Individual Differences in Pediatric Cancer Patients' Reactions to Invasive Medical Procedures: A Repeated Measures Analysis
| Autor: | Ritchey Ak, Andrew S. Bradlyn, Olsen Br, Carole Harris, Pisaruk Hi |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Pediatrics
medicine.medical_specialty Pain Patient characteristics Spinal Puncture Bone Marrow medicine Humans Longitudinal Studies Habituation Child Habituation Psychophysiologic Pain Measurement Analysis of Variance medicine.diagnostic_test Lumbar puncture business.industry Biopsy Needle Direct observation Infant Repeated measures design Hematology Precursor Cell Lymphoblastic Leukemia-Lymphoma Pediatric cancer Surgery Distress Oncology El Niño Child Preschool Pediatrics Perinatology and Child Health business |
| Zdroj: | Pediatric Hematology and Oncology. 11:293-299 |
| ISSN: | 1521-0669 0888-0018 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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