Children's and adolescent's narratives about pain and negative experiences in diabetes treatment

IF 1.2 4区医学 Q3 NURSING Journal for Specialists in Pediatric Nursing Pub Date : 2022-10-31 DOI:10.1111/jspn.12396

Johanna Göthesson MSc, RN, Linnéa Håkansson MSc, RN, Anna Lindholm Olinder PhD, RN, Lena Hanberger PhD, RN, Evalotte Mörelius PhD, RN, Stefan Nilsson PhD, RN, Maria Forsner PhD, RN

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引用次数: 3

Abstract

Pain and fear associated with needle procedures have been found to be more common among children and adolescents treated for type 1 diabetes (T1D) than among others in their age group. Furthermore, high glycated haemoglobin (HbA1c) values are associated with needle-related fear.

Aim

To describe negative experiences of needle procedures in childhood diabetes treatment from children's and adolescents' own perspectives.

Methods

Short written narratives (n = 83) and drawings (n = 2) from children and adolescents treated for T1D, aged 7–18 years, were subjected to inductive qualitative content analysis.

Results

Negative experiences with needle procedures had many facets, such as pain and fear, changing over time and affecting everyday life. All kinds of needle procedures caused difficulties, but venipunctures were described as the worst.

Conclusion

All needle procedures involved in diabetes treatment are potentially experienced as creating pain and fear, but the negative experiences are multifaceted and vary between individuals. These experiences create suffering for children and adolescents, and influence their daily lives. Besides finding techniques to decrease the number of needle procedures in the treatment, research should focus on implementing methods to decrease pain, fear, and other negative experiences as well as to promote self-coping. This is urgent, since needle-related fear has an impact on glycaemic control and therefore increases the risk of long-term complications.

Clinical Implications

When caring for children and adolescents with diabetes, their previous experiences with needle procedures need to be considered.

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儿童和青少年关于糖尿病治疗中疼痛和负面经历的叙述

与1型糖尿病(T1D)治疗的儿童和青少年相比，针刺手术相关的疼痛和恐惧在其年龄组中更为常见。此外，高糖化血红蛋白(HbA1c)值与针刺相关的恐惧有关。目的从儿童和青少年自身的角度描述针刺治疗儿童糖尿病的负面经历。方法对7 ~ 18岁儿童和青少年T1D患者的短文字叙述(n = 83)和图画(n = 2)进行归纳定性内容分析。结果针刺手术的负面经历有多方面，如疼痛和恐惧，随着时间的推移而改变并影响日常生活。各种针头操作都有困难，但静脉穿刺被认为是最糟糕的。所有涉及糖尿病治疗的针头操作都可能产生疼痛和恐惧，但负面体验是多方面的，因人而异。这些经历给儿童和青少年造成痛苦，影响他们的日常生活。除了寻找减少治疗中针头操作次数的技术外，研究还应侧重于实施减少疼痛、恐惧和其他负面体验以及促进自我应对的方法。这是紧急的，因为与针头有关的恐惧会影响血糖控制，从而增加长期并发症的风险。临床意义在照顾患有糖尿病的儿童和青少年时，需要考虑他们以前的针头手术经验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.