Description and Analysis of Sources of Fear and Associated Fear Scores in Children Aged 7 to 12 in the Pediatric Emergency Department in France: A Retrospective Study: Fear Kids

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2025-09-01 DOI:10.1016/j.pedhc.2025.05.001

Stephanie Thurillet RN, BSc , Pascale Beloni RN, Ph.D , Jean Toniolo RN, Ph.D

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引用次数: 0

Abstract

Introduction

The validation of the self-assessment fear scale, the Trouillomètre®, has enabled the systematic identification of children's sources of fear notably in pediatric emergency settings.

Methods

This retrospective study, conducted at a pediatric emergency department in France, aimed to describe fear scores and sources of fear in children aged 7–12. Fear was measured using the Trouillomètre® and pain via the Visual Analogue Scale.

Results

Thematic analysis identified eight major sources of fear, with fear of pain, needles, surgery, and hospitalization being most frequent. Boys and girls displayed similar fear levels, but pain scores were higher among girls. Children presenting for medical reasons reported more fear than those with surgical reasons.

Discussion

Our study explored comprehensively the children's fear in emergency contexts in France, providing critical insights for developing targeted interventions and improving care pathways to alleviate pediatric distress.

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法国儿科急诊科7 - 12岁儿童恐惧来源及相关恐惧评分的描述与分析：一项回顾性研究：恐惧儿童。

导论：自我评估恐惧量表（trouillom®）的验证，使系统地识别儿童恐惧的来源，特别是在儿科急诊环境中。方法：这项在法国儿科急诊科进行的回顾性研究，旨在描述7-12岁儿童的恐惧评分和恐惧来源。恐惧用trouillom量表测量，疼痛用视觉模拟量表测量。结果：专题分析确定了8个主要的恐惧来源，其中最常见的是对疼痛、针、手术和住院的恐惧。男孩和女孩表现出相似的恐惧水平，但女孩的疼痛得分更高。因医学原因就诊的儿童比因手术就诊的儿童更害怕。讨论：我们的研究全面探讨了法国儿童在紧急情况下的恐惧，为制定有针对性的干预措施和改善护理途径提供了重要的见解，以减轻儿童的痛苦。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.