PEDIATRIC PAIN MANAGEMENT: A PROFESSIONAL COURSE

儿科疼痛管理：专业课程

• 批准号: 3452061
• 负责人: RICHARD SOLOMON
• 金额: $ 9.16万
• 依托单位: ALLEGHENY-SINGER RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-09-01 至 1995-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3452061
• 关键词: anxiety; cancer pain; child (0-11); education evaluation /planning; health care personnel education; human subject; information dissemination; pediatric neoplasm /cancer; questionnaires; training; videotape /videodisc

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.

患有重复，痛苦医疗程序的癌症儿童， 例如，腰椎穿刺和骨髓抽吸已显示为 受益于行为痛 管理技能。 但是，没有研究表明以前 未经训练的专业人员可以有效地培训儿童使用这种 技能。 该项目的目标是“小儿疼痛控制：专业课程”， 是表明小儿卫生专业人员实际上可以 经过有效的训练，可以教给儿童急性，疼痛管理技能 癌症。 该项目的具体目的是1）仔细培训 小儿专业人士知识渊博，熟练使用 行为疼痛管理技能，2）彻底评估他们的知识 和技能，3）表明儿童教授技能，可以减轻痛苦 和与他们的医疗程序有关的焦虑，以及4）传播 疼痛管理课程。 该课程包括一个周末研讨会，专业人士学习痛苦 管理技能，然后是小组会议，他们在那里教 儿童及其家人的技能。 技能涉及呼吸， 放松，讲故事和图像。 技能将被建模，并且 练习。 材料包括研讨会手册，手册，视频和 工作簿。 小组会议的教材将是 发达。 课程评估工具*将评估专业人士 学员对培训计划和父母的满意 儿童对小组培训的满意度。 专业学员将使用 预测试，测试后设计和用于使用结构化的， 技能检查名单。 孩子们的技能获取将是严格的 评估。 50岁的50岁儿童参加了圣克里斯托弗（St. Christopher） 费城的肿瘤学诊所将随机分配给任何一个 行为疼痛管理小组或标准管理小组。 疼痛 和医疗程序中的焦虑将由儿童评估 自我报告和受过训练的观察者，受到基线，治疗和 控制条件。 传播是固有的，因为一位专业学员可以教 在一个小组环境中的十个孩子。 肿瘤学的需求评估 有关行为疼痛管理计划的计划 结果将用于在本地，区域内传播该课程 在全国范围内。