Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献_第3页

Knowledge, attitudes and practices toward discharge preparation among parents of newborns hospitalized in the NICU: A multi-center cross-sectional study NICU新生儿家长出院准备的知识、态度和实践：一项多中心横断面研究

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-28 DOI: 10.1016/j.pedn.2026.01.020

Miao Tang , Xueli Cheng , Ya Pan , Li Wu , Hui Yang , Jungeng Chen , Yanrong Wang , Linjialiang Zhang , Yuefeng Li , Jing Feng , Cheng Chen , Jingbo Jiang

Background

This study aimed to assess the knowledge, attitudes, and practices (KAP) of parents regarding the discharge preparation of newborns hospitalized in neonatal intensive care units (NICUs).

Methods

This multi-center cross-sectional study was conducted between October 2023 and February 2024 across six NICUs in Shenzhen. Data were collected using a structured, expert-developed questionnaire with verified reliability and internal consistency.

Results

A total of 549 valid questionnaires were included in the final analysis. Among the respondents, 340 (61.93%) were male. The mean scores for knowledge, attitude, and practice were 20.74 ± 7.29 (possible range: 0–40), 42.64 ± 3.66 (range: 10–50), and 44.86 ± 6.71 (range: 11–55), respectively. Multivariate linear regression identified that being female, urban residence, having one or two children, and prior caregiving experience were significantly associated with higher knowledge scores. Knowledge (β = 0.147, P < 0.001) and various forms of caregiving support were positively associated with attitudes, while longer distance to hospital was associated with lower attitude scores. Knowledge (β = 0.304, P < 0.001), attitude (β = 0.801, P < 0.001), and prior caregiving experience were independently associated with practice. Path analysis confirmed that knowledge had direct effects on both attitude (β = 0.314, P = 0.013) and practice (β = 0.348, P = 0.010), and also an indirect effect on practice mediated by attitude (β = 0.138, P = 0.011).

Conclusion

While parents demonstrated positive attitudes and proactive practices, a significant gap in knowledge persists regarding NICU discharge preparation. Tailored educational strategies are necessary to enhance parental readiness and promote safer transitions from hospital to home care.

本研究旨在评估新生儿重症监护病房（NICUs）住院新生儿的家长对新生儿出院准备的知识、态度和实践（KAP）。方法于2023年10月至2024年2月在深圳6个新生儿重症监护病房进行多中心横断面研究。数据收集使用结构化的，专家开发的问卷，经过验证的可靠性和内部一致性。结果共回收有效问卷549份。受访者中男性340人，占61.93%。知识、态度和实践的平均得分分别为20.74±7.29分（可能范围0 ~ 40）、42.64±3.66分（可能范围10 ~ 50）和44.86±6.71分（可能范围11 ~ 55）。多元线性回归发现，女性、城市居住、有一或两个孩子、之前的照顾经验与较高的知识得分显著相关。知识（β = 0.147, P < 0.001）和各种形式的护理支持与态度呈正相关，而距离医院越远，态度得分越低。知识（β = 0.304, P < 0.001）、态度（β = 0.801, P < 0.001）、既往护理经验与实践独立相关。通径分析证实，知识对态度（β = 0.314, P = 0.013）和实践（β = 0.348, P = 0.010）均有直接影响，并通过态度介导对实践有间接影响（β = 0.138, P = 0.011）。结论虽然家长表现出积极的态度和积极的做法，但在新生儿重症监护病房出院准备方面的知识差距仍然很大。量身定制的教育战略是必要的，以提高家长的准备程度，并促进从医院到家庭护理的更安全过渡。

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引用次数: 0

Predictors of professional self-concept and job motivation in pediatric nurses 儿科护士职业自我概念与工作动机的预测因素

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-28 DOI: 10.1016/j.pedn.2026.01.025

Pınar Bekar , Şevkiye Dikmen , Emine Efe

Purpose

The aim of this study was to identify the predictors of professional self-concept and job motivation among pediatric nurses and to examine the relationship between them.

Design and methods

A cross-sectional, correlational study design was used. This study was conducted with 102 pediatric nurses working at a university hospital in Turkey between March 2023 and January 2024. Data were collected using a Descriptive Information Form, the Professional Self-Concept Scale in Clinician Nurses (NPSCS), and the Nurses Job Motivation Scale (NJMS).

Results

The multiple regression analysis revealed that perceived workload (β = 0.227) and participation status in professional activities (β = 0.279) were significant predictors of professional self-concept. The perceived workload of pediatric nurses significantly predicted their job motivation (β = 0.270). Additionally, correlation analysis indicated a statistically significant positive relationship between professional self-concept and job motivation levels among pediatric nurses (r = 0.542, p < 0.001).

Conclusion

In this study, it was concluded that as pediatric nurses' levels of professional self-concept increased, their job motivation levels also increased. Perceived workload and participation status in professional activities affected professional self-concept. In addition, perceived workload was found to affect job motivation.

Practice implications

In order to increase the job motivation and professional self-concept of pediatric nurses, it has been revealed that strategies should be developed to improve working conditions in a way that enables nurses to perform their duties optimally, to provide support for nurses, and to foster the development of their professional identity.

目的探讨儿科护士职业自我概念与工作动机的影响因素，并探讨两者之间的关系。设计与方法采用横断面、相关研究设计。这项研究是在2023年3月至2024年1月期间在土耳其一家大学医院工作的102名儿科护士中进行的。采用描述性信息表、临床护士专业自我概念量表（NPSCS）和护士工作动机量表（NJMS）收集数据。结果多元回归分析显示，感知工作量（β = 0.227）和专业活动参与状况（β = 0.279）是专业自我概念的显著预测因子。儿科护士感知工作量显著预测其工作动机（β = 0.270）。相关分析显示，儿科护士职业自我概念与工作动机水平呈正相关（r = 0.542, p < 0.001）。结论随着儿科护士专业自我概念水平的提高，其工作动机水平也相应提高。感知工作量和专业活动参与状况影响专业自我概念。此外，感知工作量也会影响工作动机。实践启示为提高儿科护士的工作动机和专业自我概念，应制定策略，改善工作条件，使护士能够最佳地履行职责，为护士提供支持，并促进其职业认同的发展。

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引用次数: 0

Healthy lifestyle program based on a mobile serious game-extended version for childhood cancer survivors: Development and evaluation of user satisfaction 基于儿童癌症幸存者手机严肃游戏扩展版的健康生活方式项目：用户满意度的开发和评估

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-28 DOI: 10.1016/j.pedn.2026.01.024

Kyung-Ah Kang , In-Hye Song , Han-Ho Kim

Purpose

This study aimed to develop a Healthy Lifestyle Program Based on a Mobile Serious Game-Extended version (HLP-MSGe) for childhood cancer survivors (CCSs) and evaluate the satisfaction level of a HLP-MSGe.

Methods

The HLP-MSGe for CCSs included 33 quests with 7 minigames in 7 healthy lifestyle subfactors (health responsibility, physical activity, nutrition, positive life perspective, interpersonal relationships, stress management, and spiritual health). Five experts validated the content, organization, and usability of the HLP-MSGe. A satisfaction survey consisting of 5-point Likert scales was answered by CCSs in South Korea aged 6–14 years old whose cancer treatment was terminated at least 12 months previously. Data were analyzed using means and standard deviations.

Results

“Healthy village-Acorn island” was named to an HLP-MSGe-based initial game called “Healthy village-Hope Island”. The content validity index score by experts ranged from 0.93 to 1.00, with a mean of 0.95. The mean score of satisfaction with the HLP-MSGe was 4.16 (SD = 0.68) out of 5.

Conclusion

HLP-MSGe, a mobile serious game, is a health education modality that meets the learning needs of CCSs who recognize games as educational media and is an appropriate educational medium to increase the efficiency and continuity of self-directed health care.

Implications for practice

HLP-MSGe for CCSs intervention can contribute to a new paradigmatic approach to healthcare that maximizes the effectiveness of ongoing health self-management of CCSs. It can also be used as a platform to provide health education based on the human holism model, reflecting the multifaceted needs of CCSs including spirituality.

目的本研究旨在为儿童癌症幸存者（CCSs）开发一种基于手机严肃游戏扩展版（hp - msge）的健康生活方式项目，并评估其满意度。方法在健康生活方式的7个亚因素（健康责任、身体活动、营养、积极人生观、人际关系、压力管理和精神健康）中，对CCSs进行HLP-MSGe共33个任务和7个小游戏。五位专家验证了hp - msge的内容、组织和可用性。一项由5分李克特量表组成的满意度调查由韩国6-14岁的CCSs回答，这些CCSs至少在12个月前终止了癌症治疗。采用均值和标准差对数据进行分析。结果基于hp - msge的初始游戏《健康村-希望岛》命名为“健康村-橡果岛”。专家的内容效度指数评分范围为0.93 ~ 1.00，平均为0.95。对hp - msge的平均满意度得分为4.16 （SD = 0.68）。结论手机严肃游戏hlp - msge是一种满足视游戏为教育媒介的CCSs学习需求的健康教育方式，是提高自主健康护理效率和持续性的合适教育媒介。对实践的启示帮助- msge对CCSs干预可以有助于一种新的医疗保健范例方法，最大限度地提高CCSs持续健康自我管理的有效性。它还可以作为一个平台，提供基于人类整体主义模式的健康教育，反映cccs的多方面需求，包括灵性需求。

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引用次数: 0

Corrigendum to 'Virtual reality, pre-procedural anxiety, and post-procedural pain in children outpatient care: A randomised controlled trial' [Journal of Pediatric Nursing 86(2025) 451-460]. 儿童门诊护理中的虚拟现实、术前焦虑和术后疼痛：一项随机对照试验的勘误表[Journal of Pediatric Nursing] 86(2025) 451-460。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-26 DOI: 10.1016/j.pedn.2026.01.019

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

引用次数: 0

Evaluation of the efficacy of local application of bee products in the care of diaper dermatitis in infants: A randomized controlled trial 评价局部应用蜂产品治疗婴儿尿布皮炎的疗效：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 : 2026-01-23 DOI: 10.1016/j.pedn.2026.01.014

Bahar Aksoy PhD , Ilknur Kahriman PhD , Orhan Değer PhD , Ali Timuçin Atayoğlu PhD

Background and purpose

This randomized controlled trial compared the effects of a barrier cream containing propolis, beeswax, queen bee larvae, and vegetable oil (barrier cream 1) with those of zinc oxide (barrier cream 2) and olive oil on the healing of mild diaper dermatitis (DD).

Methods

A single-blind, parallel-group, pretest-posttest, repeated-measures randomized controlled trial was conducted. The study included infants aged 1–6 months diagnosed with mild DD, who were recruited from three family health centers and a pediatric outpatient clinic in a public hospital in a district of the Mediterranean Region of Türkiye. Data were analysed using descriptive statistics, one-way analysis of variance, chi-square, Bonferroni correction, and generalized estimating equations with multiple logistic regression.

Results

The mean DD severity score on days 1, 2, and 3 was lower in the barrier cream 1 group than in the barrier cream 2 and olive oil groups. The mean DD severity score on day 2 of the babies in the barrier cream 1 group was significantly lower than in the other groups (p = .012). Compared to olive oil, barrier cream 1 was 2.54 times (p = .004) more effective, and barrier cream 2 was 1.43 times more effective (p = .192) in improving DD.

Conclusions

Barrier cream 1, a formulation containing propolis, beeswax, queen bee larvae, and vegetable oil, demonstrated superior effectiveness in treating mild DD in infants compared to barrier cream 2 and olive oil.

Practice implications

Interventions aligned with the ABCDE model positively influenced healing outcomes and enhanced parental satisfaction.

背景与目的本随机对照试验比较了含有蜂胶、蜂蜡、蜂王幼虫和植物油的屏障霜（屏障霜1）与氧化锌（屏障霜2）和橄榄油的屏障霜对轻度尿布性皮炎（DD）的愈合效果。方法采用单盲、平行组、前测后测、重复措施随机对照试验。该研究包括1-6个月的诊断为轻度DD的婴儿，他们来自地中海地区 rkiye区的三个家庭保健中心和一家公立医院的儿科门诊。数据分析采用描述性统计、单因素方差分析、卡方、Bonferroni校正和多元logistic回归广义估计方程。结果屏障霜1组患者在第1、2、3天的平均DD严重程度评分低于屏障霜2组和橄榄油组。屏障霜1组患儿第2天的平均DD严重程度评分显著低于其他组（p = 0.012）。与橄榄油相比，屏障霜1改善DD的效果是橄榄油的2.54倍（p = 0.004），屏障霜2改善DD的效果是橄榄油的1.43倍（p = 0.192）。结论由蜂胶、蜂蜡、蜂王幼虫和植物油组成的屏障霜1治疗婴儿轻度DD的效果优于屏障霜2和橄榄油。实践意义与ABCDE模型相一致的干预措施对治疗结果和提高父母满意度有积极影响。

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引用次数: 0

Indicators of safe and equitable hospital-based care for culturally and linguistically diverse children and families: A scoping review 为文化和语言不同的儿童和家庭提供安全和公平的医院护理的指标：范围审查

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-23 DOI: 10.1016/j.pedn.2026.01.021

Helen J. Nelson , Richard Akubuiro , Hayley Harrison , Girish Swaminathan , Matthew Holmes , Sharyn K. Burns

Background

Equitable access to health care is supported as families experience cultural safety, reducing inherent power imbalances. Current measures of cultural safety focus on First Nations Peoples; no framework or measure has been identified for families of multicultural background who access children's health services.

Aim

To identify how culturally safe care is assessed, measured, and monitored for families of multicultural background who access children's hospital services.

Method

This scoping review followed Joanna Briggs Institute Manual for Evidence Synthesis. The search included terms for: ‘population’ of multicultural families of children aged birth to 17 years; ‘concept’ of experience of cultural safety; and ‘context’ of hospital-based care. Databases included PubMed, Cochrane, Epistemonikos, Cumulative Index to Nursing and Allied Health Literature, MedLine, PsychINFO, Scopus, Proquest, and secondary search of references from included studies. Data were evaluated using thematic analysis, and narrative discussion aligned with the World Health Organization Framework for improving the quality of paediatric care.

Results

Seven manuscripts were included, and four themes identified: ‘Resources’, ‘Effective communication’, ‘Shared decision making’, and ‘Feeling supported’. Central to experience of multicultural safety is respectful verbal and nonverbal communication, supported through self-reflection by staff, allocation of extra time for families to seek clarity, and availability of interpreters.

Implications

Most important to families was an experience of being respected as nurses and care providers listened carefully and showed interest in family culture. We will translate findings by partnering with families to develop a tool to measure experience of multicultural safety in hospital-based care for children and families.

背景随着家庭体验到文化安全，减少了固有的权力不平衡，公平获得医疗保健的机会得到了支持。目前的文化安全措施侧重于第一民族；没有为获得儿童保健服务的多文化背景家庭确定框架或措施。目的确定如何评估、衡量和监测使用儿童医院服务的多文化背景家庭的文化安全护理。方法本综述遵循乔安娜布里格斯研究所证据合成手册。搜索词包括：“人口”的多元文化家庭的孩子从出生到17岁；文化安全体验的“概念”；以及以医院为基础的护理的“背景”。数据库包括PubMed、Cochrane、Epistemonikos、护理和相关健康文献累积索引、MedLine、PsychINFO、Scopus、Proquest，以及对纳入研究的参考文献的二次检索。利用专题分析和叙述讨论对数据进行了评估，这些讨论与世界卫生组织提高儿科护理质量的框架保持一致。结果纳入了7份手稿，确定了四个主题：“资源”、“有效沟通”、“共同决策”和“感觉被支持”。多元文化安全体验的核心是相互尊重的语言和非语言交流，通过工作人员的自我反思，为家庭分配额外的时间来寻求清晰，以及翻译的可用性来支持。对家庭来说，最重要的是护士和护理人员认真倾听并对家庭文化表现出兴趣，从而受到尊重。我们将通过与家庭合作开发一种工具来衡量以医院为基础的儿童和家庭护理的多元文化安全经验，从而转化研究结果。

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引用次数: 0

Adolescents' experiences of hypoglycemic episodes in type 1 diabetes 青少年1型糖尿病低血糖发作的经验

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-22 DOI: 10.1016/j.pedn.2026.01.023

Raheleh Sabetsarvestani , Emine Geçkil , Semra Köse , Selverhan Yurttutan

Aim

This study aims to explore how adolescents with Type 1 Diabetes experience hypoglycemic episodes in Türkiye.

Method

A descriptive exploratory qualitative design with a content analysis approach was employed. This study was conducted in the pediatric endocrinology clinic of a university hospital in Konya, Türkiye, between August 2024 and January 2025. Participants were selected through purposive sampling. Data were collected through semi-structured, face-to-face interviews. A total of 20 adolescents participated. Data were analyzed using qualitative content analysis.

Results

The mean age of participants was 15 years. One main theme and five subthemes emerged from data analysis. The main theme was “Navigating the Hypoglycemia Journey,” and the subthemes were: Triggers and Risks, Recognizing and Responding to Symptoms, Emotional Reactions and Coping Strategies, Recovery and Support, and Managing and Sharing Wisdom.

Conclusion

This study provides a nuanced understanding of adolescents' lived experiences with hypoglycemia, highlighting how they navigate triggers, recognize symptoms, cope emotionally, and gradually develop resilience and self-management skills. By centering adolescents' voices, the findings emphasize the critical role of families, schools, and healthcare providers in promoting safety, confidence, and autonomy.

Implication for practice

These insights can help healthcare providers promote early symptom recognition, timely responses, and effective self-management, while highlighting the supportive roles of families and schools in reducing distress and strengthening adolescents' confidence in managing hypoglycemia.

目的本研究旨在探讨青少年1型糖尿病患者在 rkiye中如何经历低血糖发作。方法采用描述性探索性定性设计和内容分析法。这项研究于2024年8月至2025年1月在基耶省科尼亚市一所大学医院的儿科内分泌科诊所进行。参与者通过有目的的抽样选择。数据是通过半结构化的面对面访谈收集的。共有20名青少年参与。数据分析采用定性内容分析。结果参与者平均年龄15岁。数据分析产生了一个主要主题和五个次要主题。主题是“引导低血糖之旅”，副主题是：诱因和风险、识别和应对症状、情绪反应和应对策略、恢复和支持、管理和分享智慧。结论：本研究提供了对青少年低血糖生活经历的细致理解，突出了他们如何处理触发因素，识别症状，情绪应对，并逐渐发展恢复力和自我管理技能。通过集中青少年的声音，研究结果强调了家庭、学校和医疗保健提供者在促进安全、自信和自主方面的关键作用。实践意义这些见解可以帮助医疗保健提供者促进早期症状识别、及时反应和有效的自我管理，同时强调家庭和学校在减少痛苦和增强青少年管理低血糖的信心方面的支持作用。

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引用次数: 0

Cigarette smoking prevalence and its risk factors, including social anxiety and depression, among adolescents in Turkey: A school-based cross-sectional study1 土耳其青少年吸烟率及其危险因素，包括社交焦虑和抑郁：一项基于学校的横断面研究

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-21 DOI: 10.1016/j.pedn.2026.01.018

Elif Ezgi Kaçmaz , Yasemin Gümüş Şekerci

Purpose

This study aimed to determine the prevalence of smoking and levels of social anxiety and depression among adolescents and examine the risk factors that influence smoking.

Methods

This cross-sectional study was conducted in Turkey in 2025 with 3636 adolescents aged 13–19 years. Data were collected using a Personal Information Form, the Social Anxiety Scale for Adolescents, and the Basic Depression Scale. Descriptive statistics, independent-samples t-tests, chi-square tests, and logistic regression analyses were used for the data analysis.

Results

The prevalence of smoking in this study was 9.5%. Sex, grade level, having family members or friends who smoke, social anxiety, and depression were identified as significant smoking risk factors. Specifically, having peers who smoke increased the likelihood of adolescent smoking by 9.627 times, whereas having family members who smoke increased this likelihood by 1.412 times. Additionally, each one-unit increase in social anxiety score was associated with a 1.6% increase in the likelihood of smoking, whereas each one-unit increase in depression score was associated with a 5.2% increase.

Conclusion

The findings revealed that depression and social anxiety are critical psychological variables that must be considered when understanding cigarette smoking.

Practical implications

School nurses can develop comprehensive approaches to reduce peer influence and strengthen psychosocial support systems in anti-smoking programs for adolescents. Additionally, they can facilitate the expansion of school-based mental health screenings.

目的：本研究旨在确定青少年吸烟的流行程度和社交焦虑和抑郁的水平，并检查影响吸烟的危险因素。方法：这项横断面研究于2025年在土耳其进行，共有3636名13-19岁的青少年。使用个人信息表、青少年社交焦虑量表和基本抑郁量表收集数据。数据分析采用描述性统计、独立样本t检验、卡方检验和logistic回归分析。结果：本研究中吸烟的患病率为9.5%。性别、年级、是否有家庭成员或朋友吸烟、社交焦虑和抑郁被认为是吸烟的重要危险因素。具体来说，同龄人吸烟会使青少年吸烟的可能性增加9.627倍，而家庭成员吸烟会使青少年吸烟的可能性增加1.412倍。此外，社交焦虑得分每增加一个单位，吸烟的可能性就会增加1.6%，而抑郁得分每增加一个单位，吸烟的可能性就会增加5.2%。结论：研究结果表明，抑郁和社交焦虑是理解吸烟时必须考虑的关键心理变量。实际意义：学校护士可以制定全面的方法来减少同龄人的影响，并加强青少年禁烟计划中的社会心理支持系统。此外，它们可以促进扩大以学校为基础的心理健康检查。

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引用次数: 0

The problematic media use in children and their parents: Predictors of children's screen time and problematic media use 儿童及其父母的问题媒体使用：儿童屏幕时间和问题媒体使用的预测因素。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-21 DOI: 10.1016/j.pedn.2026.01.016

Gülçin Özalp Gerçeker RN, PhD , İpek Göçer RN, MsC , Beyza Dorum RN , Ömer Baran RN

Purpose

This study examined levels of problematic media use in children aged 4–11 years and problematic internet use in their parents, and predictors of children's daily screen time and problematic media use.

Methods

A cross-sectional, correlational study was conducted with 227 parents whose children attended a university-affiliated children's hospital. Data were collected using a demographic form, the Problematic Media Use Measure–Child (PMUM-C), and the Problematic Internet Use Questionnaire Short Form-6 (PIUQ-SF-6). Descriptive statistics and multiple linear regression were performed.

Results

Parents reported a mean daily screen time of 2.5 ± 1.8 h (range, 0–7), whereas their children's mean screen time was 2.8 ± 1.6 h (range, 0.5–8). The mean PMUM-C score for children was 57.4 ± 25.0, and the mean PIUQ-SF-6 score for parents was 11.9 ± 4.3. The predictors of children's problematic media use were parents' problematic internet use, children's phone/tablet ownership, and household income. Predictors of children's screen time were gender, education level, the parents' gender, age, and parental education level.

Conclusion

The study demonstrated elevated daily screen time among both children and parents, despite low levels of problematic media use in children and problematic internet use in parents.

Practice implications

Pediatric nurses and healthcare professionals should assess parental screen habits and provide targeted guidance on age-appropriate limits and healthy media practices. Nursing care should include risk-based education strategies aimed at young parents, especially at socio-economic and educational levels. Nurses should play a key role in providing guidance that supports children's developmental and healthy media use in accordance with their developmental life.

目的：本研究调查了4-11岁儿童的问题媒体使用水平及其父母的问题互联网使用水平，以及儿童每日屏幕时间和问题媒体使用的预测因素。方法：对某大学附属儿童医院227名儿童家长进行横断面相关性研究。数据收集使用人口统计表格，问题媒体使用测量-儿童（pmm - c）和问题互联网使用问卷短表6 （PIUQ-SF-6）。进行描述性统计和多元线性回归分析。结果：父母报告的平均每天屏幕时间为2.5±1.8小时（范围，0-7），而他们的孩子的平均屏幕时间为2.8±1.6小时（范围，0.5-8）。患儿PMUM-C平均得分为57.4±25.0分，家长PIUQ-SF-6平均得分为11.9±4.3分。儿童问题媒体使用的预测因子是父母的问题互联网使用、儿童的手机/平板电脑所有权和家庭收入。儿童屏幕时间的预测因子为性别、教育程度、父母的性别、年龄和父母的教育程度。结论：该研究表明，尽管儿童和父母的问题媒体使用水平较低，但儿童和父母的问题互联网使用时间都有所增加。实践意义：儿科护士和医疗保健专业人员应评估父母的屏幕习惯，并提供有关适龄限制和健康媒体实践的有针对性的指导。护理应包括针对年轻父母的基于风险的教育战略，特别是在社会经济和教育层面。护士应发挥关键作用，提供指导，支持儿童根据其发育生活发展和健康地使用媒体。

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引用次数: 0

Prevalence and factors associated with metabolic syndrome risk in Indonesian adolescents and young adults: A cross-sectional study 印度尼西亚青少年和年轻人代谢综合征风险的患病率和相关因素：一项横断面研究。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-21 DOI: 10.1016/j.pedn.2026.01.017

Oliva Suyen Ningsih , Ferry Efendi , Yulis Setiya Dewi , Fadhaa Aditya Kautsar Murti , Chong Mei Chan

Purpose

To determine the prevalence and factors associated with metabolic syndrome (MetS) in adolescents and young adults in Indonesia.

Design and methods

Data were obtained from the Indonesian Health Survey 2023, conducted across 38 provinces using a cross-sectional design and stratified sampling. This study analyzed 2992 adolescents and young adults aged 16–24 with complete data on all variables. Data analysis used binary logistic regression and is presented as unadjusted odds ratio (OR) and adjusted odds ratio (AOR), with each variable and its 95% confidence interval (CI) shown.

Results

The prevalence of MetS among adolescents and young adults in Indonesia is 13.36%, as reported in a study of 2992 individuals in this age group. In the adjusted analysis, high-risk consumption behavior categorized as frequent (AOR 9.88, 95% CI 2.57–37.88, P-value 0.001) and a body mass index (BMI) classified as obese (AOR 15.60, 95% CI 11.30–21.53, P-value 0.000) were significantly associated with higher odds of MetS in this population.

Conclusion

High-risk consumption behavior and obesity are the main risk factors significantly associated with MetS in adolescents and young adults in Indonesia.

Practical implications

Health services for adolescents and young adults should include education on the prevention of MetS, focusing on obesity prevention, maintaining a balanced diet, and reducing high-risk consumption behaviors. Furthermore, early detection of MetS in this population should be a top priority in health services.

目的：确定印度尼西亚青少年和年轻人代谢综合征（MetS）的患病率及其相关因素。设计和方法：数据来自印度尼西亚2023年健康调查，该调查在38个省进行，采用横断面设计和分层抽样。本研究分析了2992名16-24岁的青少年和年轻人，所有变量数据完整。数据分析采用二元逻辑回归，并以未调整优势比（OR）和调整优势比（AOR）表示，并显示每个变量及其95%置信区间（CI）。结果：根据一项对2992名印度尼西亚青少年和年轻人的研究报告，MetS在该年龄组中的患病率为13.36%。在调整后的分析中，高风险消费行为被归类为频繁（AOR 9.88, 95% CI 2.57-37.88， p值0.001）和身体质量指数（BMI）被归类为肥胖（AOR 15.60, 95% CI 11.30-21.53， p值0.000）与该人群中较高的MetS几率显著相关。结论：高危消费行为和肥胖是印尼青少年和青壮年发生MetS的主要危险因素。实际意义：对青少年和年轻人的卫生服务应包括预防MetS的教育，重点是预防肥胖，保持均衡饮食，减少高风险消费行为。此外，在这一人群中早期发现MetS应成为卫生服务的重中之重。

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