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

The pediatric provider communication skills assessment scale 儿科提供者沟通技能评估量表。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-07-02 DOI: 10.1111/jcap.12433

Handan Boztepe PhD, RN, Sevil Çınar Özbay PhD, RN, Aysun Akçam PhD Candidate, Yalçın Kanbay PhD, RN

Problem

Building rapport and trust between healthcare professional and patient/parents would improve satisfaction of patient/parents. The purpose of this study was to develop “The Pediatric Provider Communication Skills Assessment Scale” in this study.

Methods

A trial form, with linguistic and psychometric validation and consisting of 44 statements, was administered to a sample of 325 individuals. Data were collected between January 20 and October 22, 2021. The validity of the scale was concluded after examining its construct validity and internal validity. “Exploratory factor analysis” was used for determining construct validity, and “comparison of lower-upper groups” for internal validity. “Cronbach's α reliability coefficient” and “split half test consistency coefficient” were calculated for testing the reliability of the scale.

Findings

The Pediatric Provider Communication Skills Assessment Scale that we developed consists of one dimension and 20 items, and the variance it can explain was calculated as 62.3%. The Cronbach α reliability coefficient of the scale was calculated as 0.90, indicating high reliability.

Conclusions

According to the findings, “The Pediatric Provider Communication Skills Assessment Scale” is a scale with features that can measure in a valid and reliable way, with high variance and a low number of items. The study aims to develop the “The Pediatric Provider Communication Skills Assessment Scale,” and present it to the literature as a validated and reliable new objective measurement tool. This study will enable us to understand more about the complex communication processes involved in pediatric care and how these may influence care delivery.

问题：在医疗专业人员和患者/父母之间建立融洽的关系和信任将提高患者/父母的满意度。本研究的目的是在本研究中开发“儿科提供者沟通技能评估量表”。方法：对325名个体样本进行了一份由44份陈述组成的经过语言和心理测量验证的试验表。数据收集于2021年1月20日至10月22日。量表的有效性是在考察其结构有效性和内部有效性后得出的。“探索性因素分析”用于确定结构有效性，“上下组比较”用于确定内部有效性。计算“Cronbachα信度系数”和“分半检验一致性系数”来检验量表的信度。研究结果：我们开发的儿科提供者沟通技能评估量表由一个维度和20个项目组成，其可解释的方差计算为62.3%。该量表的Cronbachα可靠性系数计算为0.90，表明其可靠性较高。结论：根据研究结果，“儿科服务提供者沟通技能评估量表”是一种具有有效、可靠测量特点的量表，具有较高的方差和较低的项目数。该研究旨在开发“儿科提供者沟通技能评估量表”，并将其作为一种经过验证和可靠的新的客观测量工具提交给文献。这项研究将使我们能够更多地了解儿科护理中涉及的复杂沟通过程，以及这些过程如何影响护理提供。

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引用次数: 0

The effect of psycho-education given to mothers of children with attention deficit hyperactivity disorder on mother-child interaction and family functionality 对患有注意力缺陷多动障碍儿童的母亲进行心理教育对母子互动和家庭功能的影响。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-06-25 DOI: 10.1111/jcap.12432

Fatma Özgün Öztürk, Mine Ekinci

Problem

One of the most prevalent psychiatric conditions in children is attention deficit hyperactivity disorder (ADHD). Regular psycho-education for people with chronic illnesses and their families is beneficial for prevention, treatment, and rehabilitation. This study aimed to determine the effect of psycho-education given to mothers of children with ADHD on mother-child interaction and family functionality.

Methods

The sample of the study consisted of 98 mothers and children (50 participants for the intervention group and 48 participants for the control group). Mothers in the intervention group were given psycho-education. Pre and post-tests were completed by mothers.

Findings

Post-test mean scores in terms of warmth/affection, hostility/aggression, indifference/neglect, and control subscales of the Parental Acceptance-Red/Control Scale were statistically significantly lower among the intervention group. Post-test mean scores in terms of communication, showing interest, and the behavior control subscales of the family assessment device were statistically significantly lower in the intervention group.

Conclusions

For families dealing with a child with ADHD, psychoeducation increased mother-child interaction and family functioning Therefore, psychoeducation should be widespread in the treatment of ADHD. When ADHD causes problems with mother-child contact, maternal psychoeducation may be helpful.

问题：注意力缺陷多动障碍是儿童最常见的精神疾病之一。对慢性病患者及其家人进行定期的心理教育有利于预防、治疗和康复。本研究旨在确定对患有多动症儿童的母亲进行心理教育对母子互动和家庭功能的影响。方法：研究样本包括98名母亲和儿童（干预组50名参与者，对照组48名参与者）。干预组的母亲接受了心理教育。测试前和测试后由母亲完成。研究结果：在干预组中，父母接受红/对照量表的温暖/情感、敌意/攻击性、冷漠/忽视和对照分量表的测试后平均得分在统计学上显著较低。干预组在沟通、表现兴趣和家庭评估设备的行为控制分量表方面的测试后平均得分在统计学上显著较低。结论：对于患有多动症的儿童的家庭，心理教育增加了母子互动和家庭功能。因此，心理教育应广泛用于多动症的治疗。当多动症导致母子接触出现问题时，母亲的心理教育可能会有所帮助。

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引用次数: 0

Reduction of adverse events in a psychiatric inpatient eating disorder unit during the COVID-19 pandemic 新冠肺炎大流行期间精神病住院饮食失调病房不良事件的减少。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-06-23 DOI: 10.1111/jcap.12430

Simone Arbour PhD, Sayani Paul PhD, Mark Rice MSW

Topic

Globally, the COVID-19 pandemic had impacted the health care delivery including inpatient psychiatric facilities. Within psychiatric settings, life of inpatients was profoundly altered.

Purpose

This paper aimed to understand if pandemic-related changes within an inpatient Eating Disorder Unit in a specialized psychiatric hospital in Ontario, Canada impacted incidence of aggression and use of coercive methods among adolescents.

Source Used

An exploratory study design was used to examine incidence of aggression, self-harm, code whites, staff assist, restraints and seclusion, and nasogastric feeding (NGF) among adolescents with eating disorders before and after the modified service delivery within the inpatient unit. Descriptive analyses were conducted.

Results

Analyses revealed a complete reduction in episodes of self-harm, aggression, staff assists, use of restraint and seclusion as well as an 80.14% reduction on average use of NGF.

Conclusion

Authors speculate that the change in environment and program delivery method, peer influence, and shift in power relations between patient and staff may have resulted in improved experiences. This report provides insights to adopt a recovery-oriented service delivery for adolescents with eating disorders in inpatient settings.

主题：在全球范围内，新冠肺炎大流行影响了包括住院精神病设施在内的医疗保健服务。在精神科环境中，住院患者的生活发生了深刻的变化。目的：本文旨在了解加拿大安大略省一家专门精神病医院住院饮食障碍病房内与疫情相关的变化是否影响了青少年攻击和使用胁迫方法的发生率。所用资料来源：一项探索性研究设计用于检查在住院单元内提供改良服务前后，患有饮食障碍的青少年的攻击性、自残、代码白人、工作人员协助、约束和隔离以及鼻胃喂养（NGF）的发生率。进行描述性分析。结果：分析显示，自残、攻击、员工协助、使用约束和隔离的事件完全减少，NGF的平均使用减少了80.14%。结论：作者推测，环境和项目交付方法的变化、同伴影响以及患者和工作人员之间权力关系的转变可能会改善体验。本报告为在住院环境中为患有饮食障碍的青少年提供以康复为导向的服务提供了见解。

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引用次数: 0

Letter to the editor: Prevalence of depression symptoms among female adolescents in Saudi Arabia 致编辑的信：沙特阿拉伯女性青少年抑郁症状的患病率。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-06-22 DOI: 10.1111/jcap.12431

Diana Gomes Pereira MSc, RN

引用次数: 0

Prevalence of depression symptoms among female adolescents in Saudi Arabia 沙特阿拉伯女性青少年抑郁症状的患病率。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-05-23 DOI: 10.1111/jcap.12429

Samr Binsaif, Shirley Reynolds, Paul Jenkins

Objective

Epidemiological studies on the prevalence of elevated depression symptoms among female adolescents in Saudi Arabia report a wide variation, ranging from 13.9% to 80.2%. However, different methods of assessment and sampling have been used. The aim of the current study is to estimate the prevalence of elevated depression symptoms amongst female adolescents in Saudi Arabia using a gold-standard self-report measure, the Mood and Feelings Questionnaire (MFQ).

Design and Measures

A cross-sectional study was conducted with 515 female students aged 13−18 years, recruited from public schools. Participants completed the Arabic versions of the MFQ, Rosenberg Self-Esteem Scale and Multidimensional Scale of Perceived Social Support.

Results

Mean MFQ score for this sample was 26.35 and almost half of participants (48.2%) had scores above the cut-off. Severity of depression varied with age, with those aged 13 showing reduced symptoms, and was negatively correlated with self-esteem and perceived social support. There were no associations with other demographic factors.

Conclusion

Elevated levels of depression symptoms were common in this sample. This highlights the need to improve public mental health in this community and to improve methods of identifying and treating depression in female adolescents.

目的：沙特阿拉伯女性青少年抑郁症状升高患病率的流行病学研究报告了很大的差异，从13.9%到80.2%不等。然而，使用了不同的评估和抽样方法。本研究的目的是使用金标准自我报告量表——情绪和感觉问卷（MFQ）来估计沙特阿拉伯女性青少年抑郁症状升高的患病率。设计和测量：对515名13-18岁的公立学校女生进行了横断面研究。参与者完成了阿拉伯语版的MFQ、Rosenberg自尊量表和感知社会支持多维量表。结果：该样本的平均MFQ得分为26.35，几乎一半的参与者（48.2%）的得分高于临界值。抑郁症的严重程度因年龄而异，13岁的患者症状减轻，与自尊和感知的社会支持呈负相关。与其他人口因素没有关联。结论：在该样本中，抑郁症状水平升高是常见的。这突出表明需要改善该社区的公共心理健康，并改进识别和治疗女性青少年抑郁症的方法。

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引用次数: 1

Evaluation of the relationship between food addiction and depression, anxiety, and stress in university students: A cross-sectional survey 大学生食物成瘾与抑郁、焦虑和压力关系的评估:一项横断面调查

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-05-22 DOI: 10.1111/jcap.12428

Kübra Kayaoğlu PhD, RN, Kerim Kaan Göküstün, Eda Ay PhD, RN

Purpose

This study was conducted to determine the relationship between food addiction (FA) and depression, anxiety, and stress (DAS) in university students.

Design and Methods

The research was conducted with 362 university students who met the study criteria and volunteered to participate in the study. The study data were collected using a personal information form, the modified Yale food addiction scale 2.0 (mYFAS 2.0), and the depression, anxiety, and stress scale (DASS-21).

Findings

It was determined that 40% of the students participating in the study had FA. The mean score of students with FA on the DASS-21 scale was determined as 25.90 ± 14.56 and the scores they received from the anxiety, depression, and stress subdimension as (8.14 ± 5.57, 9.04 ± 5.46, 8.72 ± 5.60, respectively). The scores of students without FA from the anxiety, depression, and stress subdimension, where the mean score of the DASS-21 scale is 14.79 ± 12.72, were determined as (4.67 ± 4.48, 4.98 ± 4.96, 5.13 ± 5.05, respectively). It was found that the mean scores of participants with FA were higher than those without FA, and the difference between the groups was determined statistically significant (p < 0.05).

Practice Implications

The rates of DAS of students with FA were found to be higher compared to those without FA. In the treatment of FA in clinical services, nurses and other health professionals should identify and treat psychiatric comorbidities associated with FA, such as depression and anxiety.

目的探讨大学生食物成瘾(FA)与抑郁、焦虑和压力(DAS)的关系。设计与方法本研究以362名符合研究标准并自愿参加研究的大学生为研究对象。研究数据采用个人信息表、改良耶鲁食物成瘾量表2.0 (mYFAS 2.0)和抑郁、焦虑和压力量表(DASS-21)收集。研究结果确定参与研究的学生中有40%患有FA。FA学生的DASS-21量表平均得分为25.90±14.56分，焦虑、抑郁、应激维度得分分别为(8.14±5.57分、9.04±5.46分、8.72±5.60分)。无FA学生的焦虑、抑郁、压力子维度得分分别为(4.67±4.48,4.98±4.96,5.13±5.05)，其中das -21量表平均得分为14.79±12.72。发现FA患者的平均得分高于未FA患者，组间差异有统计学意义(p < 0.05)。研究发现，与非FA学生相比，FA学生的DAS发生率更高。在治疗FA的临床服务中，护士和其他卫生专业人员应该识别和治疗与FA相关的精神合并症，如抑郁和焦虑。

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引用次数: 0

The mediating effect of sense of coherence in the relationship between eating attitudes and self-esteem in adolescents 连贯感在青少年饮食态度与自尊关系中的中介作用。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-05-18 DOI: 10.1111/jcap.12422

Yurdagül Günaydin, Nurcan Uzdil

Purpose

This study aimed to examine the mediating effect of a sense of coherence (SOC) in the relationship between eating attitudes and self-esteem in adolescents.

Methods

The study was conducted in a descriptive-correlational exploratory design. The sample of the study consisted of 1175 adolescents who met the inclusion criteria. Data were obtained by the researchers using personal information form, the Sense of Coherence Scale (SOC-13), the Eatıng Attitude Test (EAT-26), and the Rosenberg Self-Esteem Scale (RSES).

Results

SOC-13 mean score was 50.21 ± 11.06, EAT-26 mean score was 14.53 ± 10.17, and RSES mean score was 4.17 ± 1.66. It was found that there was a statistically significant negative relationship between the mean scores of RSES and the EAT, a positive relationship between the mean scores of the RSES and SOC, and a negative relationship between the mean scores of EAT and SOC. Moreover, the mediating role of SOC was found to be moderate. Furthermore, 4.5% of adolescents' SOC scores are explained by eating attitude. On the other hand, 16.4% of self-esteem scores are explained by eating attitude and SOC.

Conclusion

As a result of this study, it was determined that students' SOC moderately mediated the relationship between eating attitude and self-esteem. At the same time, eating attitude had a direct predictive effect on self-esteem.

目的：本研究旨在检验连贯感（SOC）在青少年饮食态度与自尊关系中的中介作用。方法：本研究采用描述性相关探索性设计。该研究的样本包括1175名符合纳入标准的青少年。研究人员使用个人信息表、连贯感量表（SOC-13）、Eatıng态度测试（Eat-26）和Rosenberg自尊量表（RSES）获得数据。结果：SOC-13平均得分为50.21 ± 11.06，EAT-26平均得分为14.53 ± 10.17，RSES平均得分为4.17 ± 1.66.研究发现，RSES的平均得分与EAT之间存在统计学上显著的负相关关系，RSES平均得分与SOC之间存在正相关关系，EAT平均得分与SOC-之间存在负相关关系。此外，SOC的中介作用是中等的。此外，4.5%的青少年SOC得分是由饮食态度来解释的。另一方面，16.4%的自尊得分由饮食态度和SOC来解释。结论：本研究结果表明，学生的SOC在一定程度上介导了饮食态度与自尊之间的关系。同时，饮食态度对自尊有直接的预测作用。

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引用次数: 0

Loneliness, affective disorders, suicidal ideation, and the use of psychoactive substances in a sample of adolescents during the COVID-19 pandemic: A cross-sectional study 新冠肺炎大流行期间青少年样本中的孤独感、情感障碍、自杀念头和精神活性物质的使用：一项横断面研究。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-05-15 DOI: 10.1111/jcap.12423

Diana Gomes Pereira MSc, RN, Luís Miguel Francisco MSc, RN

引用次数: 0

Analyzing the network of parent-rated ADHD symptoms before and 2 weeks after the onset of pharmaceutical treatment 分析药物治疗开始前和开始后2周父母评定的多动症症状网络。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-05-08 DOI: 10.1111/jcap.12421

Payam Sadeghi Shabestari, Sareh Zendehrouh, Atefeh Ahmadi, Sajad Jafari, Nooshin Parvaresh, Mahin Eslami

Problem

Via a network analysis approach, following 2 weeks of the medication Ritalin, the present study investigated the quality of symptom interactions and the pattern of behavior changes to identify locations of functional weaknesses in the network interactions of symptomology.

Methods

Ritalin® prescribed for 112 children (aged 4–14) with attention deficit hyperactivity disorder (ADHD) as diagnosed by five child and adolescent psychiatrists. Their parents completed Swanson, Nolan, and Pelham-IV questionnaire (SNAP-IV) before and after Ritalin® onset as the pre and post-test, respectively. Then, the network analysis approach was used to discover the pattern of changes in symptom interactions.

Findings

The results indicated that in 2 weeks following its initiation, Ritalin significantly reduced restlessness and interactions between symptoms of impulsivity. “Inability to follow instructions” and “difficulty waiting their turn” symptoms were the most central symptoms of strength. Three symptoms, “Often has difficulty waiting their turn,” “runs and climbs in situations where it is inappropriate” and “does not follow through on instructions,” had the most expected influence. In the 14-day period of investigation, Ritalin® was effective in breaking some interactions and components of ADHD, but no significant mitigation of other components of the detected symptomatology network.

Conclusion

Follow-up investigations using network analysis can clarify the dynamics of the network changes after initiation of medications.

问题：通过网络分析方法，在服用利他林2周后，本研究调查了症状相互作用的质量和行为变化模式，以确定症状学网络相互作用中功能弱点的位置。方法：由五名儿童和青少年精神科医生为112名患有注意力缺陷多动障碍（ADHD）的儿童（4-14岁）开具Ritalin®处方。他们的父母分别在Ritalin®发作前后完成了Swanson、Nolan和Pelham IV问卷（SNAP-IV）作为测试前和测试后。然后，使用网络分析方法来发现症状相互作用的变化模式。研究结果：结果表明，在开始服用后的2周内，利他林显著减少了烦躁不安和冲动症状之间的相互作用。“无法听从指示”和“难以等待轮到他们”的症状是力量的最核心症状。三种症状，“经常很难等待轮到他们”、“在不合适的情况下跑步和攀爬”和“没有按照指示完成”，产生了最预期的影响。在14天的调查期间，Ritalin®有效地打破了多动症的一些相互作用和成分，但对检测到的症状网络的其他成分没有显著缓解。结论：使用网络分析的随访调查可以阐明用药后网络变化的动力学。

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引用次数: 0

The relationship between internet addiction and peer bullying level of sixth and seventh grade secondary school students 六、七年级中学生网络成瘾与同伴欺凌水平的关系

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-05-01 DOI: 10.1111/jcap.12420

Eda Gülbetekin, Fatma Gül Can

Problem

The research aimed to determine the relationship between internet addiction and peer bullying in sixth and seventh-grade students.

Method

The population of the study consisted of students in the sixth and seventh grades of secondary schools in a province in eastern Turkey. The data were collected throughout the 2021–2022 academic year from 1201 sixth and seventh graders who voluntered to participate in the research. The data were collected using the Bullying Scale and the Internet Addiction Scale for Adolescents (IAA).

Finding

It was determined that gender, grade level, status of having a mobile phone, and age influenced children's participation in peer bullying. Also, variables of gender, grade level, and status of having a mobile phone affected internet addiction levels. Furthermore, when the correlation between the two scales was analyzed, a strong positive correlation was determined.

Conclusions

In line with the findings of this study, interventions that may lower levels of bullying include delivering training on bullying and internet addiction to families, encouraging children to participate in activities that would reduce the amount of time they spend on the internet, and investigating the reasons for bullying.

本研究旨在确定六年级和七年级学生网络成瘾与同伴欺凌之间的关系。方法研究对象为土耳其东部某省中学六年级和七年级学生。这些数据是在2021-2022学年期间从自愿参与研究的1201名六年级和七年级学生中收集的。数据采用欺凌量表和青少年网络成瘾量表(IAA)收集。研究发现，性别、年级、是否拥有手机以及年龄对儿童参与同伴欺凌行为有影响。此外，性别、年级水平和拥有手机的状态等变量也会影响网络成瘾水平。进一步分析两个量表之间的相关性，发现两者之间存在较强的正相关关系。与本研究的结果一致，可能降低欺凌水平的干预措施包括向家庭提供有关欺凌和网络成瘾的培训，鼓励儿童参加可以减少他们在互联网上花费的时间的活动，以及调查欺凌的原因。

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引用次数: 0