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.

患有癌症的儿童接受重复、痛苦的医疗程序， 例如腰椎穿刺和骨髓穿刺已被证明 从行为痛苦中受益 管理技能。 然而，之前没有研究表明 未经培训的专业人员可以有效地培训儿童使用此类工具 技能。 该项目的目标是“小儿疼痛控制：专业课程” 是为了表明儿科卫生专业人员可以切实可行地 经过有效培训，向儿童传授急性疼痛管理技能 患有癌症。 该项目的具体目标是 1) 认真培训 儿科专业人员知识渊博并熟练地使用 行为疼痛管理技能，2）彻底评估他们的知识 和技能，3）表明向儿童传授技能可以减轻疼痛 和与其医疗程序相关的焦虑，并且 4) 传播 疼痛管理课程。 该课程包括周末研讨会，专业人士可以在研讨会上学习疼痛 管理技能，然后是小组会议，他们教授 儿童及其家庭的技能。 技巧涉及呼吸、 放松、讲故事和想象。 技能将被建模并 练习过。 材料包括研讨会手册、手册、视频和 作业簿。 小组课程的教材将是 发达。 课程评估工具*将评估专业人士 学员对培训计划的满意度及家长的满意度 孩子们对小组训练的满意度。 将使用以下标准对专业学员的知识获取情况进行评估 测试前、测试后设计以及使用结构化、 技能清单。 孩子们的技能习得将受到严格要求 评估。 五十名儿童，年龄 5 - 12 岁，就读于圣克里斯托弗学校 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 医疗程序期间的焦虑和焦虑将由儿童的 由训练有素的观察员根据基线、治疗和情况进行自我报告 控制条件。 传播是固有的，因为一名专业实习生可以教授多达 十个孩子在一个小组环境中。 肿瘤学需求评估 将开展有关行为疼痛管理计划的计划 结果将用于在当地、区域内传播该课程 和全国范围内。