Children's feelings and attitude towards medical contacts
Keywordschildren's feelings, children's attitude, medical contacts, minor medical procedures, pediatric hospitalization
Introduction and purpose
Medical procedures can be physically harmful and cause psychological trauma among young children, possibly resulting in certain lifelong aversion. The aim of the study was to evaluate children's feelings while undergoing minor medical procedures depending on age, gender and previous experience and to compare it with university students.
Material and methods
We conducted a survey among 382 primary school children, as well as 334 university students. Questions concerned the frame of mind at the moment of examination, during dentist and general physician appointment, vaccination, hospitalization and condition of sore throat.
The experience of hospital stay resulted in better feelings about possible future hospitalization in both groups, and about dentist appointment in the group of children. Girls and women declared lower mood during general physician appointment. Interestingly, in the group of children boys felt worse at the moment of survey, while in the group of students women felt so. The current frame of mind correlated with an appraisal of all other situations among students, whereas only with physician appointment and vaccination among children. All of above were statistically significant. For both groups, the most unpleasant condition was sore throat. However, in regards to medical procedures exclusively, vaccination appeared to be the most traumatic for children and hospitalization for students.
Earlier experience and gender of children can affect their feelings about medical procedures. Presented analysis suggests that every medical should do their best to provide pleasant atmosphere for every child during medical contacts.
Salmela, M., Aronen, E. T. & Salanterä, S. The experience of hospital-related fears of 4- to 6-year-old children: Children and hospital-related fears.
Child Care Health Dev 37, 719–726 (2011).
Carney, T. et al. Children’s Views of Hospitalization: An Exploratory Study of Data Collection. J Child Health Care 7, 27–40 (2003).
Donnelly, M. & Kilkelly, U. Participation in Healthcare: the Views and Experiences of Children and Young People. Int J Child Rights 19, 107–125 (2011).
Lerwick, J. L. Psychosocial implications of pediatric surgical hospitalization. Semin. Pediatr. Surg. 22, 129–133 (2013).
Lavigne, J. V., Schulein, M. J. & Hahn, Y. S. Psychological aspects of painful medical conditions in children. I. Developmental aspects and assessment. Pain 27, 133–146 (1986).
Duff, A. J. A., Gaskell, S. L., Jacobs, K. & Houghton, J. M. Management of distressing procedures in children and young people: time to adhere to the guidelines. Arch Dis Child 97, 1–4 (2012).
Ainsworth, M. S. & Bowlby, J. An ethological approach to personality development. Am Psychol 46, 333–341 (1991).
Corsano, P. et al. Speaking about emotional events in hospital: The role of health-care professionals in children emotional experiences. J Child Health Care 19, 84–92 (2015).
Topan, A. & Sahin, O. O. Evaluation of efficiency of puppet show in decreasing fears of school-age children against medical procedures in Zonguldak (Turkey). J Pak Med Assoc 69, 817–822 (2019).
Karlsson, K., Dalheim Englund, A.-C., Enskär, K., Nyström, M. & Rydström, I. Experiencing Support During Needle-Related Medical Procedures: A Hermeneutic Study With Young Children (3-7Years). J Pediatr Nurs 31, 667–677 (2016).
Eijlers, R. et al. Virtual reality exposure before elective day care surgery to reduce anxiety and pain in children: A randomised controlled trial. Eur J Anaesthesiol 36, 728–737 (2019).
Li, H. C. W. & Lopez, V. Effectiveness and Appropriateness of Therapeutic Play Intervention in Preparing Children for Surgery: A Randomized Controlled Trial Study. J Spec Pediatr Nurs 13, 63–73 (2008).
Yoo, H., Kim, S., Hur, H.-K. & Kim, H.-S. The effects of an animation distraction intervention on pain response of preschool children during venipuncture. Appl Nurs Res 24, 94–100 (2011).
Inal, S. & Kelleci, M. Distracting children during blood draw: Looking through distraction cards is effective in pain relief of children during blood draw: Distraction is effective on pain relief. Int J Nurs Pract 18, 210–219 (2012).
Birnie, K. A., Noel, M., Chambers, C. T., Uman, L. S. & Parker, J. A. Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database Syst Rev (2018) doi:10.1002/14651858.CD005179.pub4.
Yun, O. B., Kim, S.-J. & Jung, D. Effects of a Clown–Nurse Educational Intervention on the Reduction of Postoperative Anxiety and Pain Among Preschool Children and Their Accompanying Parents in South Korea. J Pediatr Nurs 30, e89–e99 (2015).
Tunney, A. M. & Boore, J. The effectiveness of a storybook in lessening anxiety in children undergoing tonsillectomy and adenoidectomy in northern ireland. Issues Compr Pediatr Nurs 36, 319–335 (2013).
Szeszak, S. et al. Animated educational video to prepare children for MRI without sedation: evaluation of the appeal and value. Pediatr Radiol 46, 1744–1750 (2016).
Piira, T., Sugiura, T., Champion, G. D., Donnelly, N. & Cole, A. S. J. The role of parental presence in the context of children’s medical procedures: a systematic review. Child Care Health Dev 31, 233–243 (2005).
Bauchner, H., Vinci, R. & May, A. Teaching parents how to comfort their children during common medical procedures. Arch. Dis. Child. 70, 548–550 (1994).
Bray, L., Appleton, V. & Sharpe, A. The information needs of children having clinical procedures in hospital: Will it hurt? Will I feel scared? What can I do to stay calm? Child Care Health Dev 45, 737–743 (2019).
Karlsson, K., Rydström, I., Enskär, K. & Dalheim Englund, A.-C. Nurses’ perspectives on supporting children during needle-related medical procedures. Int J Qual Stud Health Well-being 9, 23063 (2014).
Smith, L. & Callery, P. Children’s accounts of their preoperative information needs. J Clin Nurs 14, 230–238 (2005).
Lindeke, L., Nakai, M. & Johnson, L. Capturing Children??s Voices for Quality Improvement: MCN, MCN Am J Matern Child Nurs 31, 290-295 (2006).
Sanguida, A. et al. Age and Reasons for First Dental Visit and Knowledge and Attitude of Parents Toward Dental Procedures for Puducherry Children Aged 0-9 years. J Pharm Bioallied Sci 11, S413–S419 (2019).
Shapiro, J., Ortiz, D., Ree, Y. Y. & Sarwar, M. Medical students’ creative projects on a third year pediatrics clerkship: a qualitative analysis of patient-centeredness and emotional connection. BMC Med Educ 16, 93 (2016).
How to Cite
Copyright (c) 2021 Bartosz Wojtera, Agnieszka Bugaj, Joanna Jackowska
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Number of views and downloads: 242
Number of citations: 0