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Fear and Coping in Children 5-9 years old Treated for Acute Lymphoblastic Leukemia - A Longitudinal Interview Study

Leibring, Ingela (författare)
Karlstads universitet,Institutionen för hälsovetenskaper (from 2013),Faculty of Health, Science and Technology, Institution for Health, Karlstad University, Karlstad, Sweden
Anderzen-Carlsson, Agneta (författare)
Karlstads universitet,Institutionen för hälsovetenskaper (from 2013),Örebro universitet, Sverige,Institutionen för hälsovetenskaper,Region Örebro län,Faculty of Health, Science and Technology, Institution for Health, Karlstad University, Karlstad, Sweden; University Health Care Research Center, School of Health and Medical Sciences, Örebro University, Örebro, Sweden
 (creator_code:org_t)
Elsevier BV, 2019
2019
Engelska.
Ingår i: Journal of Pediatric Nursing. - : Elsevier BV. - 0882-5963 .- 1532-8449. ; 46, s. E29-E36
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Purpose: The aim of this study was to describe the fears of 5- to 9-year-old children related to having acute lymphoblastic leukemia (ALL) and their strategies for coping with those fears. Design and methods: The study had a qualitative descriptive longitudinal design and included a total of 35 interviews with 13 children at three different times during their treatment period. Data were analyzed using a matrixbased method inspired by the work of Miles et al. Results: Initially, most children reported a fear of needles. but during the treatment period, fewer children reported this fear. Children's coping strategies also changed over time, as they wanted more involvement and control during needle-related procedures. Other fears were having adhesive tapes removed, having a nasogastric tube, and taking tablets. During the treatment period, existential fears related to the seriousness of ALL and its consequences, such as having impaired physical fitness and being different from before and different from others, became more prominent and caused feelings of loneliness and alienation. Conclusions: The children described various fears through their treatment period, which they coped with using cognitive, emotional, and functional strategies. Over the 2.5-year period, their strategies changed. Practical implications: Because fears changed over time and varied among these different children, each child must be approached individually and attentively in every encounter. 

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)

Nyckelord

Acute lymphoblastic leukemia
Coping strategies
Fear
Young children
Qualitative method
Nursing Science
Omvårdnad

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Leibring, Ingela
Anderzen-Carlsso ...
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MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLSOVETENSKAP
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Karlstads universitet
Örebro universitet

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