Experience and nursing needs of school-age children undergoing lumbar puncture during the treatment of acute lymphoblastic leukaemia: a descriptive and qualitative study.
Identifieur interne : 000A38 ( Main/Exploration ); précédent : 000A37; suivant : 000A39Experience and nursing needs of school-age children undergoing lumbar puncture during the treatment of acute lymphoblastic leukaemia: a descriptive and qualitative study.
Auteurs : Anwei Xie [République populaire de Chine] ; Yuying Shan [République populaire de Chine] ; Mei E. Niu [République populaire de Chine] ; Yi Chen [République populaire de Chine] ; Xiya Wang [République populaire de Chine]Source :
- Journal of clinical nursing [ 1365-2702 ] ; 2017.
Descripteurs français
- KwdFr :
- Anxiété (soins infirmiers), Chine (MeSH), Douleur (psychologie), Douleur (soins infirmiers), Enfant (MeSH), Femelle (MeSH), Humains (MeSH), Hôpitaux pédiatriques (MeSH), Leucémie-lymphome lymphoblastique à précurseurs B et T (psychologie), Leucémie-lymphome lymphoblastique à précurseurs B et T (soins infirmiers), Mâle (MeSH), Ponction lombaire (psychologie), Ponction lombaire (soins infirmiers), Qualité de vie (MeSH), Recherche qualitative (MeSH), Évaluation des besoins en soins infirmiers (méthodes).
- MESH :
- méthodes : Évaluation des besoins en soins infirmiers.
- psychologie : Douleur, Leucémie-lymphome lymphoblastique à précurseurs B et T, Ponction lombaire.
- soins infirmiers : Anxiété, Douleur, Leucémie-lymphome lymphoblastique à précurseurs B et T, Ponction lombaire.
- Chine, Enfant, Femelle, Humains, Hôpitaux pédiatriques, Mâle, Qualité de vie, Recherche qualitative.
English descriptors
- KwdEn :
- Anxiety (nursing), Child (MeSH), China (MeSH), Female (MeSH), Hospitals, Pediatric (MeSH), Humans (MeSH), Male (MeSH), Nursing Assessment (methods), Pain (nursing), Pain (psychology), Precursor Cell Lymphoblastic Leukemia-Lymphoma (nursing), Precursor Cell Lymphoblastic Leukemia-Lymphoma (psychology), Qualitative Research (MeSH), Quality of Life (MeSH), Spinal Puncture (nursing), Spinal Puncture (psychology).
- MESH :
- methods : Nursing Assessment.
- nursing : Anxiety, Pain, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Spinal Puncture.
- psychology : Pain, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Spinal Puncture.
- Child, China, Female, Hospitals, Pediatric, Humans, Male, Qualitative Research, Quality of Life.
Abstract
AIMS AND OBJECTIVES
To describe experiences and nursing needs of school-age Chinese children undergoing lumbar puncture for the treatment of acute lymphoblastic leukaemia.
BACKGROUND
Lumbar puncture is an invasive procedure, causing psychological changes and physical discomfort in patients. In a previous study, it was proved that distraction intervention, such as music therapy, relieves pain and anxiety. There is limited evidence regarding the experience and needs of school-age children during lumbar puncture after being diagnosed with acute lymphoblastic leukaemia. To minimise their anxiety and pain during the procedure, it is important to collect information directly from these children.
DESIGN
A descriptive qualitative research.
METHODS
Twenty-one school-age children with acute lymphoblastic leukaemia participated in semi-structured interviews at a Children's Hospital in China. Data were collected by an experienced and trained interviewer. Qualitative content analysis was chosen to describe experiences of children undergoing lumbar puncture.
RESULTS
While undergoing lumbar puncture for the treatment of acute lymphoblastic leukaemia, school-age Chinese children experienced complex psychological feelings (fear, tension, helplessness, sadness and anxiety). They also experienced physical discomfort. They had multipolar needs, such as information, communication, respect, self-actualisation, environment and equipment.
CONCLUSIONS
This study identified important areas that must be closely monitored by healthcare staff, performing lumbar puncture on acute lymphoblastic leukaemia children. Thus, a successful and smooth procedure can be performed on these patients, and their quality of life can be improved.
RELEVANCE TO CLINICAL PRACTICE
The experiences described in this study contribute to a better understanding of the needs of acute lymphoblastic leukaemia children undergoing lumbar puncture. They also provide valuable information to professional medical care staff that develops future nursing assessments.
DOI: 10.1111/jocn.13680
PubMed: 27906481
Affiliations:
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Niu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou</wicri:regionArea><wicri:noRegion>Suzhou</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Yi" sort="Chen, Yi" uniqKey="Chen Y" first="Yi" last="Chen">Yi Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou</wicri:regionArea><wicri:noRegion>Suzhou</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Xiya" sort="Wang, Xiya" uniqKey="Wang X" first="Xiya" last="Wang">Xiya Wang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou</wicri:regionArea><wicri:noRegion>Suzhou</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of clinical nursing</title><idno type="eISSN">1365-2702</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anxiety (nursing)</term><term>Child (MeSH)</term><term>China (MeSH)</term><term>Female (MeSH)</term><term>Hospitals, Pediatric (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Nursing Assessment (methods)</term><term>Pain (nursing)</term><term>Pain (psychology)</term><term>Precursor Cell Lymphoblastic Leukemia-Lymphoma (nursing)</term><term>Precursor Cell Lymphoblastic Leukemia-Lymphoma (psychology)</term><term>Qualitative Research (MeSH)</term><term>Quality of Life (MeSH)</term><term>Spinal Puncture (nursing)</term><term>Spinal Puncture (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anxiété (soins infirmiers)</term><term>Chine (MeSH)</term><term>Douleur (psychologie)</term><term>Douleur (soins infirmiers)</term><term>Enfant (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Hôpitaux pédiatriques (MeSH)</term><term>Leucémie-lymphome lymphoblastique à précurseurs B et T (psychologie)</term><term>Leucémie-lymphome lymphoblastique à précurseurs B et T (soins infirmiers)</term><term>Mâle (MeSH)</term><term>Ponction lombaire (psychologie)</term><term>Ponction lombaire (soins infirmiers)</term><term>Qualité de vie (MeSH)</term><term>Recherche qualitative (MeSH)</term><term>Évaluation des besoins en soins infirmiers (méthodes)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Nursing Assessment</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Évaluation des besoins en soins infirmiers</term></keywords><keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Anxiety</term><term>Pain</term><term>Precursor Cell Lymphoblastic Leukemia-Lymphoma</term><term>Spinal Puncture</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Douleur</term><term>Leucémie-lymphome lymphoblastique à précurseurs B et T</term><term>Ponction lombaire</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Pain</term><term>Precursor Cell Lymphoblastic Leukemia-Lymphoma</term><term>Spinal Puncture</term></keywords><keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr"><term>Anxiété</term><term>Douleur</term><term>Leucémie-lymphome lymphoblastique à précurseurs B et T</term><term>Ponction lombaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>China</term><term>Female</term><term>Hospitals, Pediatric</term><term>Humans</term><term>Male</term><term>Qualitative Research</term><term>Quality of Life</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Chine</term><term>Enfant</term><term>Femelle</term><term>Humains</term><term>Hôpitaux pédiatriques</term><term>Mâle</term><term>Qualité de vie</term><term>Recherche qualitative</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIMS AND OBJECTIVES</b></p><p>To describe experiences and nursing needs of school-age Chinese children undergoing lumbar puncture for the treatment of acute lymphoblastic leukaemia.</p></div><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Lumbar puncture is an invasive procedure, causing psychological changes and physical discomfort in patients. In a previous study, it was proved that distraction intervention, such as music therapy, relieves pain and anxiety. There is limited evidence regarding the experience and needs of school-age children during lumbar puncture after being diagnosed with acute lymphoblastic leukaemia. To minimise their anxiety and pain during the procedure, it is important to collect information directly from these children.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A descriptive qualitative research.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Twenty-one school-age children with acute lymphoblastic leukaemia participated in semi-structured interviews at a Children's Hospital in China. Data were collected by an experienced and trained interviewer. Qualitative content analysis was chosen to describe experiences of children undergoing lumbar puncture.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>While undergoing lumbar puncture for the treatment of acute lymphoblastic leukaemia, school-age Chinese children experienced complex psychological feelings (fear, tension, helplessness, sadness and anxiety). They also experienced physical discomfort. They had multipolar needs, such as information, communication, respect, self-actualisation, environment and equipment.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>This study identified important areas that must be closely monitored by healthcare staff, performing lumbar puncture on acute lymphoblastic leukaemia children. Thus, a successful and smooth procedure can be performed on these patients, and their quality of life can be improved.</p></div><div type="abstract" xml:lang="en"><p><b>RELEVANCE TO CLINICAL PRACTICE</b></p><p>The experiences described in this study contribute to a better understanding of the needs of acute lymphoblastic leukaemia children undergoing lumbar puncture. They also provide valuable information to professional medical care staff that develops future nursing assessments.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">27906481</PMID><DateCompleted><Year>2018</Year><Month>02</Month><Day>23</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2702</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><Issue>21-22</Issue><PubDate><Year>2017</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Journal of clinical nursing</Title><ISOAbbreviation>J Clin Nurs</ISOAbbreviation></Journal><ArticleTitle>Experience and nursing needs of school-age children undergoing lumbar puncture during the treatment of acute lymphoblastic leukaemia: a descriptive and qualitative study.</ArticleTitle><Pagination><MedlinePgn>3328-3335</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/jocn.13680</ELocationID><Abstract><AbstractText Label="AIMS AND OBJECTIVES" NlmCategory="OBJECTIVE">To describe experiences and nursing needs of school-age Chinese children undergoing lumbar puncture for the treatment of acute lymphoblastic leukaemia.</AbstractText><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lumbar puncture is an invasive procedure, causing psychological changes and physical discomfort in patients. In a previous study, it was proved that distraction intervention, such as music therapy, relieves pain and anxiety. There is limited evidence regarding the experience and needs of school-age children during lumbar puncture after being diagnosed with acute lymphoblastic leukaemia. To minimise their anxiety and pain during the procedure, it is important to collect information directly from these children.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A descriptive qualitative research.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Twenty-one school-age children with acute lymphoblastic leukaemia participated in semi-structured interviews at a Children's Hospital in China. Data were collected by an experienced and trained interviewer. Qualitative content analysis was chosen to describe experiences of children undergoing lumbar puncture.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">While undergoing lumbar puncture for the treatment of acute lymphoblastic leukaemia, school-age Chinese children experienced complex psychological feelings (fear, tension, helplessness, sadness and anxiety). They also experienced physical discomfort. They had multipolar needs, such as information, communication, respect, self-actualisation, environment and equipment.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study identified important areas that must be closely monitored by healthcare staff, performing lumbar puncture on acute lymphoblastic leukaemia children. Thus, a successful and smooth procedure can be performed on these patients, and their quality of life can be improved.</AbstractText><AbstractText Label="RELEVANCE TO CLINICAL PRACTICE" NlmCategory="CONCLUSIONS">The experiences described in this study contribute to a better understanding of the needs of acute lymphoblastic leukaemia children undergoing lumbar puncture. They also provide valuable information to professional medical care staff that develops future nursing assessments.</AbstractText><CopyrightInformation>© 2016 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Xie</LastName><ForeName>Anwei</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Hematology, Children's Hospital of Soochow University, Suzhou, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shan</LastName><ForeName>Yuying</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Hematology, Children's Hospital of Soochow University, Suzhou, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Niu</LastName><ForeName>Mei E</ForeName><Initials>ME</Initials><AffiliationInfo><Affiliation>Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Yi</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Xiya</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>02</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Clin Nurs</MedlineTA><NlmUniqueID>9207302</NlmUniqueID><ISSNLinking>0962-1067</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000451" MajorTopicYN="N">nursing</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002681" MajorTopicYN="N">China</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006776" MajorTopicYN="N">Hospitals, Pediatric</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009730" MajorTopicYN="N">Nursing Assessment</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010146" MajorTopicYN="N">Pain</DescriptorName><QualifierName UI="Q000451" MajorTopicYN="Y">nursing</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D054198" MajorTopicYN="N">Precursor Cell Lymphoblastic Leukemia-Lymphoma</DescriptorName><QualifierName UI="Q000451" MajorTopicYN="Y">nursing</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D036301" MajorTopicYN="N">Qualitative Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013129" MajorTopicYN="N">Spinal Puncture</DescriptorName><QualifierName UI="Q000451" MajorTopicYN="Y">nursing</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">leukaemia</Keyword><Keyword MajorTopicYN="N">lumbar puncture</Keyword><Keyword MajorTopicYN="N">nursing needs</Keyword><Keyword MajorTopicYN="N">qualitative research</Keyword><Keyword MajorTopicYN="N">school age</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>11</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>12</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>2</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>12</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27906481</ArticleId><ArticleId IdType="doi">10.1111/jocn.13680</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Xie, Anwei" sort="Xie, Anwei" uniqKey="Xie A" first="Anwei" last="Xie">Anwei Xie</name></noRegion><name sortKey="Chen, Yi" sort="Chen, Yi" uniqKey="Chen Y" first="Yi" last="Chen">Yi Chen</name><name sortKey="Niu, Mei E" sort="Niu, Mei E" uniqKey="Niu M" first="Mei E" last="Niu">Mei E. Niu</name><name sortKey="Shan, Yuying" sort="Shan, Yuying" uniqKey="Shan Y" first="Yuying" last="Shan">Yuying Shan</name><name sortKey="Wang, Xiya" sort="Wang, Xiya" uniqKey="Wang X" first="Xiya" last="Wang">Xiya Wang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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