问来寻求信息。这种应对模式在减轻痛苦方面仅部分有效,且与疼痛无关。本文在文化因素的背景下讨论了这种应对模式,这些文化因素可能对理解小儿镰状细胞病患者对操作疼痛的反应很重要。