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Do children's self-reports differ from the proxy reports of fear levels during needle procedures in children with cancer?
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0001-7067-2687
Department of Women’s and Children’s Health, Pediatric Oncology, Uppsala University.
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Introduction

Needle procedures in relation to cancer disease and treatment are often experienced as frightening and painful for children. To assess fear a proxy report by nurses or parents are often clinically used.

Objective

To investigate fear levels experienced by children in connection with needle procedures and use findings to optimise the recurring needle process.

Aim

The aim was to determine if child self-report and proxy report of needle fear levels are in agreement.

Methods

Data was collected during 90 needle insertions in children 7 to 18 years of age, included consecutively when undergoing routine needle insertion into a subcutaneously implanted intravenous port following topical anaesthesia. Fear in connection with the needle procedure was independently assessed on a 100 mm Visual Analogue Scale (VAS) with anchors at the extreme ends (no fear - worst possible fear) by the child, nurse and parent and investigated with one-way ANOVA within subjects and post hoc with Bonferroni correction.

Results

The reported fear level differed between children’s self-reports (VAS mean 14 mm), nurse ratings (VAS mean 21 mm), and parents ratings (VAS mean 21 mm) during a needle insertion in a subcutaneously implanted port (F(2, 178)= 6.211, p=0.002). Post hoc tests revealed differences between (i) children’s self-reports and nurses reports (p=0.017) and (ii) children’s self-reports vs. parents reports (p=0.006) but showed no differences between nurses reports and parents reports (p=1).

Conclusion

Nurses and parents significantly overestimated the child’s fear level of the needle procedure. Therefore children, as far as possible, should be (i) more actively involved as partners throughout the needle procedures and (ii) encouraged to self-report their fear level in connection with needle procedures for improved analysis and treatment.

Place, publisher, year, edition, pages
2019.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hb:diva-22300OAI: oai:DiVA.org:hb-22300DiVA, id: diva2:1381183
Conference
12th International Symposium on Pediatric Pain, Basel, June 16-20, 2019.
Funder
Swedish Childhood Cancer FoundationAvailable from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-01-10Bibliographically approved

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Hedén, Lena E

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CiteExportLink to record
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