2014-09-152014-09-152012-04-12DUARTE, Inaê Benchaya. Efeito de instruções e de treino parental sobre comportamentos observados em cuidadores e em crianças com câncer durante sessão de punção venosa para quimioterapia ambulatorial. 2012. 105 f. Dissertação (Mestrado) - Universidade Federal do Pará, Núcleo de Teoria e Pesquisa do Comportamento, Belém, 2012. Programa de Pós-Graduação em Teoria e Pesquisa do Comportamento.https://repositorio.ufpa.br/handle/2011/5718Recurrent invasive procedures in children’s cancer treatment have appeared to be the moment of greatest suffering for both the patient and the caregiver. During these procedures, as in venipuncture, a great deal of children present reactions characterized as behavioral distress. Behavioral interventions have been developed in order to reduce distress, being possible to have the children’s own caregivers as agents. This study aimed to analyze the effects of instruction and parental training on behaviors observed in caregivers and children diagnosed with cancer during venipuncture procedure in an outpatient clinic. Nine caregivers of children undergoing chemotherapy in a specialized hospital in Belém – PA were selected. For data collection the following questionnaires were used: An interview form, a Sociodemographic Questionnaire, the Parental Bonding Instrument (PBI), the Child Behavior Checklist (CBLC), the Child’s and Caregiver’s Behavior Direct Observation Protocol, the Behavioral Assessment Scale, a caregiver orientation manual for venipuncture in children and the Parental Training Protocol. Participants underwent one of three conditions: (1) Routine, (2) Orientation Manual, or (3) Parental Training. Data collection was performed through interviews and four behavior direct observation sessions. The children’s behaviors were classified as concurrent and non-concurrent. The caregivers’ behaviors were classified as positive monitoring, negative monitoring and negligence. The results suggest that, in the Routine Condition, caregivers did not vary their behavior during the sessions, with two participants maintaining a high frequency of negligent behaviors and one participant maintaining a positive monitoring. In the Manual Condition, a change in two caregivers’ behavior was observed as an immediate effect of the manual usage, but not in the long term. In the third Condition, in which the caregivers were submitted to the Parental Training Protocol, an increase in the frequency of positive monitoring was observed in the short and long term. Regarding the children, the results indicated a higher frequency of non-concurrent behaviors, regardless of the condition to which the caregiver was submitted. Most caregivers were classified in the PBI with a permissive parenting style, confirming the literature on caregivers of children with chronic diseases. There have been reports of trained skills generalization to settings outside the hospital. It is concluded that the manual use increased venipuncture knowledge acquisition but not enough for the change and maintenance of behaviors (in long term). On the other side, parental training was effective in changing behavior as well as developing new social skills. The importance of parenting style as a protective factor for children with cancer is discussed.porAcesso AbertoComportamentoCriançasPunção venosaCâncer na infânciaDistresse comportamentalCuidadoresTreino parentalEfeito de instruções e de treino parental sobre comportamentos observados em cuidadores e em crianças com câncer durante sessão de punção venosa para quimioterapia ambulatorialEffect of instructions and parental training on behaviors observed in caregivers and children with cancer during venipuncture session for outpatient chemotherapyDissertaçãoCNPQ::CIENCIAS HUMANAS::PSICOLOGIA::PSICOLOGIA EXPERIMENTAL