Harris C V, Bradlyn A S, Ritchey A K, Olsen B R, Pisaruk H I
Department of Behavioral Medicine and Psychiatry, West Virginia University Health Sciences Center, Morgantown 26505.
Pediatr Hematol Oncol. 1994 May-Jun;11(3):293-9. doi: 10.3109/08880019409141672.
Previous research on child distress in pediatric cancer has addressed the issue of habituation to invasive procedures using correlational methodology. In addition, most studies have focused on the bone marrow aspiration (BMA); few have examined children's reactions to the lumbar puncture (LP) separately. The present investigation examined 13 pediatric cancer patients over time as they experienced five BMAs or LPs. Direct observation of child behavior during procedures was employed to assess distress responses using a 12-category measure. Individual patients demonstrated a range of distress patterns. Only two children were observed to habituate to these procedures. The importance of individual patient characteristics and differences in the execution of the procedures are discussed, as is the need for greater use of treatments for child distress.
先前关于儿科癌症患儿痛苦的研究采用相关方法探讨了对侵入性操作的习惯化问题。此外，大多数研究都集中在骨髓穿刺（BMA）上；很少有研究单独考察儿童对腰椎穿刺（LP）的反应。本研究对13名儿科癌症患者在经历5次骨髓穿刺或腰椎穿刺的过程中进行了长期观察。在操作过程中直接观察儿童行为，采用12类测量方法评估痛苦反应。个体患者表现出一系列痛苦模式。仅观察到两名儿童对这些操作产生了习惯化。讨论了个体患者特征和操作执行差异的重要性，以及更广泛使用治疗儿童痛苦方法的必要性。
