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儿童术后疼痛的预测:术前期望和预期情绪的作用。

Prediction of children's postoperative pain: the role of presurgical expectations and anticipatory emotions.

作者信息

Palermo T M, Drotar D

机构信息

Case Western Reserve University, Department of Psychology, Cleveland, Ohio 44106-7123, USA.

出版信息

J Pediatr Psychol. 1996 Oct;21(5):683-98. doi: 10.1093/jpepsy/21.5.683.

DOI:10.1093/jpepsy/21.5.683
PMID:8936897
Abstract

Examined predictors of children's ratings of postoperative pain intensity based on a model of children's expectations for surgery developed from the Children's Health Belief Model (Bush & Iannotti, 1990) and McGrath's (1990) model of children's pain experiences. Prior to their inpatient surgeries, 28 children (ages 7-17 years) and their parents completed ratings of children's expected surgery pain, anticipatory anxiety, and expected helpfulness of pain medicine. Following surgery, children completed ratings of their postoperative pain intensity. Age, total analgesics administered, and anticipatory anxiety emerged as significant predictors of children's postoperative pain ratings. Methodological issues concerning the measurement of children's expectations for surgery are discussed.

摘要

基于从儿童健康信念模型(布什和扬诺蒂,1990年)以及麦格拉思(1990年)的儿童疼痛经历模型发展而来的儿童手术期望模型,研究了儿童术后疼痛强度评分的预测因素。在接受住院手术前,28名儿童(7至17岁)及其父母完成了对儿童预期手术疼痛、预期焦虑以及止痛药预期帮助程度的评分。手术后,儿童完成了他们术后疼痛强度的评分。年龄、给予的总镇痛药剂量以及预期焦虑成为儿童术后疼痛评分的重要预测因素。讨论了有关儿童手术期望测量的方法学问题。

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