The pain experience of children with leukemia during the first year after diagnosis

Lois Van Cleve, Elizabeth Bossert, Pauline Beecroft, Kathleen Adlard, Ofelia A Alvarez, Marilyn C. Savedra

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Background: Children with cancer experience pain related to the disease process, the treatment, and the associated procedures. For children with leukemia, the pain experienced after diagnosis has received scant attention. Objective: To examine the pain experience, management strategies, and outcomes during the first year after the diagnosis of acute leukemia. Methods: A longitudinal descriptive approach was used to collect data at seven data points from 95 English- and Spanish-speaking children, ages 4 to 17 years, receiving care in one of three southern California hospitals, and from their English-and Spanish-speaking parents. Age-appropriate instruments were used to examine the variables of pain intensity, location, pattern over time, and quality, as well as strategies for managing pain, perceived effectiveness of management strategies, and functional status. Results: All the children reported pain over the course of the year. Pain intensity scores incorporated the full range of possible responses. For the children 4 to 7 years old, the highest and lowest mean scores, respectively, were 2 and 1.6 (scale, 0-4). For the children 8 to 17 years old, the highest and lowest mean scores, respectively, were 50.1 and 39.5 (scale, 0-100). The most common location of pain was the legs (26.5%) in all seven interviews. Other frequently noted sites were the abdomen (16.6%), head/neck (16.6%), and back (14.2%). The words used most frequently by the older English- and Spanish-speaking children to describe pain were "uncomfortable" (incómodo) and "annoying" (molesto). According to the interviews, the most frequently used strategy for pain management was stressor modification (e.g., medication, sleep, hot/cold, and massage). The most common coping strategies according to a Likert scale rating were "watch TV" (n = 426), "lie down" (n = 421), "wish for it to go away" (n = 417), and "tell my mother or father" (n = 416). The pain intensity scores after pain management were significantly lower for the younger children in three of the seven interviews and for the older children in all seven interviews. For both the younger and older children, functional status (i.e., the ability to engage in routine activities) was above the median score at the seven interviews. Conclusions: Children with leukemia experience pain throughout the first year of treatment. In this study, the pain was responsive to the management strategies used by the parents and children.

Original languageEnglish
Pages (from-to)1-10
Number of pages10
JournalNursing Research
Volume53
Issue number1
StatePublished - Jan 1 2004

Fingerprint

Leukemia
Pain
Interviews
Pain Management
Parents
Aptitude
Massage
Fathers
Abdomen
Leg
Sleep
Neck
Head
Mothers
Therapeutics

Keywords

  • Children
  • Leukemia
  • Pain

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Van Cleve, L., Bossert, E., Beecroft, P., Adlard, K., Alvarez, O. A., & Savedra, M. C. (2004). The pain experience of children with leukemia during the first year after diagnosis. Nursing Research, 53(1), 1-10.

The pain experience of children with leukemia during the first year after diagnosis. / Van Cleve, Lois; Bossert, Elizabeth; Beecroft, Pauline; Adlard, Kathleen; Alvarez, Ofelia A; Savedra, Marilyn C.

In: Nursing Research, Vol. 53, No. 1, 01.01.2004, p. 1-10.

Research output: Contribution to journalArticle

Van Cleve, L, Bossert, E, Beecroft, P, Adlard, K, Alvarez, OA & Savedra, MC 2004, 'The pain experience of children with leukemia during the first year after diagnosis', Nursing Research, vol. 53, no. 1, pp. 1-10.
Van Cleve L, Bossert E, Beecroft P, Adlard K, Alvarez OA, Savedra MC. The pain experience of children with leukemia during the first year after diagnosis. Nursing Research. 2004 Jan 1;53(1):1-10.
Van Cleve, Lois ; Bossert, Elizabeth ; Beecroft, Pauline ; Adlard, Kathleen ; Alvarez, Ofelia A ; Savedra, Marilyn C. / The pain experience of children with leukemia during the first year after diagnosis. In: Nursing Research. 2004 ; Vol. 53, No. 1. pp. 1-10.
@article{76d5e2e9d8a44bd98cf7d4caa9dd20e9,
title = "The pain experience of children with leukemia during the first year after diagnosis",
abstract = "Background: Children with cancer experience pain related to the disease process, the treatment, and the associated procedures. For children with leukemia, the pain experienced after diagnosis has received scant attention. Objective: To examine the pain experience, management strategies, and outcomes during the first year after the diagnosis of acute leukemia. Methods: A longitudinal descriptive approach was used to collect data at seven data points from 95 English- and Spanish-speaking children, ages 4 to 17 years, receiving care in one of three southern California hospitals, and from their English-and Spanish-speaking parents. Age-appropriate instruments were used to examine the variables of pain intensity, location, pattern over time, and quality, as well as strategies for managing pain, perceived effectiveness of management strategies, and functional status. Results: All the children reported pain over the course of the year. Pain intensity scores incorporated the full range of possible responses. For the children 4 to 7 years old, the highest and lowest mean scores, respectively, were 2 and 1.6 (scale, 0-4). For the children 8 to 17 years old, the highest and lowest mean scores, respectively, were 50.1 and 39.5 (scale, 0-100). The most common location of pain was the legs (26.5{\%}) in all seven interviews. Other frequently noted sites were the abdomen (16.6{\%}), head/neck (16.6{\%}), and back (14.2{\%}). The words used most frequently by the older English- and Spanish-speaking children to describe pain were {"}uncomfortable{"} (inc{\'o}modo) and {"}annoying{"} (molesto). According to the interviews, the most frequently used strategy for pain management was stressor modification (e.g., medication, sleep, hot/cold, and massage). The most common coping strategies according to a Likert scale rating were {"}watch TV{"} (n = 426), {"}lie down{"} (n = 421), {"}wish for it to go away{"} (n = 417), and {"}tell my mother or father{"} (n = 416). The pain intensity scores after pain management were significantly lower for the younger children in three of the seven interviews and for the older children in all seven interviews. For both the younger and older children, functional status (i.e., the ability to engage in routine activities) was above the median score at the seven interviews. Conclusions: Children with leukemia experience pain throughout the first year of treatment. In this study, the pain was responsive to the management strategies used by the parents and children.",
keywords = "Children, Leukemia, Pain",
author = "{Van Cleve}, Lois and Elizabeth Bossert and Pauline Beecroft and Kathleen Adlard and Alvarez, {Ofelia A} and Savedra, {Marilyn C.}",
year = "2004",
month = "1",
day = "1",
language = "English",
volume = "53",
pages = "1--10",
journal = "Nursing Research",
issn = "0029-6562",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - The pain experience of children with leukemia during the first year after diagnosis

AU - Van Cleve, Lois

AU - Bossert, Elizabeth

AU - Beecroft, Pauline

AU - Adlard, Kathleen

AU - Alvarez, Ofelia A

AU - Savedra, Marilyn C.

PY - 2004/1/1

Y1 - 2004/1/1

N2 - Background: Children with cancer experience pain related to the disease process, the treatment, and the associated procedures. For children with leukemia, the pain experienced after diagnosis has received scant attention. Objective: To examine the pain experience, management strategies, and outcomes during the first year after the diagnosis of acute leukemia. Methods: A longitudinal descriptive approach was used to collect data at seven data points from 95 English- and Spanish-speaking children, ages 4 to 17 years, receiving care in one of three southern California hospitals, and from their English-and Spanish-speaking parents. Age-appropriate instruments were used to examine the variables of pain intensity, location, pattern over time, and quality, as well as strategies for managing pain, perceived effectiveness of management strategies, and functional status. Results: All the children reported pain over the course of the year. Pain intensity scores incorporated the full range of possible responses. For the children 4 to 7 years old, the highest and lowest mean scores, respectively, were 2 and 1.6 (scale, 0-4). For the children 8 to 17 years old, the highest and lowest mean scores, respectively, were 50.1 and 39.5 (scale, 0-100). The most common location of pain was the legs (26.5%) in all seven interviews. Other frequently noted sites were the abdomen (16.6%), head/neck (16.6%), and back (14.2%). The words used most frequently by the older English- and Spanish-speaking children to describe pain were "uncomfortable" (incómodo) and "annoying" (molesto). According to the interviews, the most frequently used strategy for pain management was stressor modification (e.g., medication, sleep, hot/cold, and massage). The most common coping strategies according to a Likert scale rating were "watch TV" (n = 426), "lie down" (n = 421), "wish for it to go away" (n = 417), and "tell my mother or father" (n = 416). The pain intensity scores after pain management were significantly lower for the younger children in three of the seven interviews and for the older children in all seven interviews. For both the younger and older children, functional status (i.e., the ability to engage in routine activities) was above the median score at the seven interviews. Conclusions: Children with leukemia experience pain throughout the first year of treatment. In this study, the pain was responsive to the management strategies used by the parents and children.

AB - Background: Children with cancer experience pain related to the disease process, the treatment, and the associated procedures. For children with leukemia, the pain experienced after diagnosis has received scant attention. Objective: To examine the pain experience, management strategies, and outcomes during the first year after the diagnosis of acute leukemia. Methods: A longitudinal descriptive approach was used to collect data at seven data points from 95 English- and Spanish-speaking children, ages 4 to 17 years, receiving care in one of three southern California hospitals, and from their English-and Spanish-speaking parents. Age-appropriate instruments were used to examine the variables of pain intensity, location, pattern over time, and quality, as well as strategies for managing pain, perceived effectiveness of management strategies, and functional status. Results: All the children reported pain over the course of the year. Pain intensity scores incorporated the full range of possible responses. For the children 4 to 7 years old, the highest and lowest mean scores, respectively, were 2 and 1.6 (scale, 0-4). For the children 8 to 17 years old, the highest and lowest mean scores, respectively, were 50.1 and 39.5 (scale, 0-100). The most common location of pain was the legs (26.5%) in all seven interviews. Other frequently noted sites were the abdomen (16.6%), head/neck (16.6%), and back (14.2%). The words used most frequently by the older English- and Spanish-speaking children to describe pain were "uncomfortable" (incómodo) and "annoying" (molesto). According to the interviews, the most frequently used strategy for pain management was stressor modification (e.g., medication, sleep, hot/cold, and massage). The most common coping strategies according to a Likert scale rating were "watch TV" (n = 426), "lie down" (n = 421), "wish for it to go away" (n = 417), and "tell my mother or father" (n = 416). The pain intensity scores after pain management were significantly lower for the younger children in three of the seven interviews and for the older children in all seven interviews. For both the younger and older children, functional status (i.e., the ability to engage in routine activities) was above the median score at the seven interviews. Conclusions: Children with leukemia experience pain throughout the first year of treatment. In this study, the pain was responsive to the management strategies used by the parents and children.

KW - Children

KW - Leukemia

KW - Pain

UR - http://www.scopus.com/inward/record.url?scp=1342329050&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1342329050&partnerID=8YFLogxK

M3 - Article

VL - 53

SP - 1

EP - 10

JO - Nursing Research

JF - Nursing Research

SN - 0029-6562

IS - 1

ER -