The prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review.

<h4>Background</h4>Little is known about the prevalence and best management of needle fear in adults with chronic disease, who may experience frequent and long-term exposure to needles for lifesaving therapies such as renal dialysis and cancer treatment. Identifying interventions that as...

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Autores principales:	Emily Duncanson, Richard K Le Leu, Lisa Shanahan, Luke Macauley, Paul N Bennett, Rick Weichula, Stephen McDonald, Anne L J Burke, Kathryn L Collins, Anna Chur-Hansen, Shilpanjali Jesudason
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bdf5692fb7db415facdfceb166a2b87b
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spelling	oai:doaj.org-article:bdf5692fb7db415facdfceb166a2b87b2021-12-02T20:10:47ZThe prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review.1932-620310.1371/journal.pone.0253048https://doaj.org/article/bdf5692fb7db415facdfceb166a2b87b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253048https://doaj.org/toc/1932-6203<h4>Background</h4>Little is known about the prevalence and best management of needle fear in adults with chronic disease, who may experience frequent and long-term exposure to needles for lifesaving therapies such as renal dialysis and cancer treatment. Identifying interventions that assist in management of needle fear and associated distress is essential to support these patients with repeated needle and cannula exposure.<h4>Method</h4>We followed the PRISMA methodology for scoping reviews and systematically searched PsychINFO, PubMed (MEDLINE), ProQuest, Embase and grey literature and reference lists between 1989 and October 2020 for articles related to needle discomfort, distress, anxiety, fear or phobia. The following chronic diseases were included: arthritis, asthma, chronic back pain, cancer, cardiovascular disease, chronic obstructive pulmonary disease, diabetes, and mental illness, or kidney failure. Literature concerning dentistry, vaccination, intravenous drug users and paediatric populations were excluded.<h4>Results</h4>We identified 32 papers reporting prevalence (n = 24), management (n = 5) or both (n = 3). Needle fear prevalence varied in disease cohorts: 17-52% (cancer), 25-47% (chronic kidney disease) and 0.2-80% (diabetes). Assessment methods varied across studies. Management strategies had poor evidence-base, but included needle-specific education, decorated devices, cognitive-behavioural stress management techniques, distraction, and changing the therapy environment or modality.<h4>Conclusion</h4>Although needle fear is common there is a paucity of evidence regarding interventions to address it among adults living with chronic disease. This scoping review has highlighted the need for improved identification of needle fear in adults and development of interventions are required for these cohorts.Emily DuncansonRichard K Le LeuLisa ShanahanLuke MacauleyPaul N BennettRick WeichulaStephen McDonaldAnne L J BurkeKathryn L CollinsAnna Chur-HansenShilpanjali JesudasonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253048 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Emily Duncanson Richard K Le Leu Lisa Shanahan Luke Macauley Paul N Bennett Rick Weichula Stephen McDonald Anne L J Burke Kathryn L Collins Anna Chur-Hansen Shilpanjali Jesudason The prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review.
description	<h4>Background</h4>Little is known about the prevalence and best management of needle fear in adults with chronic disease, who may experience frequent and long-term exposure to needles for lifesaving therapies such as renal dialysis and cancer treatment. Identifying interventions that assist in management of needle fear and associated distress is essential to support these patients with repeated needle and cannula exposure.<h4>Method</h4>We followed the PRISMA methodology for scoping reviews and systematically searched PsychINFO, PubMed (MEDLINE), ProQuest, Embase and grey literature and reference lists between 1989 and October 2020 for articles related to needle discomfort, distress, anxiety, fear or phobia. The following chronic diseases were included: arthritis, asthma, chronic back pain, cancer, cardiovascular disease, chronic obstructive pulmonary disease, diabetes, and mental illness, or kidney failure. Literature concerning dentistry, vaccination, intravenous drug users and paediatric populations were excluded.<h4>Results</h4>We identified 32 papers reporting prevalence (n = 24), management (n = 5) or both (n = 3). Needle fear prevalence varied in disease cohorts: 17-52% (cancer), 25-47% (chronic kidney disease) and 0.2-80% (diabetes). Assessment methods varied across studies. Management strategies had poor evidence-base, but included needle-specific education, decorated devices, cognitive-behavioural stress management techniques, distraction, and changing the therapy environment or modality.<h4>Conclusion</h4>Although needle fear is common there is a paucity of evidence regarding interventions to address it among adults living with chronic disease. This scoping review has highlighted the need for improved identification of needle fear in adults and development of interventions are required for these cohorts.
format	article
author	Emily Duncanson Richard K Le Leu Lisa Shanahan Luke Macauley Paul N Bennett Rick Weichula Stephen McDonald Anne L J Burke Kathryn L Collins Anna Chur-Hansen Shilpanjali Jesudason
author_facet	Emily Duncanson Richard K Le Leu Lisa Shanahan Luke Macauley Paul N Bennett Rick Weichula Stephen McDonald Anne L J Burke Kathryn L Collins Anna Chur-Hansen Shilpanjali Jesudason
author_sort	Emily Duncanson
title	The prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review.
title_short	The prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review.
title_full	The prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review.
title_fullStr	The prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review.
title_full_unstemmed	The prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review.
title_sort	prevalence and evidence-based management of needle fear in adults with chronic disease: a scoping review.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/bdf5692fb7db415facdfceb166a2b87b
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The prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review.

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