Respiratory medicine · 2025
The impact of early experiences of needle procedures on the lives of people living with cystic fibrosis: A qualitative and quantitative exploration.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Stephenson Dylan T, Baron Annette, Armstrong David S, Pallin Michael, Daley Christopher, Foster Abby M, Nixon Gillian M
Аннотация
BACKGROUND: People with cystic fibrosis (PwCF) experience frequent needle procedures. There is growing evidence regarding negative impacts of medical trauma in chronic disease. This research aimed to explore the antecedent factors and mediating influences on development of needle fear in childhood, from the perspective of older adolescents and adults with CF.
METHODS: Sequential quantitative and qualitative explanatory design. All individuals aged ≥16 in our specialist CF centre were invited to participate. Participants completed an online survey, including a standardised measure for specific phobia. Participants were invited to take part in semi-structured interviews to further understand their experiences, with responses analysed using inductive thematic analysis.
RESULTS: Thirty-four out of 165 eligible participants (21 %) completed the survey. Sixteen (47 %) participants self-identified as having a fear of needles. An additional twelve (35 %) reported a history of fear of needles and/or demonstrated features equivalent to at least mild needle phobia. Results from inductive thematic analysis demonstrated that the experience of needle procedures in childhood strongly influenced development of needle fear and has long-term impacts on PwCF. An overarching concept, the pervasive and lifelong impact of needle experiences, and additional themes of relationship with self, the healthcare system and the world were identified. Participant recommendations focused on importance of procedural competency, relationships with healthcare providers, and individualised healthcare to address the impacts of needle procedures.
CONCLUSION: Early experiences of needle procedures can significantly shape the healthcare and lives of PwCF. Creating positive early childhood experiences of needle procedures through co-design with PwCF may help mitigate these impacts.
METHODS: Sequential quantitative and qualitative explanatory design. All individuals aged ≥16 in our specialist CF centre were invited to participate. Participants completed an online survey, including a standardised measure for specific phobia. Participants were invited to take part in semi-structured interviews to further understand their experiences, with responses analysed using inductive thematic analysis.
RESULTS: Thirty-four out of 165 eligible participants (21 %) completed the survey. Sixteen (47 %) participants self-identified as having a fear of needles. An additional twelve (35 %) reported a history of fear of needles and/or demonstrated features equivalent to at least mild needle phobia. Results from inductive thematic analysis demonstrated that the experience of needle procedures in childhood strongly influenced development of needle fear and has long-term impacts on PwCF. An overarching concept, the pervasive and lifelong impact of needle experiences, and additional themes of relationship with self, the healthcare system and the world were identified. Participant recommendations focused on importance of procedural competency, relationships with healthcare providers, and individualised healthcare to address the impacts of needle procedures.
CONCLUSION: Early experiences of needle procedures can significantly shape the healthcare and lives of PwCF. Creating positive early childhood experiences of needle procedures through co-design with PwCF may help mitigate these impacts.