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Nursing Intervention to Foster Pain-Coping-Behavior of Children with Cancer during Lumbar Puncture Junko Ogawa 1 1Pediatric Nursing Department of Chiba University Keyword: 小児がん , 対処行動 , 看護介入 , 腰椎穿刺 , Pediatric cancer , Coping behavior , Nursing intervention , Lumbar puncture pp.115-122
Published Date 2000/4/15
DOI https://doi.org/10.11477/mf.1681900548
  • Abstract
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[Objects] To guide the nursing intervention to foster pain-coping-behavior of children with cancer during L.P. (Lumbar Puncture).

[Subjects] Subjects in this study consisted of six boys and four girls, who were 5-15 years old and hospitalized for cancer chemotherapy.

[Methods] For the first, L.P., the researcher observed children's coping behavior and recorded process records. Until the second L.P., the researcher provided nursing interventions for children to foster their pain-coping-behaviors. In the second L.P., the researcher adjusted their surroundings as the children want.

[Findings] Nursing behavior provided were classified into ten categories. And, the interventions used often and effective were ‘put children at ease’, ‘accept the children's feeling and what they were saying’, ‘distract children's feeling from L.P.’, ‘make children to express their feelings’, and ‘make children to act positively during L.P.’. The nursing intervention promoting pre-school children to make up their concrete image is more effective, and to distract by their favorite music and toys is effective. On the other hand, for the school age, it is effective that nurses promote and draw their self-coping ability. It is important that nurses intervene the children before the L.P. for them to do what they want. Nurses and the children should discuss about their hoping coping-behaviors and present other coping-behaviors. So, nurses promote the children do more subjective.


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電子版ISSN 1882-1405 印刷版ISSN 0022-8370 医学書院

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