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首页> 外文学位 >Parent distress, parent-child interactions, child distress and child cooperation during cancer treatment-related port starts: A caring perspective.
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Parent distress, parent-child interactions, child distress and child cooperation during cancer treatment-related port starts: A caring perspective.

机译：与癌症治疗相关的港口中的父母窘迫，亲子互动，孩子窘迫和孩子合作：关怀的视角。

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摘要

Children reported more suffering from cancer treatment?related painful procedures than cancer itself. Appropriate parent interaction behaviors can help children cope with these painful procedures. Swanson's Theory of Caring provides a framework to formulate parent interaction behaviors. This dissertation consisted of three separate papers to investigate parent-child interactions during cancer treatment?related port starts.;The first paper reviewed 15 extant observational coding systems of parent-child interactions during painful procedures. These measures had at least an acceptable reliability and some evidence for validity. Only two coding systems were informed with clear theoretical foundations. Parent nonverbal behaviors were under-represented especially for older children (ages 3--18 years). Four of the coding systems were evaluated well-established measures.;The second paper reported the development of the Parent Caring Response Scoring System (P-CaReSS) by the hybrid approach of inductive and deductive coding and tested its psychometric properties. The 18-item P-CaReSS assesses parent verbal (11 items), nonverbal (6 items), and emotional behaviors (1 item). It is feasible to develop an observational measure based on Swanson's Theory of Caring. The P-CaReSS has acceptable inter-rater reliability and construct validity for use during cancer painful procedures.;The third paper explored the change of parent interaction behaviors over time and the temporal relationships between parent interaction behaviors and child distress during repeated port starts procedures. We found that more parents significantly displayed nonverbal caring behaviors over time and parent verbal caring behaviors did not change significantly. Sequential analyses showed that children were significantly less likely to display verbal and behavioral distress following parent caring behaviors than at any other time. If a child is already engaged with distress, parent verbal and nonverbal caring behaviors can significantly reduce child verbal and behavioral distress.;This dissertation adds new knowledge to current literature in two ways?validating the impact of theory-based parent caring behaviors on child treatment?related responses by sequential analyses and providing new solutions to design evidence-based interventions during cancer procedures. Future studies are needed to explore the moderators of the relationships between parent-child interaction behaviors and intervention programs can be developed to facilitate parents to use caring verbal and nonverbal behaviors.
机译：与癌症本身相比，儿童报告患有与癌症治疗相关的痛苦手术的痛苦更多。适当的父母互动行为可以帮助孩子应对这些痛苦的程序。斯旺森的关怀理论提供了制定父母互动行为的框架。本论文由三篇独立的论文组成，旨在研究癌症治疗相关的端口启动过程中的亲子相互作用。第一篇论文回顾了15种现存的痛苦过程中亲子相互作用的观察性编码系统。这些措施至少具有可接受的可靠性和有效性的一些证据。只有两个编码系统具有明确的理论基础。父母的非语言行为代表性不足，尤其是对于年龄较大的儿童（3至18岁）。对其中四个编码系统进行了完善的评估。;第二篇论文报道了归纳和演绎编码混合方法开发的父母关怀反应评分系统（P-CaReSS），并测试了其心理测量特性。 18个项目的P-CaReSS评估父母的口头（11项），非语言（6项）和情绪行为（1项）。根据斯旺森的关怀理论开发一种观测方法是可行的。 P-CaReSS在癌症痛苦的手术过程中具有可接受的评价者之间的信度和结构效度。第三篇论文探讨了父母互动行为随时间的变化以及父母互动行为与重复入港过程中儿童苦恼之间的时间关系。我们发现，随着时间的推移，越来越多的父母显着表现出非言语关怀行为，父母的言语关怀行为没有明显变化。顺序分析表明，与其他时间相比，父母照顾孩子后儿童出现言语和行为困扰的可能性要小得多。如果孩子已经患上困扰，父母的言语和非言语关怀行为可以显着减少孩子的言语和行为困扰。本论文通过两种方式为当前的文献增加了新的认识：验证基于理论的父母关怀行为对儿童治疗的影响通过顺序分析来提供相关的响应，并提供新的解决方案来设计基于证据的癌症手术干预措施。需要进一步的研究来探索亲子互动行为之间的关系的调节者，并且可以制定干预计划来促进父母使用关爱的言语和非言语行为。

著录项

  • 作者

    Bai, Jinbing.;

  • 作者单位

    The University of North Carolina at Chapel Hill.;

  • 授予单位 The University of North Carolina at Chapel Hill.;
  • 学科 Nursing.;Oncology.;Behavioral sciences.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 192 p.
  • 总页数 192
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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