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Understanding needle-related distress in children with cystic fibrosis

Understanding needle-related distress in children with cystic fibrosis
Understanding needle-related distress in children with cystic fibrosis
Objective. To explore the nature and management of needle-related distress in children and adolescents with cystic fibrosis (CF).

Design. Qualitative study using semi-structured interviews.

Methods. Fourteen child–parent dyads took part. Children (5 male; 9 female) had a mean age of 12.4 years (range 7–17) and were mostly diagnosed with CF at birth (N= 11). Frequency of needle procedures ranged from once to six times a year. Parents (3 male; 11 female) had a mean age of 41.5 years and were from a variety of socio-economic backgrounds. Interviews were transcribed and analysed using thematic analysis.

Results. Most participants identified previous needle experiences and pain as related to their needle anxiety. Over half of parents and children considered ‘taking control’ to be the optimum coping strategy. The majority of parents and children thought inhaled nitrous oxide gas during needle procedures was helpful in managing needle-related distress. Parent and staff influences on needle-related distress are also examined.

Conclusions. Needle-related distress in children with CF has a substantial impact on children and their parents, and may lead to management problems and treatment refusal. Psychological and pharmacological interventions could reduce distress and aid management.
1359-107X
329-343
Ayers, Susan
ce36519d-3127-466a-a4a1-ade104314fd4
Muller, Ingrid
2569bf42-51bd-40da-bbfd-dd4dbbd62cad
Mahoney, Liam
38610498-0dde-42e0-a0df-82da86c63942
Seddon, Paul
fdb1c747-7da5-4b20-8d81-97ff36edfb5b
Ayers, Susan
ce36519d-3127-466a-a4a1-ade104314fd4
Muller, Ingrid
2569bf42-51bd-40da-bbfd-dd4dbbd62cad
Mahoney, Liam
38610498-0dde-42e0-a0df-82da86c63942
Seddon, Paul
fdb1c747-7da5-4b20-8d81-97ff36edfb5b

Ayers, Susan, Muller, Ingrid, Mahoney, Liam and Seddon, Paul (2011) Understanding needle-related distress in children with cystic fibrosis. British Journal of Health Psychology, 16 (2), 329-343. (doi:10.1348/135910710X506895). (PMID:21489060)

Record type: Article

Abstract

Objective. To explore the nature and management of needle-related distress in children and adolescents with cystic fibrosis (CF).

Design. Qualitative study using semi-structured interviews.

Methods. Fourteen child–parent dyads took part. Children (5 male; 9 female) had a mean age of 12.4 years (range 7–17) and were mostly diagnosed with CF at birth (N= 11). Frequency of needle procedures ranged from once to six times a year. Parents (3 male; 11 female) had a mean age of 41.5 years and were from a variety of socio-economic backgrounds. Interviews were transcribed and analysed using thematic analysis.

Results. Most participants identified previous needle experiences and pain as related to their needle anxiety. Over half of parents and children considered ‘taking control’ to be the optimum coping strategy. The majority of parents and children thought inhaled nitrous oxide gas during needle procedures was helpful in managing needle-related distress. Parent and staff influences on needle-related distress are also examined.

Conclusions. Needle-related distress in children with CF has a substantial impact on children and their parents, and may lead to management problems and treatment refusal. Psychological and pharmacological interventions could reduce distress and aid management.

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More information

e-pub ahead of print date: 9 March 2011
Published date: May 2011
Organisations: Psychology

Identifiers

Local EPrints ID: 357405
URI: https://eprints.soton.ac.uk/id/eprint/357405
ISSN: 1359-107X
PURE UUID: 2520f6af-3e67-4d1e-a1d6-4f15a34c9b14

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Date deposited: 25 Sep 2013 09:06
Last modified: 18 Jul 2017 03:33

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Contributors

Author: Susan Ayers
Author: Ingrid Muller
Author: Liam Mahoney
Author: Paul Seddon

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