Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献

The effect of storytelling and painting on children's fear level and parental health care satisfaction in children aged 3–6 years administered inhaler medication: Randomized controlled study 3 ~ 6岁儿童吸入药物治疗中，讲故事和绘画对儿童恐惧水平和父母保健满意度的影响：随机对照研究

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-04-26 DOI: 10.1016/j.pedn.2025.04.014

Nuray Macuncu , Melahat Akgun Kostak

Purpose

The aim of this study was to determine the effect of storytelling and painting on children's fear level and parental health care satisfaction in children aged 3–6 years receiving inhaler medication.

Methods

The randomized controlled study was conducted between 15.09.2023–20.01.2024 with 99 children aged 3–6 years and their parents who were hospitalized in the Pediatrics Clinic of a state hospital and who received inhaler medication with a mask for the first time. Information Form, Child Fear Scale (CFS), Children's Emotional Manifestation Scale (CEMS), PedsQL Health Care Satisfaction Scale (PHSS) were used for data collection.

Results

The mean scores of the CFS and CEMS during inhaler medication administration of the children in the storytelling and painting group were found to be lower than the children in the control group (p < 0.001). The mean scores of the CFS and the CEMS during inhaler medication administration were found to be lower in the storytelling and painting groups than before the procedure (p < 0.001). It was determined that the mean scores of the PHSS of the parents in the painting and storytelling group were higher than those of the parents in the control group (p < 0.001).

Conclusion

It was found that storytelling and painting during inhaler medication administration in children aged 3–6 years decreased children's fear levels, negative emotional indicators while parents' satisfaction levels were higher compared to those receiving standard care.

Practice implications

It is recommended to use storytelling and painting, which are easy, inexpensive, effective methods during inhaler medication administration with mask in children.

目的探讨3 ~ 6岁儿童吸入器药物治疗中，讲故事和绘画对儿童恐惧水平和父母保健满意度的影响。方法随机对照研究于2023年9月15日~ 2024年1月20日在某公立医院儿科门诊首次使用带口罩吸入器用药的3 ~ 6岁儿童及其父母99例。采用信息表、儿童恐惧量表（CFS）、儿童情绪表现量表（CEMS）、PedsQL卫生保健满意度量表（PHSS）进行数据收集。结果故事组和绘画组患儿吸入器给药过程中CFS和CEMS平均得分均低于对照组(p <；0.001)。在吸入器给药期间，讲故事组和绘画组的CFS和CEMS平均得分低于手术前(p <；0.001)。结果表明，绘画组和讲故事组家长的心理健康量表平均得分高于对照组家长(p <；0.001)。结论3 ~ 6岁儿童吸入剂用药过程中进行讲故事和绘画治疗可降低儿童的恐惧水平和负面情绪指标，家长满意度高于标准治疗组。建议采用讲故事和绘画的方法，这是一种简单、廉价、有效的方法。

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引用次数: 0

The effect of lavender oil on anxiety before endoscopy in children: A randomized controlled trial 薰衣草油对儿童内镜检查前焦虑的影响：一项随机对照试验

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-04-26 DOI: 10.1016/j.pedn.2025.04.025

Ayla İrem Aydın , Doğukan Reis , Hanife Ayşegül Arsoy , Zeliha Demirtaş

Purpose

The aim of this study was to investigate the effect of lavender oil on anxiety before endoscopy in children.

Design and methods

This study was a randomized controlled experimental study. The study population consisted of patients aged 9–12 years who were about to undergo endoscopy in a tertiary center. The study sample consisted of 66 children (intervention = 22; placebo = 22; control = 22). Data were collected using a randomized controlled trial with the Sociodemographic Data Collection Form prepared by the researcher and the State-Trait Anxiety Inventory for Children (STAIC) scale.

Results

The STAIC state and trait anxiety states of the participants were compared between the groups and no statistically significant difference was found in terms of STAIC trait anxiety scores (p > 0.05). When the STAIC state anxiety scores were compared, it was found that participants in the intervention group had a statistically significantly lower state anxiety score (p < 0.05).

Conclusions

Lavender oil inhalation was effective in reducing pre-procedural anxiety in children.

Application to practice

Healthcare professionals can use lavender oil as an aromatherapy method to reduce children's anxiety in clinical settings.

目的探讨薰衣草精油对儿童内镜检查前焦虑的影响。设计与方法本研究为随机对照实验研究。研究人群包括9-12岁即将在三级中心接受内窥镜检查的患者。研究样本包括66名儿童(干预= 22；安慰剂= 22；control = 22)。数据采用随机对照试验，采用研究者编制的社会人口学数据收集表和儿童状态-特质焦虑量表（static）。结果两组被试的STAIC状态和特质焦虑状态比较，STAIC特质焦虑得分差异无统计学意义(p >；0.05)。比较STAIC状态焦虑得分时，发现干预组的状态焦虑得分显著低于干预组(p <；0.05)。结论薰衣草油吸入可有效降低患儿手术前焦虑。医疗保健专业人员可以使用薰衣草油作为芳香疗法方法，以减少儿童在临床环境中的焦虑。

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引用次数: 0

The relationship between parental beliefs about child television viewing and their health literacy 父母对儿童看电视的看法与儿童健康素养的关系

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-04-25 DOI: 10.1016/j.pedn.2025.04.021

Pınar Bekar , Duygu Altuntaş , Emine Efe

Purpose

This study aimed to examine the relationship between parental beliefs about child television viewing and their health literacy.

Design and methods

A descriptive and cross-sectional study was conducted between April 2023 and May 2024, with a sample of 152 parents. Data were collected using the Descriptive Information Form, the Beliefs About Child TV Viewing Scale, and the Health Literacy Scale (HLS).

Results

The children's average duration of TV watching per day was 1.82 ± 1.25 h. The parents's average duration of TV watching per day was 1.93 ± 2.08 h. A significant negative relationship was found between the HLS total score and positive sleep-related beliefs subscale score and positive functional beliefs subscale score, while a significant positive correlation was found between the HLS total score and negative general beliefs subscale score.

Conclusion

In our study, it was found that as parents' total health literacy scores increased, their belief levels that their children's television watching would help them sleep and that it would positively affect their children's behavior decreased, while their belief levels in the negative consequences of television watching increased.

Practice implications

It is thought that the study results can guide the development of future interventions to increase parents' health literacy levels and awareness of parenting beliefs regarding their children's television watching.

目的探讨父母对儿童看电视的看法与儿童健康素养的关系。设计与方法于2023年4月至2024年5月对152名家长进行了描述性和横断面研究。使用描述性信息表、儿童电视观看信念量表和健康素养量表（HLS）收集数据。结果儿童平均每天看电视时长为1.82±1.25 h，父母平均每天看电视时长为1.93±2.08 h。HLS总分与积极睡眠相关信念分量表和积极功能信念分量表得分呈显著负相关，而HLS总分与消极一般信念分量表得分呈显著正相关。结论随着家长健康素养总分的提高，家长对孩子看电视有助于睡眠、对孩子行为有积极影响的信念水平降低，而对孩子看电视的负面影响的信念水平升高。实践启示本研究结果可以指导未来干预措施的发展，以提高家长的健康素养水平和对孩子看电视的父母信念的认识。

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引用次数: 0

Understanding the perceptions, behavior, and attitudes of healthcare professionals, hospitalized children, and their parents toward hospital play services: A mixed-methods approach 了解医疗保健专业人员、住院儿童及其父母对医院游戏服务的看法、行为和态度：一种混合方法方法

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-04-25 DOI: 10.1016/j.pedn.2025.04.024

William Ho Cheung Li PhD, RN , Oi Kwan Joyce Chung PhD, RN , Hong Chen PhD, RN , Sarah Xiao PhD, RN

Introduction

This study examined the perceptions, behavior, and attitudes of healthcare professionals, hospitalized children and their parents toward hospital play services.

Methods

A two-phase mixed-methods study was conducted in Hong Kong. In phase one, a cross-sectional survey was administered to 182 healthcare professionals working with hospitalized pediatric patients. In phase two, qualitative interviews were conducted with 20 healthcare professionals, 15 hospitalized children, and 14 parents.

Results

Most healthcare professionals valued hospital play services. They believed that hospital play specialists (HPS) could alleviate their workload, especially given the shortage of healthcare professionals. Hospitalized children and their parents reported that HPS help with stress coping and mood improvement, built excellent relationships with children, and facilitated communications between children and healthcare professionals.

Discussion

The findings highlight the importance of play services and HPS in pediatric units to enhance healthcare for hospitalized children. The results provide implications for hospital authority to implement supportive measures.

本研究调查了医护人员、住院儿童及其家长对医院游戏服务的认知、行为和态度。方法在香港进行两期混合方法研究。在第一阶段，对182名与住院儿科患者一起工作的医疗保健专业人员进行了横断面调查。在第二阶段，对20名保健专业人员、15名住院儿童和14名家长进行了定性访谈。结果大多数医护人员重视医院游戏服务。他们认为医院游戏专家（HPS）可以减轻他们的工作量，特别是在医疗保健专业人员短缺的情况下。住院儿童及其父母报告说，HPS有助于应对压力和改善情绪，与儿童建立良好的关系，并促进儿童与医疗保健专业人员之间的沟通。讨论研究结果强调了在儿科病房开展游戏服务和HPS对提高住院儿童保健的重要性。研究结果可为医院管理局实施支援措施提供参考。

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引用次数: 0

Gynecomastia and adolescence: Psychological effects of social appearance anxiety and peer bullying 妇科炎症与青春期：社交外貌焦虑和同伴欺凌的心理影响

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-04-24 DOI: 10.1016/j.pedn.2025.04.017

Cansu Mercan Isik , Masum Ozturk , Aslı Bestas

Purpose

The aim of this study was to investigate the frequency of peer bullying in adolescents diagnosed with gynecomastia and its effect on depression and anxiety levels. In addition, the study aimed to compare the social appearance anxiety and self-esteem levels of these adolescents with a control group.

Design and methods

53 adolescents (11-18 years) with gynecomastia and a control group of 53 healthy adolescents without chronic medical or psychiatric disorders were assessed using peer victimization, social anxiety, self-esteem, and depression/anxiety scales following ethical approval.

Results

The gynecomastia group had significantly higher DSM-5 Anxiety (p < 0.001), DSM-5 Depression (p < 0.001), and SAAS (p < 0.001) scores compared to the control group. Although the gynecomastia group trended toward higher peer victimization scores (p = 0.059), they experienced significantly more teasing (p = 0.005) and personal property attacks (p = 0.002). No significant difference was found in self-esteem between the two groups (p = 0.288). Multiple regression analysis revealed that depression and anxiety predicted social appearance anxiety, explaining 23.3 % of the variance (p < 0.001, F(4.373)).

Conclusions

Adolescents with gynecomastia had higher levels of anxiety, depression, and social appearance anxiety. They are more likely to be subject to teasing and attacks on property, highlighting the need for early psychological support and interventions in this population.

Practice implications

Multidisciplinary support and early psychosocial interventions are crucial for adolescents with gynecomastia to address bullying, anxiety, and depression.

目的探讨男性乳房发育症青少年同伴欺凌的发生频率及其对抑郁和焦虑水平的影响。此外，该研究旨在将这些青少年的社交外表焦虑和自尊水平与对照组进行比较。设计与方法采用同伴受害、社交焦虑、自尊和抑郁/焦虑量表对53名患有男性乳房发育症的青少年（11-18岁）和53名无慢性医学或精神障碍的健康青少年（对照组）进行评估。结果男性乳房发育症组患者的DSM-5焦虑水平显著高于男性(p <；0.001)， DSM-5抑郁症(p <；0.001), SAAS (p <；0.001)的分数与对照组相比。虽然男性乳房发育症组倾向于更高的同伴伤害得分（p = 0.059），但他们经历的戏弄（p = 0.005）和个人财产攻击（p = 0.002）明显更多。两组间自尊差异无统计学意义（p = 0.288）。多元回归分析显示，抑郁和焦虑预测社交外观焦虑，解释23.3%的方差(p <；0.001, F(4.373))。结论男性乳房发育症青少年焦虑、抑郁、社交形象焦虑水平较高。他们更容易受到取笑和财产攻击，这突出了对这一人群早期心理支持和干预的需求。实践意义：多学科支持和早期社会心理干预对于患有男性乳房症的青少年解决欺凌、焦虑和抑郁至关重要。

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引用次数: 0

Effect of mobile application-assisted education regarding urinary disorder on the quality of LIFE of affected children: A randomized controlled study 移动应用辅助泌尿系统疾病教育对患儿生活质量的影响：一项随机对照研究

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-04-24 DOI: 10.1016/j.pedn.2025.04.020

İklay Çınkır , Hüsniye Çalışır PhD

Purpose

This study aimed to evaluate the effects of mobile-application-assisted education on lower urinary tract symptoms and continence-specific quality of life in children with urination disorders.

Materials and method

This randomized controlled study included 99 children aged 8–14 with urination disorders, divided into an intervention group (n = 50) and a control group (n = 49). The intervention group received mobile application based urotherapy, while the control group received face-to-face education. Data included Urination Disorders' Symptom Score, Pediatric Incontinence Quality of Life Scale, and bladder diaries.

Results

There were no statistically significant differences between the intervention and control groups in terms of symptoms of urinary disorders, number of urinary incontinence episodes, and continence-specific quality of life levels (p > 0.05). The UDSS and PinQ scores of the children in both groups declined after the intervention (p < 0.05).

Conclusion

This study showed that urotherapy education, regardless of the method (mobile application-assisted or face-to-face, alleviated lower urinary tract symptoms and improved continence-specific quality of life in children with urination disorders. However, no statistically significant difference was found between the intervention and control groups in terms of outcomes. Therefore, we recommend that pediatric nurses consider using mobile applications as a flexible and accessible alternative to face-to-face urotherapy education for children with urination disorders, particularly when face-to-face sessions are not feasible.

Practice implications

Mobile applications can be effective alternatives to face-to-face urotherapy education in pediatric care.

目的本研究旨在评估移动应用辅助教育对排尿障碍儿童下尿路症状和尿失禁特异性生活质量的影响。材料与方法采用随机对照研究方法，将99例8 ~ 14岁的排尿障碍患儿分为干预组（n = 50）和对照组（n = 49）。干预组采用基于移动应用程序的尿路治疗，对照组采用面授教育。数据包括排尿障碍症状评分、儿童尿失禁生活质量量表和膀胱日记。结果干预组与对照组在尿障碍症状、尿失禁发作次数和尿失禁特异性生活质量水平方面差异无统计学意义(p >；0.05)。干预后两组儿童的UDSS和PinQ评分均下降(p <；0.05)。结论泌尿治疗教育，无论是移动应用辅助还是面对面的方式，都可以缓解下尿路症状，改善排尿障碍儿童的尿失禁特异性生活质量。然而，在结果方面，干预组与对照组之间没有统计学上的显著差异。因此，我们建议儿科护士考虑使用移动应用程序作为有排尿障碍的儿童面对面泌尿治疗教育的灵活和可访问的替代方案，特别是当面对面的课程不可行的时候。实践意义：在儿科护理中，移动应用程序可以有效替代面对面的泌尿治疗教育。

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引用次数: 0

Effects of blowing pinwheel and cough trick on pain in 6- to 12-year-old children during venipuncture: A randomized controlled trial 吹风车和咳嗽术对6 ~ 12岁儿童静脉穿刺疼痛的影响：一项随机对照试验

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-04-24 DOI: 10.1016/j.pedn.2025.04.023

Ozlem Selime Merter , Zeynep Kisecik Sengul , Ruveyda Oguz

Purpose

To assess the effects of the blowing pinwheel and cough trick techniques on pain scores in children aged 6 to 12 years during venipuncture.

Design

A randomized controlled study.

Method

A total of 105 children were allocated into three groups: blowing pinwheel (n: 35), cough trick (n: 35), and a control group (n: 35). Following venipuncture, pain scores were obtained from children's self-reports, parents' reports, and the nurse who carried out the venipuncture, using the Wong-Baker Faces Pain Rating Scale (FACES), Visual Analog Scale (VAS), and Face, Legs, Activity, Cry, Consolability (r-FLACC) scale, respectively.

Results

Post-venipuncture pain assessments indicated that children in the blowing pinwheel and cough trick groups experienced significantly lower pain intensity compared with the control group (VAS: p < .001, r-FLACC: p < .001, FACES: p < .001). Analysis of effect sizes revealed that the cough trick group demonstrated a more substantial effect than the blowing pinwheel group. Comparable findings were observed across the VAS, r-FLACC, and FACES pain scales.

Conclusions

These findings suggest that distraction techniques, particularly the cough trick, effectively reduce pain perception in children undergoing venipuncture.

Practice implications

This study underscores the importance of incorporating distraction techniques, such as blowing pinwheel and the cough trick, into pediatric pain management protocols for venipuncture, thereby improving children's pain experiences.

Clinical registration

This study was registered at the U.S. National Library of Medicine Clinical Trials (code: NCT06230601).

目的探讨吹风车法和咳嗽把戏法对6 ~ 12岁儿童静脉穿刺疼痛评分的影响。设计一项随机对照研究。方法将105例儿童分为吹风车组（35例）、咳嗽组（35例）和对照组（35例）。静脉穿刺后，分别使用Wong-Baker面部疼痛评定量表（Faces）、视觉模拟量表（VAS）和面部、腿部、活动、哭泣、安慰（r-FLACC）量表，从儿童自我报告、父母报告和进行静脉穿刺的护士中获得疼痛评分。结果静脉穿刺后疼痛评估显示，吹风车组和咳嗽把戏组患儿疼痛强度明显低于对照组(VAS: p <；.001, r-FLACC: p <；.001, FACES: p <；措施)。效应量分析显示，咳嗽把戏组比吹风车组表现出更实质性的效果。在VAS、r-FLACC和FACES疼痛量表中观察到类似的结果。结论：这些发现表明，分散注意力技术，特别是咳嗽技巧，可以有效地降低接受静脉穿刺的儿童的疼痛感。实践意义本研究强调了将分散注意力技术（如吹风车和咳嗽技巧）纳入儿科静脉穿刺疼痛管理方案的重要性，从而改善儿童的疼痛体验。临床注册本研究在美国国家医学临床试验图书馆注册（代码：NCT06230601）。

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引用次数: 0

The use of mobile health applications in the development of a healthy lifestyle of adolescents: A cross-sectional study 在青少年健康生活方式发展中使用移动健康应用程序：一项横断面研究

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-04-23 DOI: 10.1016/j.pedn.2025.04.012

Fatma Dinç , Aylin Kurt , Dilek Yıldız

Purpose

The aim of this study was to determine the characteristics of adolescents' use of mobile health applications in the development of a healthy lifestyle.

Design and methods

This was a descriptive comparative cross-sectional study. This study was conducted between October 21, 2024 and December 31, 2024 with 563 adolescents in seven schools in a province in the Western Black Sea Region of Türkiye. Data were collected face-to-face using the “Information Form on Children's Descriptive Characteristics and Mobile Health Applications” and the “Healthy Lifestyle Belief Scale for Adolescents”. Student t-test and ANOVA were used to analyze the data.

Results

The most frequent applications of the adolescents were physical activity themed applications (40.5 %) and healthy nutrition themed applications (33.3 %), respectively. Those who preferred physical activity-themed applications (61.82 ± 0.70) had a higher mean score of Healthy Lifestyle Belief Scale for Adolescents than those who preferred Ministry of Health applications (43.54 ± 2.91) (p < 0.001). Adolescents who used mobile health applications that allowed regular monitoring of their own health status (68.20 ± 0.28) had a higher mean score of Healthy Lifestyle Belief Scale for Adolescents than those who used mobile health applications that allowed monitoring of sleep patterns (55.35 ± 1.24) (p < 0.001).

Conclusion

This study can provide information about the characteristics and advantages of mobile health applications used by adolescents, the features taken into account when downloading applications, and ensure that future interventions focus primarily on this system.

Practice implications

Pediatric nurses can provide counseling for the individual health needs of adolescents and provide the right guidance to develop a healthy lifestyle.

目的本研究的目的是确定青少年在发展健康生活方式中使用移动健康应用程序的特征。设计与方法本研究为描述性比较横断面研究。这项研究于2024年10月21日至2024年12月31日期间在西部黑海地区 rkiye省的7所学校的563名青少年中进行。采用“儿童描述性特征及移动健康应用信息表”和“青少年健康生活方式信念量表”面对面收集数据。采用学生t检验和方差分析对数据进行分析。结果青少年应用最多的是体育活动类应用（40.5%）和健康营养类应用（33.3%）。青少年健康生活方式信念量表（61.82±0.70）得分高于卫生部应用（43.54±2.91）(p <；0.001)。使用定期监测自身健康状况的移动健康应用程序的青少年健康生活方式信念量表平均得分（68.20±0.28）高于使用监测睡眠模式的移动健康应用程序的青少年健康生活方式信念量表平均得分（55.35±1.24）(p <；0.001)。结论本研究可以提供青少年使用的移动健康应用程序的特点和优势，以及下载应用程序时考虑的特点，并确保未来的干预主要集中在该系统上。实践意义：儿科护士可以针对青少年的个体健康需求提供咨询，并提供正确的指导，以养成健康的生活方式。

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引用次数: 0

The impact of education program on nurses' knowledge and performance about acute exacerbations of chronic bronchial asthma in PICUs 教育计划对picu内护士慢性支气管哮喘急性加重知识及表现的影响

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-04-23 DOI: 10.1016/j.pedn.2025.04.019

Amira Adel Mohammed , Salam Bani Hani RN, PhD , Abdulqadir J. Nashwan RN, MSc, PhD(C)

Background

Acute exacerbations of bronchial asthma can lead to worsening symptoms, therefore it's important to have a well-designed management program. Many pediatric nurses, particularly internship nurses and recently graduated nurses in the PICU, lacked adequate knowledge and performance in managing children with acute exacerbations.

Objective

This study aimed to assess nurses' knowledge and performances regarding acute exacerbations of chronic bronchial asthma.

Materials and methods

A quasi-experimental (pre/post-test) design at PICUs xxx and PICU at xxx University Hospital, Egypt. A convenience sample of sixty nurses was randomly split into two groups (30 internship nursing students at the PICU and 30 newly graduated registered nurses).

Results

The two groups under study had inadequate preprogram knowledge of acute exacerbations of chronic asthma. Compared to freshly registered nurses, internship nurses have a sufficient level of knowledge regarding acute exacerbations of chronic bronchial asthma during the program. Additionally, children who received care from the internship nurses group had lower levels of dyspnea after the program than children who received care from the nurses' group, indicating that internship nurses performed better than freshly registered nurses in PICUs.

Conclusion

The present study recommended establishing regular workshops that focus the evidence-based performances regarding the management of acute exacerbations of chronic bronchial asthma in PICUs.

背景支气管哮喘的急性加重会导致症状恶化，因此制定完善的管理方案非常重要。许多儿科护士，尤其是 PICU 的实习护士和刚毕业的护士，在管理急性加重期患儿方面缺乏足够的知识，表现也不尽如人意。将 60 名护士随机分成两组（30 名在 PICU 实习的护理专业学生和 30 名刚毕业的注册护士）。与刚毕业的注册护士相比，实习护士在课程期间对慢性支气管哮喘急性加重的知识有足够的了解。此外，接受实习护士组护理的患儿在项目结束后的呼吸困难程度低于接受护士组护理的患儿，这表明在 PICU 中实习护士的表现优于新注册护士。

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引用次数: 0

"Even though it is difficult, …, is truly worth everything": A qualitative study on pediatric nurses' end of life care experiences. “尽管困难，但……，真的值得一切”：儿科护士临终关怀经历的定性研究。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-04-07 DOI: 10.1016/j.pedn.2025.03.024

Simay Ezgi Budak, Melike Ayça Ay Kaatsız

Purpose: This study explores the end-of-life care experiences of pediatric nurses in Turkey.

Method: This study was conducted using the phenomenology design, one of the qualitative research designs. A total of 20 nurses participated in the study, which utilized purposive and snowball sampling methods, including two pilot interviews.

Results: The analysis revealed four categories: (1) the ideal pediatric nurse, (2) caring for a child at the end of life, (3) effects of pediatric end-of-life care, and (4) requirements for ideal pediatric end-of-life care. Within the scope of these categories, the characteristics of an ideal pediatric nurse, the stages and difficulties of end-of-life care, the effects on nurses, and the necessary actions to be taken to improve the quality of care and to strengthen the mental health of pediatric nurses were discussed.

Conclusion: This study highlights the growth that pediatric nurses experience despite the challenges they face in end-of-life care and sheds light on potential actions to improve the quality of end-of-life care and empower pediatric nurses.

Implications for practice: Professional training, psychosocial support, and ethical guidance should be provided to pediatric nurses during the end-of-life care process.

目的：本研究探讨在土耳其儿科护士临终关怀的经验。方法：本研究采用质性研究设计之一的现象学设计。本研究共20名护士参与，采用目的抽样和滚雪球抽样的方法，包括两次试点访谈。结果：分析揭示了四个类别：(1)理想的儿科护士；(2)临终关怀儿童；(3)儿科临终关怀的效果；(4)理想的儿科临终关怀要求。在这些类别的范围内，讨论了理想的儿科护士的特征，临终关怀的阶段和困难，对护士的影响，以及提高护理质量和加强儿科护士心理健康的必要措施。结论：本研究强调了儿科护士在临终关怀方面的成长，尽管他们面临着挑战，并揭示了提高临终关怀质量和赋予儿科护士权力的潜在行动。实践启示：在临终关怀过程中，应向儿科护士提供专业培训、社会心理支持和道德指导。

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