Effects of surgery type and attention focus on children's coping.
Effects of surgery type and attention focus on children's coping.
复制标题
手术类型和注意力集中对儿童应对的影响。
DOI：
10.1097/00006199-200009000-00003
复制
发表时间：
2000
期刊：
影响因子：
2.5
通讯作者：
Cohen,F
中科院分区：
文献类型：
--
作者：
LaMontagne,LL;Hepworth,JT;Cohen,F
背景：儿童如何科普小手术或大手术受其注意力集中评估的影响。虽然预测儿童应对手术的因素已经确定（即，年龄，控制点，家长-医生信息，担心），它仍然不知道是否手术本身的类型影响所使用的应对策略和影响先前建立的预测应对。此外，问题仍然是关于手术类型之间的关系，注意力集中，和copying.Objectives：本研究的目的是确定是否手术的类型（未成年人与主要）将有不同的影响应对，以及是否应对可以更好地预测，如果它是已知的注意力集中（评估）的孩子haves.Methods：数据从三项研究的儿童（n= 189）进行小手术或大手术相结合，检查手术类型和注意力对应对的影响。措施包括术前应对访谈模式，控制点量表的儿童，家长-医生信息访谈，并为measure for worry.Results：结果表明，以前发现的预测应对的因素在合并后的样本中得到支持，并占50%的方差在应对。手术类型与应对方式显著相关：接受小手术的儿童比接受大手术的儿童更警惕。在分析中纳入注意力显着改善了解释应对（66%）的方差，和儿童谁有一个具体的目标的关注焦点被发现更加警惕。注意力集中和手术类型，控制点和年龄之间存在显着的相互作用。手术类型也与焦虑有显著的交互作用。如果孩子们做的是小手术，而不是大手术，那么关注具体客观方面的孩子会更加警惕。此外，儿童谁拥有一个内部控制点和一个具体的目标的关注焦点更警惕的应对。无论年龄大小，注意力集中在具体客观的孩子都会更加警惕。此外，在低水平的担心，儿童接受大手术更警惕比儿童接受小surgical.Conclusions：应对手术是由多种因素影响。儿童将注意力集中在手术的具体客观方面的能力可能有助于减少可能阻碍他们使用警惕应对的威胁感。
Background:How children cope with minor or major surgery is influenced by their attention focus appraisals. Although factors that predict children's coping with surgery have been identified (ie, age, locus of control, parent-doctor information, worry), it still is not known whether the type of surgery per se affects the coping strategies used and influences previously established predictors of coping. Furthermore, questions remain concerning the relation among type of surgery, attention focus, and coping.Objectives:The purpose of this study was to determine whether the type of surgery (minor vs. major) would have a differential effect on coping, and whether coping can be predicted better if it is known what type of attention focus (appraisal) the child has.Methods:Data from three studies of children (n= 189) undergoing minor or major surgery were combined to examine the effects that type of surgery and attention have on coping. Measures included the Preoperative Mode of Coping Interview, Locus of Control Scale for Children, Parent-Doctor Information Interview, and a measure for worry.Results:The results showed that the factors previously found to predict coping were upheld in the combined sample and accounted for 50% of the variance in coping. Type of surgery was significantly associated with coping: Children undergoing minor surgery were somewhat more vigilant than children undergoing major surgery. The inclusion of attention in the analysis significantly improved the variance explained in coping (66%), and children who had a concrete-objective focus of attention were found to be more vigilant. Significant interactions were found between attention focus and type of surgery, locus of control, and age. Type of surgery also had a significant interaction with worry. Children who focused on the concrete-objective aspects of the situation were more vigilant if they were having minor rather than major surgery. Also, children who had an internal locus of control and a concrete-objective focus of attention were more vigilant in coping. Regardless of age, children who had a concrete-objective focus of attention were more vigilant. Furthermore, at low levels of worry, children undergoing major surgery were more vigilant than children undergoing minor surgery.Conclusions:Coping with surgery is influenced by multiple factors. Children's ability to focus attention on the concrete-objective aspects of surgery may help to reduce feelings of threat that could impede their use of vigilant coping.