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Childrens and adolescents narratives about pain and negative experiences in diabetes treatment
Soder Sjukhuset, Sweden.
Karolinska Univ Hosp, Sweden.
Karolinska Inst, Sweden.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Nursing Sciences and Reproductive Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus.
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2023 (English)In: JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, ISSN 1539-0136, Vol. 28, no 1, article id e12396Article in journal (Refereed) Published
Abstract [en]

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 childrens 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.

Place, publisher, year, edition, pages
WILEY , 2023. Vol. 28, no 1, article id e12396
Keywords [en]
children and adolescents; chronic disease; diabetes; narratives; needle-related fear; needle-related pain; qualitative method
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:liu:diva-189927DOI: 10.1111/jspn.12396ISI: 000876604500001PubMedID: 36316154Scopus ID: 2-s2.0-85141401145OAI: oai:DiVA.org:liu-189927DiVA, id: diva2:1710816
Available from: 2022-11-14 Created: 2022-11-14 Last updated: 2023-03-31

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Hanberger, Lena
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Division of Nursing Sciences and Reproductive HealthFaculty of Medicine and Health SciencesH.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus
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Citation style
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