Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献_第10页

Pediatric vaccine information on YouTube: A nursing-led content analysis of quality and vaccine hesitancy YouTube上的儿科疫苗信息：护理主导的质量和疫苗犹豫的内容分析

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-05 DOI: 10.1016/j.pedn.2025.11.048

Aylin Akca Sumengen RN, BSN, MSc, PhD , Gokce Naz Cakir RN, BSN, MSc , Kader Tekkas-Kerman RN, BSN, MSc, PhD , Remziye Semerci Sahin RN, BSN, MSc, PhD , Damla Ozcevik Subasi RN, BSN, MSc, PhD , Volkan Ayaz RN, BSN, MSc

Objective

This study aimed to assess the quality and reliability of pediatric vaccination videos on YouTube from a nursing perspective and to identify hesitancy-related cues, indicators, and deterrents present in the content.

Methods

In this cross-sectional, descriptive content analysis study, 243 English-language YouTube videos were analyzed using four keywords. Videos were evaluated with the Global Quality Scale (GQS), the Modified DISCERN tool, and the Pediatric Vaccine Hesitancy Assessment Tool for Social Media Content (PVHAT). In addition, engagement measures such as number of views, likes, video duration, and video characteristics such as source type and narrator identity were analyzed.

Results

The overall quality and reliability of the videos were moderate (mean GQS: 2.52; DISCERN: 2.83). Videos presented by healthcare professionals were of higher quality but showed lower user engagement. Videos with curiosity-driven titles, such as “What's in Vaccines?”, received more views and comments. Emotionally framed narratives were identified in 22.6 % of the videos, and expressions of distrust toward health authorities appeared in 8.2 %. Community immunity was emphasized in only 25.5 % of videos. A strong positive correlation was observed between DISCERN and GQS scores (r = 0.760, p < .001).

Conclusion

Pediatric vaccine content on YouTube often lacks high-quality, evidence-based information and frequently includes hesitancy-related signals. Public health communication should prioritize scientific accuracy while using engaging and accessible strategies, ideally through collaborations between healthcare professionals and digital content creators, to improve the reach and effectiveness of vaccination messages.

目的本研究旨在从护理角度评估YouTube上儿童疫苗接种视频的质量和可靠性，并识别内容中存在的犹豫相关线索、指标和威慑因素。方法采用4个关键词对243个YouTube英语视频进行横断面、描述性内容分析研究。使用全球质量量表（GQS）、改进的DISCERN工具和儿童社交媒体内容疫苗犹豫评估工具（PVHAT）对视频进行评估。此外，还分析了观看次数、点赞次数、视频时长等参与指标，以及视频特征（如来源类型和叙述者身份）。结果视频的整体质量和信度一般（平均GQS为2.52，分辨力为2.83）。医疗保健专业人员提供的视频质量更高，但用户参与度较低。带有好奇心驱动标题的视频，例如“疫苗有什么？”，收到更多的意见和评论。在22.6%的视频中发现了带有情感框架的叙述，8.2%的视频中出现了对卫生当局的不信任。只有25.5%的视频强调了社区免疫。在DISCERN和GQS评分之间观察到强正相关（r = 0.760, p < .001）。结论YouTube上的儿童疫苗内容往往缺乏高质量的循证信息，并且经常包含与犹豫相关的信号。公共卫生传播应优先考虑科学准确性，同时使用有吸引力和可获取的战略，理想情况下，通过卫生保健专业人员和数字内容创作者之间的合作，提高疫苗接种信息的覆盖面和有效性。

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引用次数: 0

Exploring the effect of animal assisted therapy on pediatric anxiety during invasive procedures 探讨动物辅助治疗在有创手术过程中对儿童焦虑的影响

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-05 DOI: 10.1016/j.pedn.2025.11.046

Cathrine Reed MS CCLS CFLE , Kelly Wagner MS CCLS , Vallire Hooper PhD RN CPAN FASPAN FAAN

Objectives

This study evaluated the effect of Animal Assisted Therapy (AAT) and Certified Child Life Specialist (CCLS) support on pediatric anxiety during invasive procedures in a hospital setting. It was hypothesized that patients undergoing procedures with AAT would experience less anxiety than with CCLS services alone.

Study design

Data were collected during a Quality Improvement (QI) study. The modified Yale Preoperative Anxiety Scale (mYPAS) was used to measure observed anxiety in both the intervention and control groups. Data were analyzed using independent samples, paired t-tests, and one-way ANOVA.

Results

Mean anxiety scores were significantly lower in the intervention group across all measurement points. Findings included a 30 % decrease in toddler anxiety scores intra-procedurally and 27 % post-procedurally, as well as a decrease of 4 % in school aged children post-procedurally with AAT. Children receiving non-needle procedures saw a 31 % decrease in anxiety scores pre-procedure with AAT, and needle procedure anxiety scores were reduced by 24 % intra-procedurally. AAT support reduced anxiety scores during and after port-a-catheter procedures by 20 % and 14 %, respectively. Interestingly, hispanic patients saw significant reductions in anxiety at all time periods, compared to other ethnicities.

Conclusions

Findings suggest that AAT successfully reduces anxiety when combined with child life services, particularly for children ages 2–5 and during needle procedures. Hispanic children of all ages benefited as well.

Implications to practice

CCLS assessment is essential to guide the success of AAT as an interventional tool. The data adds to the limited literature, and advocates for the use of AAT combined with child life services to mitigate pediatric medical trauma.

目的：本研究评估动物辅助治疗（AAT）和认证儿童生活专家（CCLS）支持在医院侵入性手术期间对儿童焦虑的影响。假设接受AAT治疗的患者比单独接受CCLS治疗的患者焦虑程度更低。研究设计在质量改进（QI）研究中收集数据。采用改良的耶鲁术前焦虑量表（mYPAS）测量干预组和对照组观察到的焦虑。数据分析采用独立样本、配对t检验和单因素方差分析。结果干预组在各测点的平均焦虑得分均显著低于对照组。研究结果包括手术中幼儿焦虑得分下降30%，手术后下降27%，学龄儿童手术后AAT焦虑得分下降4%。接受非针管手术的儿童在AAT手术前的焦虑评分降低了31%，针管手术的焦虑评分在手术中降低了24%。AAT支持在导管手术期间和之后分别降低了20%和14%的焦虑评分。有趣的是，与其他种族相比，西班牙裔患者在所有时期的焦虑程度都显著降低。结论：研究结果表明，当与儿童生活服务相结合时，AAT成功地减少了焦虑，特别是对于2-5岁的儿童和针管手术期间。所有年龄段的西班牙裔儿童也从中受益。eccls评估对于指导AAT作为介入工具的成功至关重要。这些数据补充了有限的文献，并倡导使用AAT结合儿童生活服务来减轻儿科医疗创伤。

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引用次数: 0

The National Pediatric Nurse Scientist Collaborative (NPNSC): A framework for advancing nursing science through integrative collaboration to improve pediatric and family health 国家儿科护士科学家合作组织（NPNSC）：通过综合合作促进护理科学的框架，以改善儿科和家庭健康

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-05 DOI: 10.1016/j.pedn.2025.12.001

Elizabeth B. Froh PhD, RN , Asma A. Taha PhD, CPNP-PC/AC, PCNS-BC, FAAN , Elaine Walsh PhD, RN, PMHCNS-BC, FAAN , Danielle Altares Sarik PhD, APRN, CPNP-PC, FAAN , Renee Manworren PhD, APRN, PCNS-BC, PMGT-BC, AP-PMN, FAAN , Barbara Giambra PhD, APRN, CPNP-PC , Nhu N. Tran PhD, RN, MSCBTI, CCRN, CCRP , Teri L. Hernandez PhD, RN, FAAN

This paper describes the framework of the National Pediatric Nurse Scientist Collaborative as one solution to the varied implementation and sustainability of the hospital-based nurse scientist role within children's hospitals and/or pediatric health systems. We share the NPNSC framework, including our vision and mission, organizational structure, and the collaborative's overarching goals. Implemented in 2012, the results of this sustained national effort for hospital-based nurse scientists include enhanced collaborative research, strengthened professional growth and career development, optimized organizational role integration, and patient and policy advocacy. Proven effective and sustainable, the NPNSC framework can be applied to support niche expertise, on a national scale, as evidenced by the adoption of the framework by an emerging collaborative of evidence-based practice specialists accountable for their pediatric hospitals' evidence-based practice programs' infrastructure, strategy, and impact.

本文描述了国家儿科护士科学家合作的框架，作为儿童医院和/或儿科卫生系统中以医院为基础的护士科学家角色的各种实施和可持续性的解决方案。我们共享NPNSC框架，包括我们的愿景和使命、组织结构和协作的总体目标。这项针对医院护士科学家的全国性持续努力于2012年实施，结果包括加强合作研究，加强专业成长和职业发展，优化组织角色整合，以及对患者和政策的宣传。NPNSC框架被证明是有效和可持续的，可以在全国范围内应用于支持利基专业知识，正如新兴的循证实践专家合作采用该框架所证明的那样，他们对儿科医院的循证实践项目的基础设施、战略和影响负责。

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引用次数: 0

Navigating the patient pathway: An integrative review of parental mental health and support needs following neonatal gastrointestinal surgery 导航患者路径：新生儿胃肠手术后父母心理健康和支持需求的综合回顾

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-05 DOI: 10.1016/j.pedn.2025.11.034

Karina Hesselvig Vaupell , Jette Marcussen , Jane Clemensen , Gitte Zachariassen , Kristina Garne Holm

Problem

Infants with congenital gastrointestinal malformations often face complex care needs post-discharge, resulting in parents managing care needs they have not previously thought they should perform. When the caregiver burden is perceived too high it can negatively affect the mental health and quality of life. However, it is unclear how the state of the parents' mental health and their support needs are during their infant's patient pathway.

Purpose

This integrative review aims to synthesize quantitative and qualitative evidence regarding parents' mental health, their experiences throughout the patient pathway, and their care needs during the first two years following neonatal gastrointestinal surgery.

Eligibility criteria

The study followed the integrative review process of Whittemore & Knafl. A systematic literature search was conducted in MEDLINE, Embase, PsycInfo, and CINAHL. Included were research articles published after 2004, focusing on the experiences, support needs, and mental health of parents of infants with gastrointestinal malformations.

Sample

The review included 7 quantitative and 5 qualitative studies, assessed for quality using The Mixed Methods Appraisal Tool.

Results

The overarching theme identified was “Resilience in early parenthood requires mental strength, practical coping, and supportive relations,” based on three categories: 1) Echoes of trauma, 2) Facing reality, and 3) Empowering connections.

Conclusions

When discharging infants after neonatal gastrointestinal surgery, a multidisciplinary and cross-sectoral approach between hospital and community care is needed to ensure sufficient support to the parents.

Implications

Optimal support and parental involvement require multidisciplinary and cross-sectoral care planning for infants with complex care needs.

先天性胃肠道畸形的婴儿在出院后往往面临复杂的护理需求，导致父母管理他们以前认为不应该执行的护理需求。当照顾者的负担被认为过高时，它会对心理健康和生活质量产生负面影响。然而，尚不清楚父母的心理健康状况和他们的支持需求是如何在他们的婴儿的病人路径。目的本综述旨在综合新生儿胃肠手术后头两年父母的心理健康、他们在整个患者路径中的经历以及他们的护理需求的定量和定性证据。本研究遵循Whittemore &； Knafl的综合评价流程。在MEDLINE、Embase、PsycInfo和CINAHL进行了系统的文献检索。其中包括2004年以后发表的研究文章，重点关注胃肠道畸形婴儿父母的经历、支持需求和心理健康。本综述包括7项定量研究和5项定性研究，使用混合方法评估工具对质量进行评估。研究结果确定的总体主题是“早期为人父母的韧性需要精神力量、实际应对和支持性关系”，基于三个类别：1)创伤的回响，2)面对现实，3)增强联系。结论新生儿胃肠手术后婴儿出院时，需要多学科、跨部门的医院和社区护理，以确保对父母的充分支持。对具有复杂护理需求的婴儿进行多学科和跨部门的护理规划是实现最佳支持和父母参与的必要条件。

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引用次数: 0

Not just the baby: Holding parents in the neonatal surgical journey 不只是婴儿：在新生儿手术过程中抱着父母。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-03 DOI: 10.1016/j.pedn.2025.11.037

H. Wilkinson , M. Hotton , K. Damazer , C. Inness , K. Lakhoo , J. Cordwell

Introduction

Parents experience significant stress when their baby receives a prenatal diagnosis that will require surgical treatment. This study aimed to explore parents' experiences of a neonatal surgical pathway and develop recommendations for support.

Methods

Twenty-four parents completed surveys and nine parents were subsequently interviewed regarding their experiences of the neonatal surgical pathway. Themes were identified using reflexive thematic analysis.

Results

Parents highlighted the importance of preparation, empathetic communication and involvement in their baby's care. Different levels of support that parents would find useful ranged from parent-to-parent mentoring, a space to discuss feelings in medical consultations, ensuring physical health needs were met, and access to embedded psychological support.

Conclusion

The findings show that beyond the immediate stress of having an unwell child, the way in which the wider medical system holds parents in their distress has a major impact on parents' wellbeing.

Implications to practice

Recommendations to improve support are provided at universal, targeted and specialist levels. For example, it is advised that all parents receive preparation throughout different stages of the treatment journey through antenatal counselling, ward tours, and the opportunity to speak to former patients. Efforts should be made to solicit parents' feelings and concerns to enable them to feel heard and cared for. A number of parents may experience heightened levels of distress, for whom access to specialist psychological support may be indicated.

简介：当他们的孩子接受产前诊断，需要手术治疗时，父母会经历巨大的压力。本研究旨在探讨父母对新生儿手术路径的经验，并提出支持建议。方法：对24名家长进行问卷调查，并对9名家长进行访谈，了解他们对新生儿手术路径的体验。使用反身性主题分析确定主题。结果：家长强调了准备、移情沟通和参与婴儿护理的重要性。父母认为有用的不同程度的支持包括父母之间的指导、在医疗咨询中讨论感受的空间、确保满足身体健康需求以及获得内在的心理支持。结论：研究结果表明，除了孩子身体不适带来的直接压力外，更广泛的医疗系统对父母痛苦的方式对父母的幸福有重大影响。对实践的影响：在普遍、有针对性和专家层面提出了改善支持的建议。例如，建议所有父母在治疗过程的不同阶段通过产前咨询、病房参观和与以前的病人交谈的机会接受准备。应该努力征求父母的感受和关心，使他们感到被倾听和关心。一些父母可能会经历更严重的痛苦，他们可能会得到专家的心理支持。

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引用次数: 0

Beyond bedtime: Improving sleep and behavioral functioning in children with ADHD through targeted interventions 超越就寝时间：通过有针对性的干预改善多动症儿童的睡眠和行为功能。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-03 DOI: 10.1016/j.pedn.2025.11.041

Faten Mabrouk Nouh PhD , Ahmad I. Miqdadi PhD, RN , Majdi Alhadidi PhD, RN , Abdulqadir J. Nashwan , Amany Ibrahim Abdalla Ibrahim PhD , Doaa A. Zayed PhD , Jebril Al Hrinat PhD , Aseel Hendi Master , Rahma Elsayed Abdel Aziz PhD

Introduction

Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent neurodevelopmental illnesses affecting children. Sleep is essential for overall health, happiness, and daily functioning; thus it should be a top priority for people with ADHD. We aimed to examine the impact of parental sleep hygiene education to improve sleep and behavioral outcomes in children with ADHD.

Methods

This study used quasi experimental design with a pretest posttest study and control groups. The study population included 100 children. Data was collected using three instruments including: a structured interview questionnaire (socio-demographic characteristics of children's & caregivers and sleep patterns), the children's sleep habits questionnaire, and the strengths and difficulties questionnaire (SDQ).

Results

There was a significant improvement of children's sleep patterns, and sleep habits between control and experimental groups on post intervention. Additionally, ADHD-related behaviors measured by the SDQ improved significantly in the experimental group, with increased strengths and reduced behavioral difficulties.

Conclusion

Study demonstrated that parent sleep hygiene education significantly improved sleep patterns, sleep habits and ADHD-related behaviors through increased behavioral strengths and reductions in behavioral difficulties.

注意缺陷/多动障碍（ADHD）是影响儿童最普遍的神经发育疾病之一。睡眠对整体健康、快乐和日常运作至关重要；因此，这应该是ADHD患者的首要任务。我们的目的是研究父母睡眠卫生教育对改善ADHD儿童睡眠和行为结果的影响。方法：本研究采用准实验设计，分为前测、后测组和对照组。研究对象包括100名儿童。数据收集使用三种工具，包括：结构化访谈问卷（儿童和照顾者的社会人口特征和睡眠模式）、儿童睡眠习惯问卷和优势与困难问卷（SDQ）。结果：干预后，对照组和实验组儿童的睡眠模式和睡眠习惯均有显著改善。此外，通过SDQ测量的adhd相关行为在实验组中显著改善，优势增加，行为困难减少。结论：研究表明，父母睡眠卫生教育通过增加行为优势和减少行为困难，显著改善睡眠模式、睡眠习惯和adhd相关行为。

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引用次数: 0

Virtual reality, pre-procedural anxiety, and post-procedural pain in children outpatient care: A randomised controlled trial 儿童门诊护理中的虚拟现实、术前焦虑和术后疼痛：一项随机对照试验。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-02 DOI: 10.1016/j.pedn.2025.11.043

Giulia Ciolini , Simone Cosmai , Donata Dini , Mauro Parozzi , Alice Sabatini , Mirco Gregorini , Biagio Nicolosi , Beatrice Mazzoleni

Introduction

The management of pain and procedural anxiety in chronically ill children is a complex challenge, often without standardised protocols. Virtual Reality (VR) is becoming an effective immersive distraction strategy to reduce pain without resorting to medication.

Objectives

This study evaluated the effectiveness of VR in reducing pain and anxiety in children with chronic conditions undergoing minimally invasive procedures in outpatient or Day Hospital settings.

Materials and methods

A single-centre randomised controlled trial was conducted in a hospital in Florence, Italy. Participants (n = 247), aged 3–17 years, suffering from chronic diseases, were assigned to the intervention (Virtual Reality) or control (standard care) group. Pain was measured with the Wong-Baker and NRS scales and anxiety with the M-YPAS and VAS-A scales. Statistical analysis included robust regressions to assess the role of factors such as age and maternal anxiety.

Results

The intervention led to a statistically significant reduction in perceived pain (p < 0.001), confirming its effectiveness as a non-pharmacological analgesic tool. While VR did not reduce pre-procedural anxiety, regression analysis identified maternal anxiety as a key predictor of child anxiety. Older children and males showed lower anxiety levels.

Conclusions

VR is a safe and effective strategy for managing paediatric procedural pain, potentially extendable to home settings. Further research should explore its impact on peri-procedural anxiety and strategies for optimal clinical integration.

Implications to practice

Virtual reality can be integrated into routine paediatric outpatient care as a simple, low-cost, non-pharmacological strategy to reduce procedural pain, supporting nurses in improving children's procedural experiences.

慢性疾病儿童疼痛和程序性焦虑的管理是一项复杂的挑战，通常没有标准化的方案。虚拟现实（VR）正在成为一种有效的沉浸式分心策略，可以在不诉诸药物的情况下减轻疼痛。目的：本研究评估VR在门诊或日间医院进行微创手术的慢性疾病儿童中减轻疼痛和焦虑的有效性。材料和方法：在意大利佛罗伦萨的一家医院进行了一项单中心随机对照试验。参与者（n = 247），年龄3-17岁，患有慢性疾病，被分配到干预（虚拟现实）组或对照组（标准治疗）组。疼痛用Wong-Baker和NRS量表测量，焦虑用M-YPAS和VAS-A量表测量。统计分析包括稳健回归，以评估年龄和母亲焦虑等因素的作用。结果：干预导致感知疼痛显著减少(p)结论：VR是一种安全有效的治疗儿科手术性疼痛的策略，有可能扩展到家庭环境。进一步的研究应探讨其对围手术期焦虑的影响和最佳临床整合的策略。对实践的影响：虚拟现实可以作为一种简单、低成本、非药物的策略整合到常规儿科门诊护理中，以减少手术疼痛，支持护士改善儿童的手术体验。

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引用次数: 0

SAFE-T tool validation: An inpatient shift-based screening tool for infant safe sleep safe - t工具验证：基于住院病人轮班的婴儿安全睡眠筛查工具。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-02 DOI: 10.1016/j.pedn.2025.11.045

Jennifer Gingrasfield , Alexandra Cole , Michele DeGrazia

Objective

Sudden unexpected infant death (sudden infant death, sleep environment death) is the leading cause of mortality for infants aged 1–11 months and contributes to >3500 deaths each year. Infant safe sleep knowledge and practice gaps exist in many inpatient settings. The purpose of this research was to modify and establish content validity of an inpatient shift-based safe sleep screening tool (SAFE-T).

Patients and methods

e-Delphi rounds were conducted with a national sample of hospital-based infant safe sleep program professionals. The first survey included questions on the original tool items developed and pilot tested by institution-based providers. During subsequent e-Delphi rounds, participants were sent the modified tool items and additional questions. Items with 80 % agreement were considered to have reached consensus and retained. Items that did not reach consensus or received substantial feedback were included for consideration in the next e-Delphi round.

Results

32 professionals from 28 unique institutions completed the demographic survey and participated in the research. There was 78 % participant retention during three survey rounds. Modifications were made to the tool, its introduction, and reference materials based on participants' feedback. Two of the five domains required renaming, and the potential responses to the pilot tool were 15 compared to the final tool, which has 14.

Conclusions

The SAFE-T tool is the first validated inpatient shift-based screening tool designed to facilitate safe sleep practices. Implementing the tool in the inpatient setting could help improve safe sleep practices while infants are in the hospital and after being discharged home.

Implications for practice

The SAFE-T tool could be implemented in hospitals where infants receive care. By supporting consistent safe sleep modeling by nurses and other providers in the inpatient setting, the tool has the potential to promote improved safe sleep practices when infants are discharged home. Future research should evaluate the tool's impact on caregiver behaviors after discharge.

目的：婴儿猝死（婴儿猝死，睡眠环境死亡）是1-11月龄婴儿死亡的主要原因，每年造成约3500人死亡。婴儿安全睡眠知识和实践差距存在于许多住院设置。本研究的目的是修改和建立住院病人轮班安全睡眠筛查工具（safe - t）的内容效度。患者和方法：e-Delphi轮次对全国医院婴儿安全睡眠项目专业人员进行抽样调查。第一次调查包括由机构供应商开发和试点测试的原始工具项目的问题。在随后的e-Delphi轮次中，参与者收到了修改后的工具项目和附加问题。达成80%一致意见的项目视为达成协商一致意见，予以保留。未达成协商一致意见或收到大量反馈的项目将列入下一轮e-Delphi审议。结果：来自28个独特机构的32名专业人员完成了人口统计调查并参与了研究。在三轮调查中，参与者的保留率为78%。根据参与者的反馈，对工具、介绍和参考资料进行了修改。五个领域中有两个需要重命名，对试点工具的潜在响应是15个，而最终工具有14个。结论：safe - t工具是第一个经过验证的基于住院患者轮班的筛查工具，旨在促进安全睡眠实践。在住院环境中实施该工具可以帮助改善婴儿住院期间和出院后的安全睡眠习惯。对实践的启示：SAFE-T工具可在婴儿接受护理的医院实施。通过支持住院环境中护士和其他提供者一致的安全睡眠建模，该工具有可能在婴儿出院回家时促进改进的安全睡眠实践。未来的研究应评估该工具对护理者出院后行为的影响。

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引用次数: 0

Determination of risk factors for central line associated bloodstream infections in children: A Delphi and Fuzzy Analytic Hierarchy Process study 确定儿童中央静脉相关血流感染的危险因素：德尔菲和模糊层次分析法研究。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-01 DOI: 10.1016/j.pedn.2025.11.040

Seda Ardahan Sevgili, Ayşe Kahraman

Purpose

This study aimed to determine and weight the possible risk factors for central line associated bloodstream infections in children with central venous/port catheters using the Delphi method and Fuzzy Analytic Hierarchy Process.

Design and methods

Literature retrieval and researchers discussions were conducted to identify initial possible risk factors for central line associated bloodstream infections. Two rounds of Delphi surveys were used to collect expert opinions. Based on the importance given to each indicators by the consulted experts in the previous round, we determined the weight and priority of each indicator with the Fuzzy Analytic Hierarchy Process.

Results

As a result of Delphi process, expert authority coefficient was 0.858 and Kendall W value was 0.261 (p < 0.001). In Fuzzy Analytic Hierarchy Process analyses, the most important primary indicator was found as healthcare related factors (0.516) and secondary indicator was found to be knowledge/skills of healthcare professionals (0.229). Finally, consensus was reached on 5 primary and 24 secondary indicators.

Conclusions

Possible risk factors for central line associated bloodstream infections were determined by consensus reached as a result of expert opinions.

Practice implications

The results can be useful for planning preventive measures for infection management in clinical settings.

目的：本研究旨在采用德尔菲法和模糊层次分析法确定和加权中心静脉/端口导管儿童中心静脉相关血流感染的可能危险因素。设计和方法：通过文献检索和研究人员讨论来确定中央静脉相关血流感染的初始可能危险因素。采用两轮德尔菲调查收集专家意见。根据前一轮咨询专家对各指标的重要程度，采用模糊层次分析法确定各指标的权重和优先级。结果：专家权威系数为0.858，Kendall W值为0.261 (p)。结论：通过专家意见达成共识，确定了中心静脉相关血流感染可能的危险因素。实践意义：结果可用于规划预防措施的感染管理在临床设置。

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引用次数: 0

The effect of ice pack and lukewarm gel pad use on pain, anxiety levels, and physiological parameters of children during surgical drain removal in children aged 9–18 years 冰敷和温凝胶垫对9 ~ 18岁儿童引流术中疼痛、焦虑水平和生理参数的影响

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-01 DOI: 10.1016/j.pedn.2025.11.039

Abdurrahman Başkurt MSc, RN , Professor Duygu Sönmez Düzkaya PhD, BSc, RN , Associate Professor Atiye Karakul PhD, BSc, RN

Aim

To determine the effect of ice packs and lukewarm gel pads on pain and anxiety during surgical drain removal in children aged 9–18 years.

Methods

The study included children with surgical drains who were treated in the pediatric surgery unit between July 2024 and April 2025. The study sample comprised 99 children (ice pack group: n = 33, gel pad group: n = 33, control group: n = 33). In the ice pack group, the area around the drain entry site was cooled using ice packs. In gel pad group, room temperature gel pads wrapped around the drain completely. The control group received no intervention. Data were collected using a descriptive information form, numerical pain scale, vital signs follow-up form, and the State Anxiety Scale for Children.

Results

There was no significant difference between the groups in pain and anxiety scores before the procedure (p > 0.05). However, a significant difference was found between the groups in intra- and post-procedural pain and post-procedural anxiety levels (p < 0.05). No significant differences were found in blood pressure and oxygen saturation values before and after the procedure. A significant difference was observed in pulse rates before the procedure (p < 0.05), but no difference was found afterward (p > 0.05). Post-procedural respiratory rate differed significantly between the groups (p < 0.05).

Conclusion

In conclusion, applying an ice pack effectively reduced pain and anxiety during drain removal. It is recommended that evidence-based physical methods such as ice pack application be widely adopted and considered standard medical practice to alleviate pain and anxiety during such procedures.

目的：探讨冰敷和温凝胶垫对9-18岁儿童引流术中疼痛和焦虑的影响。方法：研究对象为2024年7月至2025年4月在儿科外科治疗的手术引流患儿。研究样本为99名儿童（冰袋组33名，凝胶垫组33名，对照组33名）。在冰袋组中，使用冰袋对排水口附近区域进行冷却。在凝胶垫组，室温凝胶垫完全包裹在排水管周围。对照组不进行干预。采用描述性信息表、数字疼痛量表、生命体征随访表和儿童状态焦虑量表收集数据。结果：两组患者术前疼痛、焦虑评分比较，差异均无统计学意义（p < 0.05）。两组患者术中、术后疼痛及术后焦虑水平差异有统计学意义（p < 0.05）。两组患者术后呼吸频率差异有统计学意义(p)。结论：冰敷可有效减轻引流过程中的疼痛和焦虑。建议广泛采用以证据为基础的物理方法，如冰袋应用，并将其视为减轻此类手术过程中的疼痛和焦虑的标准医疗实践。

{"title":"The effect of ice pack and lukewarm gel pad use on pain, anxiety levels, and physiological parameters of children during surgical drain removal in children aged 9–18 years","authors":"Abdurrahman Başkurt MSc, RN , Professor Duygu Sönmez Düzkaya PhD, BSc, RN , Associate Professor Atiye Karakul PhD, BSc, RN","doi":"10.1016/j.pedn.2025.11.039","DOIUrl":"10.1016/j.pedn.2025.11.039","url":null,"abstract":"<div><h3>Aim</h3><div>To determine the effect of ice packs and lukewarm gel pads on pain and anxiety during surgical drain removal in children aged 9–18 years.</div></div><div><h3>Methods</h3><div>The study included children with surgical drains who were treated in the pediatric surgery unit between July 2024 and April 2025. The study sample comprised 99 children (ice pack group: <em>n</em> = 33, gel pad group: n = 33, control group: n = 33). In the ice pack group, the area around the drain entry site was cooled using ice packs. In gel pad group, room temperature gel pads wrapped around the drain completely. The control group received no intervention. Data were collected using a descriptive information form, numerical pain scale, vital signs follow-up form, and the State Anxiety Scale for Children.</div></div><div><h3>Results</h3><div>There was no significant difference between the groups in pain and anxiety scores before the procedure (<em>p</em> > 0.05). However, a significant difference was found between the groups in intra- and post-procedural pain and post-procedural anxiety levels (<em>p</em> < 0.05). No significant differences were found in blood pressure and oxygen saturation values before and after the procedure. A significant difference was observed in pulse rates before the procedure (<em>p</em> < 0.05), but no difference was found afterward (<em>p</em> > 0.05). Post-procedural respiratory rate differed significantly between the groups (p < 0.05).</div></div><div><h3>Conclusion</h3><div>In conclusion, applying an ice pack effectively reduced pain and anxiety during drain removal. It is recommended that evidence-based physical methods such as ice pack application be widely adopted and considered standard medical practice to alleviate pain and anxiety during such procedures.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 434-442"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0