Communication and control: parent, child, and health care professional interactions during painful procedures.
Communication and control: parent, child, and health care professional interactions during painful procedures.
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沟通和控制：在痛苦的手术过程中，父母、孩子和医疗保健专业人员的互动。
DOI：
10.3109/01460869509080961
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Maureen Rehwaldt
中科院分区：
文献类型：
--
作者：
Sarah Naber;Lois Halstead;M. E. Broome;Maureen Rehwaldt
通过使用定性行为学的方法，观察17名儿童谁经历了44个痛苦的程序在癌症诊断或治疗过程中进行录像和分析。这些4至18岁的儿童是一项更大规模的研究的一部分，该研究旨在测试非药物疼痛管理技术的有效性。对录像观察的分析表明，照顾者、父母和儿童之间的几种不同的对话模式在不同情况下有很大差异。以儿童为中心和非以儿童为中心的沟通都得到了证明。在安静的时期，非以儿童为中心的行为增加。随着孩子的痛苦增加，父母积极改变行为，将口头支持重新导向孩子和疼痛控制干预措施。护士鼓励父母在痛苦的治疗过程中积极参与和身体接近，可能会减少孩子的痛苦和不适。此外，卫生保健专业人员需要了解儿童-父母-照顾者互动的各种模式，并需要在痛苦的过程中专注于儿童，以提高儿童的科普能力。
Through use of a qualitative ethological approach, observations of 17 children who were undergoing 44 painful procedures during cancer diagnosis or treatment were videotaped and analyzed. The children, aged 4 to 18 years, were part of a larger study testing the effectiveness of nonpharmacologic pain management techniques. Analysis of the videotaped observations revealed that several distinct patterns of conversation between caregivers, parents, and children varied greatly among situations. Both child-centered and nonchild-centered communications were demonstrated. During periods of quiet, nonchild-centered behaviors increased. As a child's distress increased, parents actively changed behaviors to redirect verbal support back to the child and to the pain control interventions. Nurses' encouraging parents to be actively involved and physically close during painful treatments may results in less distress and discomfort for the child. In addition, health care professionals need to be aware of the various patterns of child-parent-caregiver interactions and the need to stay focused on the child during painful procedures to enhance the child's ability to cope.