Journal of Child and Adolescent Psychiatric Nursing最新文献_第6页

Soothing venipuncture: Bubble blowing and ball squeezing in reducing anxiety, fear, and pain in children 舒缓静脉穿刺：吹泡泡和挤压球能减轻儿童的焦虑、恐惧和疼痛。

IF 1.6 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-08-22 DOI: 10.1111/jcap.12478

Abdullah Sarman RN, PhD, Suat Tuncay RN, PhD

Problem

The objective of this study was to investigate the impact of bubble-blowing and ball-squeezing interventions on children's levels of anxiety, fear, and pain during venipuncture procedures.

Methods

This study was designed as a randomized controlled trial. Out of 108 children aged 5−10 years, 72 were allocated to the two experimental groups, while 36 were assigned to the control group. The levels of anxiety, fear, and pain experienced by the children were assessed using the “Wong-Baker FACES® Pain Rating Scale,” “Child Anxiety Scale-State,” and “Child Fear Scale,” respectively. Intergroup comparisons were analyzed using one-way ANOVA, while intragroup comparisons were conducted using Wilks' Lambda analysis.

Findings

It was observed that 50% of the children in the control group, 47.2% in the bubble-blowing group, and 47.2% in the ball-queezing group did not receive information about the painful procedure. Anxiety, fear, and pain scores of all groups were statistically similar in the initial measurement without any intervention. Children in the bubble-blowing and ball-squeezing groups experienced lower anxiety, fear, and pain during and at the end of the painful procedures.

Conclusions

The study discovered that interventions involving bubble blowing and ball squeezing significantly decreased children's levels of anxiety, fear, and pain both during and after intravenous procedures. Information on procedures, alongside interactive techniques like bubble blowing and ball squeezing, helps pediatric nurses calm children, easing anxiety, fear, and pain. Implementing these strategies enhances treatment experiences and confidence in healthcare.

问题：本研究的目的是调查吹泡泡和挤球干预措施对儿童在静脉穿刺过程中焦虑、恐惧和疼痛程度的影响：本研究设计为随机对照试验。在 108 名 5-10 岁的儿童中，72 名被分配到两个实验组，36 名被分配到对照组。分别使用 "Wong-Baker FACES® 疼痛评分量表"、"儿童焦虑量表-状态 "和 "儿童恐惧量表 "评估儿童的焦虑、恐惧和疼痛程度。组间比较采用单因素方差分析，组内比较采用 Wilks' Lambda 分析：观察发现，对照组有 50%的儿童、吹泡泡组有 47.2%的儿童、挤压球组有 47.2%的儿童没有收到有关痛苦过程的信息。在没有任何干预措施的情况下，所有组别的焦虑、恐惧和疼痛评分在初始测量时在统计学上相似。吹泡泡组和挤压球组的儿童在疼痛过程中和结束时的焦虑、恐惧和疼痛程度较低：研究发现，吹泡泡和挤压球的干预措施能显著降低儿童在静脉注射过程中和结束后的焦虑、恐惧和疼痛程度。有关手术的信息以及吹泡泡和挤球等互动技巧有助于儿科护士安抚儿童，缓解焦虑、恐惧和疼痛。实施这些策略可以增强治疗体验和对医疗保健的信心。

{"title":"Soothing venipuncture: Bubble blowing and ball squeezing in reducing anxiety, fear, and pain in children","authors":"Abdullah Sarman RN, PhD, Suat Tuncay RN, PhD","doi":"10.1111/jcap.12478","DOIUrl":"10.1111/jcap.12478","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>The objective of this study was to investigate the impact of bubble-blowing and ball-squeezing interventions on children's levels of anxiety, fear, and pain during venipuncture procedures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was designed as a randomized controlled trial. Out of 108 children aged 5−10 years, 72 were allocated to the two experimental groups, while 36 were assigned to the control group. The levels of anxiety, fear, and pain experienced by the children were assessed using the “Wong-Baker FACES® Pain Rating Scale,” “Child Anxiety Scale-State,” and “Child Fear Scale,” respectively. Intergroup comparisons were analyzed using one-way ANOVA, while intragroup comparisons were conducted using Wilks' Lambda analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>It was observed that 50% of the children in the control group, 47.2% in the bubble-blowing group, and 47.2% in the ball-queezing group did not receive information about the painful procedure. Anxiety, fear, and pain scores of all groups were statistically similar in the initial measurement without any intervention. Children in the bubble-blowing and ball-squeezing groups experienced lower anxiety, fear, and pain during and at the end of the painful procedures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study discovered that interventions involving bubble blowing and ball squeezing significantly decreased children's levels of anxiety, fear, and pain both during and after intravenous procedures. Information on procedures, alongside interactive techniques like bubble blowing and ball squeezing, helps pediatric nurses calm children, easing anxiety, fear, and pain. Implementing these strategies enhances treatment experiences and confidence in healthcare.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric psychiatric inpatients' perspectives of aggression management: Discernment in the doorway 儿科精神病住院患者对攻击管理的看法：门口的辨别。

IF 1.6 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-07-31 DOI: 10.1111/jcap.12477

Graham McCaffrey RN, BA, PhD, Melissa Adrian RN, MN

Problem

Aggressive behavior is common on psychiatric inpatient units. Seclusion and restraint interventions to manage patients' aggressive behavior may have the consequence of being traumatizing for patients. Pediatric psychiatric patients' perspective on the use of seclusion and restraint interventions is not present in the literature.

Methods

This hermeneutic nursing research study asked the question, “How might we understand children's experiences of seclusion and restraints on an inpatient psychiatric unit?” Four past pediatric psychiatric inpatients shared their hospitalization experiences that occurred within the previous year when they were 10 years old. The texts of the research interviews were compared to Attachment Theory for a deeper understanding of the meaning of the message.

Findings

Participants commonly described experiences with seclusion and restraints as feeling trapped and alone in a dark room. They recommended the nurses step into the room with them to help them heal. Interpretively, the rooms on inpatient units could be considered as actual and metaphorical spaces of possible harm or healing.

Conclusion

The participant's voices expand understanding of nurse's use of discernment at the doorway of a patient room to ensure the most therapeutic care is provided to the patient in these spaces through a secure nurse–patient relationship.

问题：攻击行为在精神病住院病房很常见。为控制病人的攻击性行为而采取的隔离和约束干预措施可能会给病人造成心理创伤。儿科精神病患者对使用隔离和约束干预措施的看法在文献中并不存在：这项诠释学护理研究提出的问题是："我们如何理解儿童在精神科住院病房使用隔离和约束措施的经历？四名过去的儿科精神病住院患者分享了他们在去年 10 岁时的住院经历。我们将研究访谈的文本与依恋理论进行了比较，以加深对信息含义的理解：参与者普遍将隔离和束缚的经历描述为在黑暗的房间里感到被困和孤独。他们建议护士与他们一起进入房间，帮助他们治愈。从解释的角度来看，住院部的房间可以被视为可能造成伤害或治愈的实际和隐喻空间：参与者的声音扩展了对护士在病房门口使用辨别力的理解，以确保通过安全的护患关系在这些空间为患者提供最具治疗性的护理。

{"title":"Pediatric psychiatric inpatients' perspectives of aggression management: Discernment in the doorway","authors":"Graham McCaffrey RN, BA, PhD, Melissa Adrian RN, MN","doi":"10.1111/jcap.12477","DOIUrl":"10.1111/jcap.12477","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Aggressive behavior is common on psychiatric inpatient units. Seclusion and restraint interventions to manage patients' aggressive behavior may have the consequence of being traumatizing for patients. Pediatric psychiatric patients' perspective on the use of seclusion and restraint interventions is not present in the literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This hermeneutic nursing research study asked the question, “How might we understand children's experiences of seclusion and restraints on an inpatient psychiatric unit?” Four past pediatric psychiatric inpatients shared their hospitalization experiences that occurred within the previous year when they were 10 years old. The texts of the research interviews were compared to Attachment Theory for a deeper understanding of the meaning of the message.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Participants commonly described experiences with seclusion and restraints as feeling trapped and alone in a dark room. They recommended the nurses step into the room with them to help them heal. Interpretively, the rooms on inpatient units could be considered as actual and metaphorical spaces of possible harm or healing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The participant's voices expand understanding of nurse's use of discernment at the doorway of a patient room to ensure the most therapeutic care is provided to the patient in these spaces through a secure nurse–patient relationship.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12477","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychoeducation group facilitation training for nurses: A quality improvement project 护士心理教育小组促进培训：质量改进项目。

IF 1.6 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-07-22 DOI: 10.1111/jcap.12476

Shanon G. McLeay DNP, PMHNP-BC, RN, Therese Mathews PhD, PMHNP-BC, Leeza Struwe PhD, MSN, RN

Background

According to the 2020−2021 National Survey of Children's Health, 23.3% of children and adolescents met criteria for one or more mental, emotional, developmental, or behavioral problems. However, the prevalence of depression, anxiety, and post traumatic stress disorder have risen dramatically since the COVID-19 pandemic, leading to an increase in suicidal ideations, completed suicides, and pediatric psychiatric hospitalizations. There is a critical need for high quality mental healthcare treatments, including psychoeducation. Inpatient psychiatric nurses are well positioned to lead psychoeducation groups, but few receive training.

Local Problem

Nurses at a designated inpatient pediatric psychiatric unit expressed discomfort in facilitating psychoeducation groups.

Methods

This is a one-group prepost and follow-up quality improvement study designed to improve the quality of psychoeducation group facilitation skills provided by nurses at a child and adolescent inpatient psychiatric unit. A convenience sample of nurses (N = 16) participated. Baseline (T1), post-test (T2), and follow-up (T3) data were collected regarding nurses' self-efficacy, evidence based-practice attitudes, and knowledge of psychoeducation group facilitation.

Interventions

Nurses received 45 min of psychoeducation group facilitation education and 15 min of skills simulation.

Results

The nurses' knowledge, self-efficacy, and attitudes toward evidence-based practice when facilitating psychoeducation groups increased significantly from the baseline to the post-test, which was sustained from the post-test to the follow-up period.

Conclusion

Study findings indicate the importance of supporting nurses in their role of psychoeducation group facilitation through education and program structure. Further research is needed to assess longer term sustainability and efficacy in leading psychoeducation groups.

背景：根据 2020-2021 年全国儿童健康调查，23.3% 的儿童和青少年符合一种或多种精神、情绪、发育或行为问题的标准。然而，自 COVID-19 大流行以来，抑郁症、焦虑症和创伤后应激障碍的发病率急剧上升，导致自杀意念、完成自杀和儿科精神病住院人数增加。我们迫切需要高质量的心理保健治疗，包括心理教育。住院精神科护士完全有能力领导心理教育小组，但接受过培训的护士却寥寥无几。当地问题：一家指定的儿科精神科住院病房的护士表示不习惯主持心理教育小组：方法：这是一项单组前后期和后续质量改进研究，旨在提高儿童和青少年精神科住院病房护士主持心理教育小组的技能质量。参与研究的护士（N = 16）均为方便抽样。我们收集了基线（T1）、后测试（T2）和随访（T3）数据，内容涉及护士的自我效能感、循证实践态度和心理教育小组协助知识：干预措施：护士接受 45 分钟的心理教育小组促进教育和 15 分钟的技能模拟：结果：从基线到后测，护士在促进心理教育小组时对循证实践的知识、自我效能感和态度都有了显著提高，这种提高在后测到随访期间一直持续：研究结果表明，通过教育和项目结构支持护士在心理教育小组中发挥促进作用非常重要。需要进一步开展研究，以评估领导心理教育小组的长期可持续性和有效性。

{"title":"Psychoeducation group facilitation training for nurses: A quality improvement project","authors":"Shanon G. McLeay DNP, PMHNP-BC, RN, Therese Mathews PhD, PMHNP-BC,  Leeza Struwe PhD, MSN, RN","doi":"10.1111/jcap.12476","DOIUrl":"10.1111/jcap.12476","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>According to the 2020−2021 National Survey of Children's Health, 23.3% of children and adolescents met criteria for one or more mental, emotional, developmental, or behavioral problems. However, the prevalence of depression, anxiety, and post traumatic stress disorder have risen dramatically since the COVID-19 pandemic, leading to an increase in suicidal ideations, completed suicides, and pediatric psychiatric hospitalizations. There is a critical need for high quality mental healthcare treatments, including psychoeducation. Inpatient psychiatric nurses are well positioned to lead psychoeducation groups, but few receive training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Local Problem</h3>\u0000 \u0000 <p>Nurses at a designated inpatient pediatric psychiatric unit expressed discomfort in facilitating psychoeducation groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a one-group prepost and follow-up quality improvement study designed to improve the quality of psychoeducation group facilitation skills provided by nurses at a child and adolescent inpatient psychiatric unit. A convenience sample of nurses (<i>N</i> = 16) participated. Baseline (T1), post-test (T2), and follow-up (T3) data were collected regarding nurses' self-efficacy, evidence based-practice attitudes, and knowledge of psychoeducation group facilitation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions</h3>\u0000 \u0000 <p>Nurses received 45 min of psychoeducation group facilitation education and 15 min of skills simulation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The nurses' knowledge, self-efficacy, and attitudes toward evidence-based practice when facilitating psychoeducation groups increased significantly from the baseline to the post-test, which was sustained from the post-test to the follow-up period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Study findings indicate the importance of supporting nurses in their role of psychoeducation group facilitation through education and program structure. Further research is needed to assess longer term sustainability and efficacy in leading psychoeducation groups.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12476","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Celebrating equality, diversity, and inclusion in child and adolescent psychiatric nursing: Value of welcoming environment 在儿童和青少年精神科护理工作中弘扬平等、多样性和包容性：欢迎环境的价值。

IF 1.6 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-07-09 DOI: 10.1111/jcap.12475

Yeter Sinem Üzar-Özçetin RN, MSc, PhD

引用次数: 0

Late-night eating and inactivity: Links to depression and suicide risk in adolescents living in Turkey 深夜进食和缺乏活动：生活在土耳其的青少年抑郁和自杀风险的关联。

IF 1.6 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-06-26 DOI: 10.1111/jcap.12474

Suat Tuncay RN, PhD, Abdullah Sarman

Objective

Depression, anxiety, and eating disorders are all common during adolescence. This study aims to investigate the potential relationship between eating at night, physical activity, and depression/suicide risk in adolescents.

Methods

This study followed a cross-sectional descriptive design and involved collecting data from adolescents aged 13–18 years who attend four different high schools. The data collection was done through an online survey using Google Forms. Sociodemographic form, eating at night questionnaire, International Physical Activity Questionnaire (Short Form), Reynolds Adolescent Depression Scale, and Suicide Probability Scale were used for data collection. The data collected were analyzed electronically using descriptive statistics and correlation tests to examine relationships between different parameters.

Results

The study revealed significant associations between academic achievement, daily sleep duration, and daily walking distance with depression and suicide probability (p < 0.05) among the participants. Adolescents who consumed food after 10 pm exhibited higher depression and suicide probability scores than their counterparts (p < 0.05). Additionally, an analysis of physical activity levels demonstrated that highly active adolescents had lower depression and suicide probability scores.

Conclusions

In conclusion, this study suggests that there is a significant relationship between eating at night, physical activity, and depression/suicide risk in adolescents. Specifically, academic success, daily sleep duration, daily walking distance, and eating habits were found to be associated with depression and suicide probability. Encouraging physical activity and healthy eating habits, particularly avoiding eating late at night, may be beneficial in reducing the risk of depression and suicide among adolescents.

目的抑郁、焦虑和饮食失调都是青少年时期的常见病。本研究旨在调查青少年夜间进食、体育锻炼与抑郁/自杀风险之间的潜在关系：本研究采用横断面描述性设计，从就读于四所不同高中的 13-18 岁青少年中收集数据。数据收集是通过谷歌表格在线调查完成的。数据收集使用了社会人口调查表、夜间进食调查表、国际体育活动调查表（简表）、雷诺青少年抑郁量表和自杀可能性量表。使用描述性统计和相关检验对收集到的数据进行电子分析，以研究不同参数之间的关系：研究结果表明，学习成绩、每日睡眠时间和每日步行距离与抑郁和自杀概率之间存在明显的相关性（p 结论：研究结果表明，学习成绩、每日睡眠时间和每日步行距离与抑郁和自杀概率之间存在明显的相关性：总之，本研究表明，青少年夜间进食、体育锻炼与抑郁/自杀风险之间存在显著关系。具体而言，研究发现学业成就、每日睡眠时间、每日步行距离和饮食习惯与抑郁和自杀几率有关。鼓励体育锻炼和健康的饮食习惯，尤其是避免深夜进食，可能有利于降低青少年抑郁和自杀的风险。

{"title":"Late-night eating and inactivity: Links to depression and suicide risk in adolescents living in Turkey","authors":"Suat Tuncay RN, PhD, Abdullah Sarman","doi":"10.1111/jcap.12474","DOIUrl":"10.1111/jcap.12474","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Depression, anxiety, and eating disorders are all common during adolescence. This study aims to investigate the potential relationship between eating at night, physical activity, and depression/suicide risk in adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study followed a cross-sectional descriptive design and involved collecting data from adolescents aged 13–18 years who attend four different high schools. The data collection was done through an online survey using Google Forms. Sociodemographic form, eating at night questionnaire, International Physical Activity Questionnaire (Short Form), Reynolds Adolescent Depression Scale, and Suicide Probability Scale were used for data collection. The data collected were analyzed electronically using descriptive statistics and correlation tests to examine relationships between different parameters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study revealed significant associations between academic achievement, daily sleep duration, and daily walking distance with depression and suicide probability (<i>p</i> < 0.05) among the participants. Adolescents who consumed food after 10 pm exhibited higher depression and suicide probability scores than their counterparts (<i>p</i> < 0.05). Additionally, an analysis of physical activity levels demonstrated that highly active adolescents had lower depression and suicide probability scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In conclusion, this study suggests that there is a significant relationship between eating at night, physical activity, and depression/suicide risk in adolescents. Specifically, academic success, daily sleep duration, daily walking distance, and eating habits were found to be associated with depression and suicide probability. Encouraging physical activity and healthy eating habits, particularly avoiding eating late at night, may be beneficial in reducing the risk of depression and suicide among adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12474","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determination of the relationship between depression and suicide in young adolescents 确定青少年抑郁与自杀之间的关系。

IF 1.6 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-06-26 DOI: 10.1111/jcap.12473

Suat Tuncay, Abdullah Sarman

Objective

This study was designed to explore the relationships between depression, and the likelihood of suicide among young adolescents by considering various factors.

Design and Samples

It was conducted in a descriptive-cross-sectional format, with fieldwork spanning from November 16, 2022, to June 30, 2023. The study assessed the likelihood of depression, and suicide in young adolescents attending a university in Eastern Turkey.

Measurements

Sociodemographic features survey form, Beck's Depression Inventory and Suicide Probability Scale were used to collect data.

Results

The results from this investigation indicated that women, individuals with chronic illnesses, those with a history of psychiatric conditions, those expressing a constant desire to die, those with suicidal thoughts or plans, and those with a family member who had attempted suicide exhibited significantly higher mean scores for depression and suicide. There was a positive correlation between high depression scores and suicidal tendencies. However, no conclusive evidence of a link between depression, and suicide was established.

Conclusions

In this study, certain demographic and psychological factors were identified as correlating with elevated levels of depression and suicidal tendencies among young adolescents. It is imperative that individuals identified as being at risk be promptly referred to appropriate units for comprehensive interventions and support.

研究目的本研究旨在通过考虑各种因素，探讨抑郁症与青少年自杀可能性之间的关系：研究以描述性横断面形式进行，实地调查时间跨度为 2022 年 11 月 16 日至 2023 年 6 月 30 日。研究评估了在土耳其东部一所大学就读的青少年患抑郁症和自杀的可能性：采用社会人口特征调查表、贝克抑郁量表和自杀可能性量表收集数据：调查结果表明，女性、慢性病患者、有精神病史者、经常表达死亡愿望者、有自杀想法或计划者以及有家庭成员自杀未遂者在抑郁和自杀方面的平均得分明显较高。抑郁得分高与自杀倾向之间存在正相关。然而，没有确凿证据表明抑郁与自杀之间存在联系：本研究发现，某些人口和心理因素与青少年抑郁和自杀倾向的升高有关。当务之急是将发现的高危人群及时转介到合适的机构，接受全面的干预和支持。

{"title":"Determination of the relationship between depression and suicide in young adolescents","authors":"Suat Tuncay, Abdullah Sarman","doi":"10.1111/jcap.12473","DOIUrl":"10.1111/jcap.12473","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study was designed to explore the relationships between depression, and the likelihood of suicide among young adolescents by considering various factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Samples</h3>\u0000 \u0000 <p>It was conducted in a descriptive-cross-sectional format, with fieldwork spanning from November 16, 2022, to June 30, 2023. The study assessed the likelihood of depression, and suicide in young adolescents attending a university in Eastern Turkey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Sociodemographic features survey form, Beck's Depression Inventory and Suicide Probability Scale were used to collect data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results from this investigation indicated that women, individuals with chronic illnesses, those with a history of psychiatric conditions, those expressing a constant desire to die, those with suicidal thoughts or plans, and those with a family member who had attempted suicide exhibited significantly higher mean scores for depression and suicide. There was a positive correlation between high depression scores and suicidal tendencies. However, no conclusive evidence of a link between depression, and suicide was established.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In this study, certain demographic and psychological factors were identified as correlating with elevated levels of depression and suicidal tendencies among young adolescents. It is imperative that individuals identified as being at risk be promptly referred to appropriate units for comprehensive interventions and support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12473","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing adolescent mental health post-COVID-19: Insights from an Integrated Inter-Hospital Mental Health Program COVID-19后加强青少年心理健康：医院间心理健康综合项目的启示

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-04-29 DOI: 10.1111/jcap.12467

Chi-Hua Lan, Lien-Chung Wei

引用次数: 0

Demographic, lifestyle, social, and psychological factors associated with worry-related sleep problems among school-going adolescents in Timor-Leste 东帝汶在校青少年中与担忧相关的睡眠问题有关的人口、生活方式、社会和心理因素

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-04-23 DOI: 10.1111/jcap.12468

Yong Kang Cheah PhD, Chee Cheong Kee MSc, Kuang Kuay Lim MSc, Yoon Ling Cheong PhD

Objective

Adolescent sleep problems are a worldwide public health issue. The present study examines factors associated with worry-related sleep problems among school-going adolescents. The country of interest is Timor-Leste, a low-income country, where studies pertaining to adolescent sleep problems are lacking.

Design and Measures

Data were analysed from the Global School-Based Student Health Survey Timor-Leste (n = 3455). An ordered probit model was used to assess the effects of demographic, lifestyle, social, and psychological factors on different levels of worry-related sleep problems (i.e., no, mild and severe sleep problems).

Results

School-going adolescents were more likely to face mild or severe worry-related sleep problems if they were older, passive smokers, alcohol drinkers and moderately active. School-going adolescents who sometimes or always went hungry were more likely to experience worry-related sleep problems than those who did not. Involvement in physical fights, being bullied, and loneliness were positively associated with the probability of having modest or severe worry-related sleep problems.

Conclusion

Age, exposure to second-hand smoke, alcohol consumption, physical activity, going hungry, physical fights, being bullied and loneliness are the important determining factors of adolescent worry-related sleep problems. Policymakers should pay special attention to these factors when formulating intervention measures.

目标青少年睡眠问题是一个全球性的公共健康问题。本研究探讨了在校青少年中与担忧相关的睡眠问题的相关因素。研究对象国家是东帝汶，一个缺乏青少年睡眠问题研究的低收入国家。设计与措施分析了东帝汶全球学校学生健康调查（n = 3455）的数据。采用有序概率模型评估人口、生活方式、社会和心理因素对不同程度的与担忧有关的睡眠问题（即无、轻微和严重睡眠问题）的影响。结果年龄较大、被动吸烟、饮酒和活动量适中的在校青少年更有可能面临轻度或严重的与担忧有关的睡眠问题。有时或经常挨饿的在校青少年比不挨饿的青少年更有可能遇到与担忧有关的睡眠问题。参与打架斗殴、被人欺负和孤独感与出现轻度或严重与担忧有关的睡眠问题的概率呈正相关。结论年龄、吸二手烟、饮酒、体育锻炼、挨饿、打架斗殴、被人欺负和孤独感是青少年担心相关睡眠问题的重要决定因素。决策者在制定干预措施时应特别关注这些因素。

{"title":"Demographic, lifestyle, social, and psychological factors associated with worry-related sleep problems among school-going adolescents in Timor-Leste","authors":"Yong Kang Cheah PhD, Chee Cheong Kee MSc, Kuang Kuay Lim MSc, Yoon Ling Cheong PhD","doi":"10.1111/jcap.12468","DOIUrl":"https://doi.org/10.1111/jcap.12468","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Adolescent sleep problems are a worldwide public health issue. The present study examines factors associated with worry-related sleep problems among school-going adolescents. The country of interest is Timor-Leste, a low-income country, where studies pertaining to adolescent sleep problems are lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Measures</h3>\u0000 \u0000 <p>Data were analysed from the Global School-Based Student Health Survey Timor-Leste (<i>n</i> = 3455). An ordered probit model was used to assess the effects of demographic, lifestyle, social, and psychological factors on different levels of worry-related sleep problems (i.e., no, mild and severe sleep problems).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>School-going adolescents were more likely to face mild or severe worry-related sleep problems if they were older, passive smokers, alcohol drinkers and moderately active. School-going adolescents who sometimes or always went hungry were more likely to experience worry-related sleep problems than those who did not. Involvement in physical fights, being bullied, and loneliness were positively associated with the probability of having modest or severe worry-related sleep problems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Age, exposure to second-hand smoke, alcohol consumption, physical activity, going hungry, physical fights, being bullied and loneliness are the important determining factors of adolescent worry-related sleep problems. Policymakers should pay special attention to these factors when formulating intervention measures.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140639604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of a structured educational program on nursing students' level of knowledge and awareness toward child neglect and abuse: A quasi-experimental evaluation 结构化教育计划对护理专业学生对忽视和虐待儿童问题的了解和认识水平的影响：准实验评估

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-04-22 DOI: 10.1111/jcap.12463

Ayfer Öztürk PhD

Background

Nurses have a key role in the recognition, reporting, and channelization of child abuse and neglect. Nurses should have sufficient knowledge about the presentation of child abuse and neglect. They also need to understand their role in reporting any instance where they detect cases of abuse and neglect.

Purpose

The aim of this study is to determine the effect of a structured Child Neglect and Abuse Educational Program (CNaA-EP) on the level of knowledge and awareness of nursing students about child neglect and abuse.

Methods

This study conducted with nursing students used a pretest−post-test quasi-experimental design. The third-year nursing students were divided into two groups: experimental (n = 25) and control groups (n = 30). The intervention group received CNaA-EP. In both groups, pretests were performed using the “Child Abuse and Neglect Awareness Scale,” and “Child Abuse and Neglect Knowledge Test” The posttest was conducted 1 week after the 14-week CNaA-EP course was completed. Numbers, percentages, chi-square test, t-test, Kolmogorov–Smirnov test, Fisher's exact test were conducted using SPSS 22.00 software.

Results

The education group's scores of child abuse/neglect awareness (t = −2.768 p < 0.05) and child abuse/neglect knowledge (t = −12.416 p < 0.01) were significantly higher than those of the control group. After the education program, a significant difference was found between the education and control groups on the core measures.

Conclusion

A child neglect and abuse education program was an effective method of educating nursing students on knowledge and awareness of child abuse and neglect. For this reason, education programs should be planned and implemented to increase awareness about abuse and neglect problems that threaten children's health and development.

背景护士在识别、报告和疏导虐待和忽视儿童行为方面发挥着关键作用。护士应充分了解虐待和忽视儿童的表现形式。他们还需要了解自己在发现虐待和忽视儿童事件时的报告角色。目的本研究旨在确定有组织的忽视和虐待儿童教育计划（CNaA-EP）对护理专业学生有关忽视和虐待儿童的知识和意识水平的影响。方法这项针对护理专业学生的研究采用了前测-后测的准实验设计。三年级护生分为两组：实验组（25 人）和对照组（30 人）。干预组接受 CNaA-EP。两组学生均使用 "虐待和忽视儿童意识量表 "和 "虐待和忽视儿童知识测试 "进行前测，在为期 14 周的 CNaA-EP 课程结束一周后进行后测。采用 SPSS 22.00 软件进行数字、百分比、卡方检验、t 检验、Kolmogorov-Smirnov 检验和费雪精确检验。结果教育组的虐待/忽视儿童意识得分（t = -2.768 p < 0.05）和虐待/忽视儿童知识得分（t = -12.416 p < 0.01）明显高于对照组。教育计划结束后，教育组和对照组在核心测量指标上有明显差异。结论儿童忽视和虐待教育项目是对护理专业学生进行虐待和忽视儿童知识和意识教育的有效方法。因此，应规划和实施教育计划，以提高对威胁儿童健康和发展的虐待和忽视问题的认识。

{"title":"Effects of a structured educational program on nursing students' level of knowledge and awareness toward child neglect and abuse: A quasi-experimental evaluation","authors":"Ayfer Öztürk PhD","doi":"10.1111/jcap.12463","DOIUrl":"https://doi.org/10.1111/jcap.12463","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses have a key role in the recognition, reporting, and channelization of child abuse and neglect. Nurses should have sufficient knowledge about the presentation of child abuse and neglect. They also need to understand their role in reporting any instance where they detect cases of abuse and neglect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The aim of this study is to determine the effect of a structured Child Neglect and Abuse Educational Program (CNaA-EP) on the level of knowledge and awareness of nursing students about child neglect and abuse.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study conducted with nursing students used a pretest−post-test quasi-experimental design. The third-year nursing students were divided into two groups: experimental (<i>n</i> = 25) and control groups (<i>n</i> = 30). The intervention group received CNaA-EP. In both groups, pretests were performed using the “Child Abuse and Neglect Awareness Scale,” and “Child Abuse and Neglect Knowledge Test” The posttest was conducted 1 week after the 14-week CNaA-EP course was completed. Numbers, percentages, chi-square test, <i>t</i>-test, Kolmogorov–Smirnov test, Fisher's exact test were conducted using SPSS 22.00 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The education group's scores of child abuse/neglect awareness (<i>t</i> = −2.768 <i>p </i>< 0.05) and child abuse/neglect knowledge (<i>t</i> = −12.416 <i>p </i>< 0.01) were significantly higher than those of the control group. After the education program, a significant difference was found between the education and control groups on the core measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A child neglect and abuse education program was an effective method of educating nursing students on knowledge and awareness of child abuse and neglect. For this reason, education programs should be planned and implemented to increase awareness about abuse and neglect problems that threaten children's health and development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140633753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

“I am not a good enough parent”: The experience of self-stigma in parents of children with mental illness in China "我不是一个称职的父母"：中国精神疾病儿童家长的自我污名体验

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-04-22 DOI: 10.1111/jcap.12466

Xi Zhang, Meiliyang Wu, Tieying Zeng, Chunfeng Cai

Problem

Self-stigma in parents of children with mental illness is an area easily overlooked by mental health providers. Many studies have shown that self-stigma in parents may result in social interaction avoidance, lower self-esteem, increased psychological pressure, and so on. However, a comprehensive picture of how parents of children with mental illness in China experience self-stigma is lacking.

Methods

Individual semistructured face-to-face interviews were conducted with 20 parents from China during their child's psychiatric hospitalization. We followed the consolidated criteria for reporting qualitative research (COREQ) checklist.

Findings

Four main themes were identified that captured the experience of self-stigma in parents of children with mental illness: (1) losing face and fear, (2) internalizing affiliate stigma, (3) feeling of self-blame and self-doubt, and (4) keeping oneself away from society.

Conclusions

These findings explain how Chinese parents of children with mental illness experience self-stigma. To better effect the treatment and rehabilitation of children with mental illness, it is necessary to recognize this self-stigma in parents and take action to improve their mental health.

问题患有精神疾病儿童的家长的自我成见是一个容易被心理健康服务提供者忽视的方面。许多研究表明，家长的自我污名可能会导致他们回避社会交往、降低自尊、增加心理压力等。然而，目前还缺乏对中国精神疾病患儿家长如何体验自我污名的全面了解。方法我们对 20 位中国家长进行了个人半结构化的面对面访谈。我们遵循了定性研究报告综合标准（COREQ）清单。结果四个主题反映了精神病患儿家长的自我污名体验：（1）面子和恐惧；（2）内化附属污名；（3）自责和自我怀疑；（4）远离社会。结论这些研究结果解释了中国精神疾病患儿家长的自我污名体验。为了更好地治疗和康复患儿，有必要认识到家长的这种自我污名，并采取行动改善他们的心理健康。

{"title":"“I am not a good enough parent”: The experience of self-stigma in parents of children with mental illness in China","authors":"Xi Zhang, Meiliyang Wu, Tieying Zeng, Chunfeng Cai","doi":"10.1111/jcap.12466","DOIUrl":"https://doi.org/10.1111/jcap.12466","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Self-stigma in parents of children with mental illness is an area easily overlooked by mental health providers. Many studies have shown that self-stigma in parents may result in social interaction avoidance, lower self-esteem, increased psychological pressure, and so on. However, a comprehensive picture of how parents of children with mental illness in China experience self-stigma is lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Individual semistructured face-to-face interviews were conducted with 20 parents from China during their child's psychiatric hospitalization. We followed the consolidated criteria for reporting qualitative research (COREQ) checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Four main themes were identified that captured the experience of self-stigma in parents of children with mental illness: (1) losing face and fear, (2) internalizing affiliate stigma, (3) feeling of self-blame and self-doubt, and (4) keeping oneself away from society.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings explain how Chinese parents of children with mental illness experience self-stigma. To better effect the treatment and rehabilitation of children with mental illness, it is necessary to recognize this self-stigma in parents and take action to improve their mental health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140633754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0