Burghardt-Fitzgerald D C
J Pediatr Nurs. 1989 Oct;4(5):320-4.
Pain-behavior contracts can be utilized as an alternative method of managing the discomfort experienced by adolescents in sickle-cell crisis. The psychological impact of sickle-cell disease, the developmental need of adolescents to control situations in which they find themselves, and principles of pain control all provide theoretical bases supporting the use of pain contracts in clinical practice. If nurses are to effectively use such contracts, they must understand how to develop and implement them in the clinical setting. In addition, research can be designed to explore the use of such contracts for adolescents and staff.
疼痛行为契约可以作为一种管理镰状细胞危象青少年所经历不适的替代方法。镰状细胞病的心理影响、青少年控制自身所处情境的发展需求以及疼痛控制原则，都为在临床实践中使用疼痛契约提供了理论依据。如果护士要有效使用此类契约，他们必须了解如何在临床环境中制定和实施这些契约。此外，可以设计研究来探索此类契约在青少年和工作人员中的使用情况。
