Behavior of Children, Caregivers and Nursing Assistants During Venepuncture Session
Keywords:
Children, Chemotherapy, Caregivers, Nursing assistants, Observation Scale of Behavior DistressAbstract
This study describes the behavioral repertoire of fourteen children, aged 4-12 years old, with cancer diagnoses,
during a venepuncture procedure for chemotherapy, and of their caregivers and nursing assistants. Data collection was
accomplished through direct observation with the use of the Observation Scale of Behavior Distress. Three systems of behavior
categories were used (for children, caregivers and nursing assistants). There were no significant differences between concurrent
and non-concurrent behaviors of preschool and school children. There was greater behavioral variability among caregivers
of pre-school children and higher frequency of verbal behaviors directed to school children among nursing assistants. It is
discussed the need of psychological preparation for invasive procedures in pediatric oncology.
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References
Blount, R. L., Sturges, J. W., & Powers, S. W. (1990). Analysis
of child and adult behavioral variations by phase of medical
procedures. Behavior Therapy, 21, 33-48.
Blount, R. L., Zempsky, W. T., Jaaniste, T., Evans, S., Cohen, L.
L., Devine, K. A., & Zeltzer, L. K. (2009). Management of pediatric
pain and distress due to medical procedures. Em M. C. Roberts &
R. G. Steele (Orgs.), Handbook of pediatric psychology (4th ed.)
(pp. 171-188). New York: Guilford.
Borges, L. M. (1999). Treinamento de respostas de enfrentamento
e colaboração em mães de crianças submetidas a procedimentos
médicos invasivos. Dissertação de Mestrado, Universidade de
Brasília, Brasília.
Broering, C. V., & Crepaldi, M. A. (2008). Preparação para a
cirurgia em pediatria: importância, técnicas e limitações. Paidéia,
18, 61-72.
Cline, R. J. W., Harper, F. W. K., Penner, L. A., Peterson, A. M.,
Taub, J. W., & Albrecht, T. L. (2006). Parent communication and
child pain and distress during painful pediatric cancer treatments.
Social Science & Medicine, 63, 883-898.
Cohen, L. L. (2008). Behavioral approaches to anxiety and
pain management for pediatric venous access. Pediatrics, 122,
134S-S139S.
Costa Jr., A. L. (2001). Análise de comportamentos de crianças
expostas à punção venosa para quimioterapia. Tese de Doutorado,
Universidade de Brasília, Brasília.
Costa Jr., A. L. (2005). Psicologia da saúde e desenvolvimento
humano: o estudo do enfrentamento em crianças com câncer e
expostas a procedimentos médicos invasivos. Em M. A. Dessen
& A. L. Costa Jr. (Orgs.), A ciência do desenvolvimento humano:
tendências atuais e perspectivas futuras (pp.171-189). Porto Alegre:
Artmed.
Dahlquist, L. M., Pendley, J. S., Landthrip, D. S., Jones, C.
L., & Steuber, P. (2002). Distraction intervention for preschoolers
undergoing intramuscular injections and subcutaneous port access.
Health Psychology, 21, 94-99.
Frank, N. C., Blount, R. L., Smith, A. J., Manimala, M. R.,
& Martin, J. K. (1995). Parent and staff behavior, previous child
medical experience, and maternal anxiety as they relate to child
procedural distress and coping. Journal of Pediatric Psychology,
20, 277-289.
Jay, S. M., Ozolins, M., Elliott, C. H., & Cadwell, S. (1983).
Assessment of children’s distress during painful medical procedures.
Health Psychology, 2, 133-147.
Kennedy, R. M., Luhmann, J., & Zempsky, W. T. (2008).
Clinical implications of unmanaged needle-insertion pain and
distress in children. Pediatrics, 122, 130S-133S.
Mahoney, L., Ayres, S., & Seddon, P. (2010). The association
between parent’s and healthcare professional’s behavior and
children’s coping and distress during venepuncture. Journal of
Pediatric Psychology, 35, 1-11.
Pederson, C. (1996). Promoting parental use of nonpharmacologic
techniques with children during lumbar punctures. Journal of
Pediatric Oncology Nursing, 13, 21-30.
World Health Organization ”“ WHO (1993). Behavioral sciencepreparation
for invasive procedures (pp. 1-23). Geneva: WHO.
Young, K. D. (2005). Pediatric procedural pain. Annals of
Emergency Medicine, 45, 160-171.
of child and adult behavioral variations by phase of medical
procedures. Behavior Therapy, 21, 33-48.
Blount, R. L., Zempsky, W. T., Jaaniste, T., Evans, S., Cohen, L.
L., Devine, K. A., & Zeltzer, L. K. (2009). Management of pediatric
pain and distress due to medical procedures. Em M. C. Roberts &
R. G. Steele (Orgs.), Handbook of pediatric psychology (4th ed.)
(pp. 171-188). New York: Guilford.
Borges, L. M. (1999). Treinamento de respostas de enfrentamento
e colaboração em mães de crianças submetidas a procedimentos
médicos invasivos. Dissertação de Mestrado, Universidade de
Brasília, Brasília.
Broering, C. V., & Crepaldi, M. A. (2008). Preparação para a
cirurgia em pediatria: importância, técnicas e limitações. Paidéia,
18, 61-72.
Cline, R. J. W., Harper, F. W. K., Penner, L. A., Peterson, A. M.,
Taub, J. W., & Albrecht, T. L. (2006). Parent communication and
child pain and distress during painful pediatric cancer treatments.
Social Science & Medicine, 63, 883-898.
Cohen, L. L. (2008). Behavioral approaches to anxiety and
pain management for pediatric venous access. Pediatrics, 122,
134S-S139S.
Costa Jr., A. L. (2001). Análise de comportamentos de crianças
expostas à punção venosa para quimioterapia. Tese de Doutorado,
Universidade de Brasília, Brasília.
Costa Jr., A. L. (2005). Psicologia da saúde e desenvolvimento
humano: o estudo do enfrentamento em crianças com câncer e
expostas a procedimentos médicos invasivos. Em M. A. Dessen
& A. L. Costa Jr. (Orgs.), A ciência do desenvolvimento humano:
tendências atuais e perspectivas futuras (pp.171-189). Porto Alegre:
Artmed.
Dahlquist, L. M., Pendley, J. S., Landthrip, D. S., Jones, C.
L., & Steuber, P. (2002). Distraction intervention for preschoolers
undergoing intramuscular injections and subcutaneous port access.
Health Psychology, 21, 94-99.
Frank, N. C., Blount, R. L., Smith, A. J., Manimala, M. R.,
& Martin, J. K. (1995). Parent and staff behavior, previous child
medical experience, and maternal anxiety as they relate to child
procedural distress and coping. Journal of Pediatric Psychology,
20, 277-289.
Jay, S. M., Ozolins, M., Elliott, C. H., & Cadwell, S. (1983).
Assessment of children’s distress during painful medical procedures.
Health Psychology, 2, 133-147.
Kennedy, R. M., Luhmann, J., & Zempsky, W. T. (2008).
Clinical implications of unmanaged needle-insertion pain and
distress in children. Pediatrics, 122, 130S-133S.
Mahoney, L., Ayres, S., & Seddon, P. (2010). The association
between parent’s and healthcare professional’s behavior and
children’s coping and distress during venepuncture. Journal of
Pediatric Psychology, 35, 1-11.
Pederson, C. (1996). Promoting parental use of nonpharmacologic
techniques with children during lumbar punctures. Journal of
Pediatric Oncology Nursing, 13, 21-30.
World Health Organization ”“ WHO (1993). Behavioral sciencepreparation
for invasive procedures (pp. 1-23). Geneva: WHO.
Young, K. D. (2005). Pediatric procedural pain. Annals of
Emergency Medicine, 45, 160-171.
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Published
2010-12-07
How to Cite
Porpino Lemos, I., & Arnaud Pereira Ferreira, E. (2010). Behavior of Children, Caregivers and Nursing Assistants During Venepuncture Session. Psicologia: Teoria E Pesquisa, 26(3), 433–443. Retrieved from https://periodicos.unb.br/index.php/revistaptp/article/view/17465
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Estudos Empíricos
