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The facial affective scale as a predictor for pain unpleasantness when children undergo immunizations.
School of Health Sciences, University of Borås, Institute of Health and Care Sciences, University of Gothenburg.
Department of Nursing, Health and Culture, University West.
Division of Activity, Health and Care, Department of Social and Welfare Studies, Linköping University.
Dalarna University, School of Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0003-1169-2172
2014 (English)In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2014, no e628198Article in journal (Refereed) Published
Abstract [en]

Needle fear is a common problem in children undergoing immunization. To ensure that the individual child's needs are met during a painful procedure it would be beneficial to be able to predict whether there is a need for extra support. The self-reporting instrument facial affective scale (FAS) could have potential for this purpose. The aim of this study was to evaluate whether the FAS can predict pain unpleasantness in girls undergoing immunization. Girls, aged 11-12 years, reported their expected pain unpleasantness on the FAS at least two weeks before and then experienced pain unpleasantness immediately before each vaccination. The experienced pain unpleasantness during the vaccination was also reported immediately after each immunization. The level of anxiety was similarly assessed during each vaccination and supplemented with stress measures in relation to the procedure in order to assess and evaluate concurrent validity. The results show that the FAS is valid to predict pain unpleasantness in 11-12-year-old girls who undergo immunizations and that it has the potential to be a feasible instrument to identify children who are in need of extra support to cope with immunization. In conclusion, the FAS measurement can facilitate caring interventions.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2014. Vol. 2014, no e628198
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Research subject
Hälsa och välfärd
URN: urn:nbn:se:du-14058DOI: 10.1155/2014/628198PubMedID: 24734174OAI: diva2:714970
Available from: 2014-04-30 Created: 2014-04-30 Last updated: 2014-09-08Bibliographically approved

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