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Children's coping with venipuncture
1Faculty of Nursing, University of Alberta, Edmonton, Canada.
Insights
Children use various strategies to manage venipuncture pain. "Direct Efforts to Maintain Control" was the most common coping mechanism reported by children aged 5-13.
Area of Science:
- Pediatric Psychology
- Pain Management
- Child Health
Background:
- Venipuncture is a common yet painful procedure for children.
- Understanding children's coping mechanisms is crucial for effective pain management.
- Previous research has identified various coping strategies, but a comprehensive categorization is needed.
Purpose of the Study:
- To describe children's coping strategies used during venipuncture.
- To identify and categorize the range of coping mechanisms employed by children.
- To explore age and gender differences in strategy use.
Main Methods:
- A descriptive study involving 85 children aged 5-13 years.
- Children were interviewed before and after venipuncture to assess pain expectations and coping.
- Self-reports of pain and strategy use were collected immediately post-procedure.
Main Results:
- Twenty-seven distinct coping strategies were identified and grouped into 11 categories.
- "Direct Efforts to Maintain Control" emerged as the most frequently utilized strategy.
- Significant age and gender differences were observed in the number and types of coping strategies.
Conclusions:
- Children employ a diverse array of strategies to cope with venipuncture pain.
- The effectiveness of different coping strategies requires further investigation.
- Tailoring interventions based on age and gender may enhance pain management for children.
Abstract:
Children's strategies for coping with the pain and distress of venipuncture were examined in this descriptive study. Eighty-five children (aged 5-13 years) were interviewed prior to and following blood collection. Prior to the procedure, children reported pain expectations and coping strategies that might be used. Self-reports of the pain experienced and coping strategies used were obtained immediately after the procedure. Twenty-seven different strategies were identified from the children's responses. These strategies were subsequently grouped into 11 coping categories: Active Involvement in Procedure, Behavior-Regulating Cognitions, Cognitive Reappraisal, Direct Efforts to Maintain Control, Diversionary Thinking, Emotion-Regulating Cognitions, Information Seeking, Reality-Oriented Working Through, Reliance on Health-Care Interventions, Support Seeking, and Avoidance and Catastrophizing. Direct Efforts to Maintain Control was the most frequently used category. Age and gender differences were observed in both number and type of strategies reported by the children. Further research is needed to examine the observed relationship between the type of coping strategies generated and the children's pain experience.
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