PEDIATRIC PAIN MANAGEMENT--A PROFESSIONAL COURSE

患有癌症的儿童经历了反复的，痛苦的医疗程序， 例如腰椎穿刺和骨髓抽吸， 从行为疼痛中获益 管理能力 然而，没有研究表明，以前 未经训练的专业人员可以有效地训练儿童使用这种 skills. 该项目的目标，“儿科疼痛控制：专业课程，” 是为了证明儿科健康专业人员可以实际地， 经过有效培训，向儿童传授急性疼痛管理技能 得了癌症 该项目的具体目标是：1）精心培训 儿科专业人员在使用 行为疼痛管理技能，2）彻底评估他们的知识 和技能，3）表明，儿童，教给技能，可以减少痛苦， 和焦虑与他们的医疗程序和4）传播 疼痛管理课程 该课程包括一个周末研讨会，专业人士学习疼痛 管理技能，其次是小组会议，他们教 为孩子和他们的家庭提供技能。 技巧包括呼吸， 放松、讲故事和想象。 技能将被建模， 练习。 材料包括研讨会手册、手册、视频和 练习册 小组会议的教学材料将 开发 课程评估工具 * 将评估专业人员 学员对培训计划的满意度和家长的满意度， 孩子们对小团体训练的满意度。 专业学员的知识获取情况将通过 前测试，后测试设计和技能获取使用结构化， 技能清单。 孩子们的技能习得将严格 评估。 50名儿童，年龄5 - 12岁，就读于圣克里斯托弗 费城的肿瘤诊所将被随机分配到 行为疼痛管理组或标准管理组。 疼痛 和焦虑在医疗过程中将被评估的儿童' 自我报告和经过培训的观察员在基线、治疗和 控制条件 传播是固有的，因为一名专业受训人员可以教多达 十个孩子在一个小团体里。 肿瘤学需求评估 将开展有关行为疼痛管理的项目， 培训结果将用于在当地、区域和国际范围内传播课程， 和全国性的。

Children with cancer who undergo repeated, painful medical procedures, such as lumbar punctures and bone marrow aspirations have been shown to benefit from behavioral pain management skills. No studies, however, have shown that previously untrained professionals can effectively train children in the use of such skills. The goal of the project, "Pediatric Pain Control: A Professional Course," is to show that pediatric health professionals can be practically and efficiently trained to teach acute, pain management skills to children with cancer. The project's specific aims are to 1) carefully train pediatric professionals to be knowledgeable and skillful in the use of behavioral pain management skills, 2) thoroughly assess their knowledge and skills, 3) show that children, taught the skills, can reduce the pain and anxiety related to their medical procedures and 4) disseminate the pain management course. The course includes a weekend seminar, where professionals learn pain management skills, followed by small group sessions, where they teach the skills to children and their families. The skills involve breathing, relaxation, story telling and imagery. Skills will be modeled and practiced. Materials include a seminar manual, handbook, video and workbook. Teaching materials for the small group sessions will be developed. Course evaluation instruments* will assess the professional trainees satisfaction with the training program and parents' and children's satisfaction with the small group training. Professional trainees will be evaluated for knowledge acquisition using a pre-test, post-test design and for skill acquisition using a structured, skill-checklist. Skill acquisition by the children will be rigorously assessed. Fifty children, ages 5 - 12, attending St. Christopher's Oncology Clinic in Philadelphia will be randomly assigned to either a behavioral pain management group or a standard management group. Pain and anxiety during medical procedures will be assessed by the childrens' self reports and by trained observers under baseline, treatment and control conditions. Dissemination is inherent since one professional trainee can teach up to ten children in a small group setting. A needs assessment of oncology programs regarding behavioral pain management programs will be undertaken and results will be used to disseminate the course locally, regionally and nationally.