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Exploring reported distress before and pain during needle insertion into a venous access port in children with cancer

Steinunn Einarsdóttir Egeland1, Hanne Cathrine Lie2, Ellen Martha Woldseth3

  • 1Department of Paediatric Oncology and Haematology, Division for Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.

Scandinavian Journal of Caring Sciences
|January 25, 2022
PubMed

Insights

Pediatric cancer patients experience varying distress and pain during venous access port needle insertion, with younger children reporting higher levels. Patient self-reports align closely with parental and nurse assessments, highlighting the importance of these perspectives in managing procedural discomfort.

Area of Science:

  • Pediatric Oncology
  • Pain Management
  • Child Psychology

Background:

  • Venous access ports are crucial for pediatric cancer treatment.
  • Little is known about children's subjective experiences during needle insertion for these ports.

Purpose of the Study:

  • To assess distress and pain in children and adolescents undergoing venous access port needle insertion.
  • To examine the correlation between patient self-reports and proxy reports from parents and nurses.

Main Methods:

  • A study involving 43 pediatric cancer patients (aged 1-16 years) at two Norwegian hospitals.
  • Patients, parents, and nurses completed distress and pain scales before and after the procedure.
  • Data were analyzed using descriptive statistics and non-parametric correlations.

Main Results:

  • Younger children (1-5 years) reported higher distress and pain scores compared to older children and adolescents.
  • Patient self-reported distress and pain showed high correlations with parental (distress: rho=0.83, pain: rho=0.92) and nurse proxy ratings (distress: rho=0.89, pain: rho=0.88).

Conclusions:

  • Age significantly influences the experience of distress and pain during venous access port needle insertion.
  • Patient self-assessments of distress and pain are consistent with parental and nursing observations.
Abstract

Keywords:
childhood cancerdistress and painnursingproxy reportself-reportvenous access port

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