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

{"title":"An evaluation of parents' and caregivers' preferences managing fever in children based on experiences in using ibuprofen and paracetamol: A systematic review","authors":"Muhammad Alqudah ,&nbsp;Michelle Anne Stubbs ,&nbsp;Mahmoud Al-Masaeed ,&nbsp;Ritin Fernandez","doi":"10.1016/j.pedn.2024.12.018","DOIUrl":"10.1016/j.pedn.2024.12.018","url":null,"abstract":"<div><h3>Objective</h3><div>This review aims to investigate parents' preference for and use of Ibuprofen and Paracetamol in managing and treating children's fevers as well as the factors influencing their decision-making and practices.</div></div><div><h3>Introduction</h3><div>Parents globally face concern over managing children's fever, seeking relief while ensuring safety, often relying on accessible medications like Paracetamol and Ibuprofen.</div></div><div><h3>Inclusion criteria</h3><div>The review included quantitative studies involving parents and caregivers managing fever in children aged 0–17 years. Studies published in English or in other languages with an English language version from January 2000 to March 2024 were included, excluding hospital-based or healthcare professional-managed studies.</div></div><div><h3>Methods</h3><div>Searches were conducted using MEDLINE, PubMed, SCOPUS, and CINAHL databases using specific search strategies. Titles and abstracts were screened online, and full reports were obtained for any publication considered useful for this overview. Methodological quality was assessed independently by two reviewers using the JBI critical appraisal instrument. Data extraction was performed in Excel, and statistical meta-analysis was undertaken using JBI SUMARI software.</div></div><div><h3>Results</h3><div>Approximately 27.4 % of participants utilized Ibuprofen, while 64.3 % opted for Paracetamol. Subgroup analyses revealed that 29.8 % and 63.2 % administered Ibuprofen and Paracetamol to children under five. Additionally, 20.3 % alternated between these medications. Syrup emerged as the preferred mode of administration, with prominent parental involvement in dosage determination. Factors influencing medication choices included efficacy, safety profile, age, weight, ease of administration, and healthcare provider recommendations.</div></div><div><h3>Conclusion</h3><div>The prevalence of Ibuprofen and Paracetamol usage for pediatric fever management varies significantly. Parental involvement is prominent, guided by factors like efficacy and healthcare provider recommendations. Understanding these dynamics is crucial for informed decision-making and optimizing pediatric medication practices.</div></div><div><h3>Implications to practice</h3><div>This review highlights the importance of enhancing parental education on antipyretic use, emphasizing safe dosage practices and clear communication with healthcare providers. Healthcare professionals should address misconceptions and provide tailored guidance, fostering more effective and safer fever management strategies for children.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e272-e281"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotions experienced by parents whose children have spinal muscular atrophy: A qualitative research","authors":"Didem Coşkun Şimşek Associate professor ,&nbsp;Kerime Deniz Kiliç Çetin","doi":"10.1016/j.pedn.2024.11.027","DOIUrl":"10.1016/j.pedn.2024.11.027","url":null,"abstract":"<div><h3>Background</h3><div>The lifelong and intensive treatment and care process of Spinal Muscular Atrophy may cause a decrease in the life quality of the child and the parents. This study aims to examine the emotions of parents who have a child with Spinal Muscular Atrophy within the framework of a phenomenological design.</div></div><div><h3>Methods</h3><div>This study was conducted with a phenomenological design. The study was carried out between August 2022 and April 2024 with the parents of children treated for Spinal Muscular Atrophy in the pediatric ward of a university hospital. Using a purposive sampling method, 11 parents were involved in interviews. A semi-structured questionnaire was employed during the interviews, and all the interviews were audio recorded. The data analysis done by applying the inductive thematic analysis method. The study was carried out according to the COREQ checklist.</div></div><div><h3>Findings</h3><div>It was found that 54.54 % of the children who participated in the study were diagnosed with Spinal Muscular Atrophy between the ages of 0 and 1 year, 72.72 % between 0 and 6 months, and 54.54 % were Spinal Muscular Atrophy TYPE 1 patients. As a result of thematic analysis method, five main and ten sub-themes had emerged. These are; (1) helplessness (helplessness of having to accept, helplessness of not being able to spare time), (2) being upset (being upset about the symptoms of the disease, feeling misunderstood, sadness about their healthy children), (3) stress (stress due to the intensive and exhausting treatment and care process, stress due to the economic situation), (4) fear (fear of death, fear of future pregnancies), (5) unhappiness (being unhappy with the changing living conditions).</div></div><div><h3>Discussion</h3><div>It was observed that parents who have a child with Spinal Muscular Atrophy experience emotional challenges.</div></div><div><h3>Application to practice</h3><div>Gaining insights into the perspectives of parents can enable healthcare professionals to better understand the negative emotional experiences of parents caring for children with Spinal Muscular Atrophy. Such understanding may guide the development of targeted strategies to provide comprehensive psychological support aimed at improving parental mental health outcomes. Increasing awareness among healthcare professionals and the broader society fosters a more informed and empathetic approach to addressing the challenges faced by children with Spinal Muscular Atrophy and their families, enhancing the quality of care and support provided.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e111-e119"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792653","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}

{"title":"Global prevalence of depression in caregivers of children with autism: A systematic review and meta-analysis","authors":"Xin Rong Lam ,&nbsp;Ling Jie Cheng ,&nbsp;Celest Su Yi Leo ,&nbsp;Zheng An Toh ,&nbsp;Hong-Gu He","doi":"10.1016/j.pedn.2024.11.020","DOIUrl":"10.1016/j.pedn.2024.11.020","url":null,"abstract":"<div><h3>Problem</h3><div>Depression is reported as the most common disorder among caregivers, especially for caregivers of children with autism. However, limited systematic reviews have investigated the prevalence of depressive symptoms among these caregivers. This systematic review and meta-analysis aim to synthesize the prevalence of global depressive symptoms among caregivers of children with autism and identify associated factors.</div></div><div><h3>Eligibility criteria</h3><div>Articles were limited to English language and reported on the prevalence of depressive symptoms among formal or informal caregivers, aged 18 or older, of children with ASD, with no publication year restrictions.</div></div><div><h3>Sample</h3><div>A total of 40 included studies involving 13,853 caregivers of children with autism were included.</div></div><div><h3>Results</h3><div>Meta-analysis of 40 included studies involving 13,853 caregivers of children with autism showed a pooled prevalence estimate of 45 % (95 % CI: 39.0–51.0). Depressive symptoms were most prevalent in European studies, with a rate of 54 % (N: 980), closely followed by the Eastern Mediterranean region at 53 % (N:1071). The South-East Asia and Western Pacific region exhibited a prevalence of 40 % (N: 5719), while the Americas reported a rate of 38 % (N: 6083).</div></div><div><h3>Conclusion</h3><div>This review presents compelling evidence of a high global prevalence rate of 45 % for depressive symptoms among caregivers of children with ASD.</div></div><div><h3>Implications</h3><div>To enhance nursing support for caregivers of children with ASD, specific interventions are needed. Nurses should integrate mental health screenings into regular check-ups, link caregivers to community resources, and receive specialized training. Promoting respite care and collaborating with stakeholders can further address caregiver stress and mental health stigma.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e74-e85"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773864","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}

{"title":"The Effect of storybook use in pediatric health services on children's fear and anxiety levels: A meta-analysis study","authors":"Gamze Akay ,&nbsp;Sevda Uzun ,&nbsp;Hatice Oğuzhan ,&nbsp;Fatma Güdücü Tüfekci","doi":"10.1016/j.pedn.2024.12.006","DOIUrl":"10.1016/j.pedn.2024.12.006","url":null,"abstract":"<div><h3>Background</h3><div>Invasive procedures are commonly used in pediatric healthcare, and storybooks can be used as an adjunct analgesic method.</div></div><div><h3>Objectives</h3><div>This study was conducted to evaluate the effectiveness of using storybooks as a distraction technique to reduce fear and anxiety in pediatric healthcare.</div><div>This study was conducted with the aim of revealing the level of effect of storybook use on children's fear and anxiety level in pediatric health services.</div></div><div><h3>Methods</h3><div>For this meta-analysis study, the studies were obtained by searching PubMed, Web of Scıence, Scopus, EBSCOhost, Google Scholar and YÖK Thesis Center databases in April–June 2024 without any year limitation. After the reviews, 15 studies were included in the study. The data were synthesized by meta-analysis and narrative methods.</div></div><div><h3>Findings</h3><div>In this meta-analysis, it was found that storybook use in pediatric health services was effective on children's anxiety (SMD: −4.412, 95 % CI: −7.727 to −1.097; Z = −2.608, <em>p</em> = 0.009; I² = 99.890 %) and fear (SMD: −1.13, 95 % CI: −1.71 to −0.54; Z = −3.78, <em>p</em> = 0.000; I² = 83.065 %) levels. In addition, it was determined that the characteristics of the intervention group, age group, the characteristics and content of the storybook, the duration of the intervention and the time of the intervention played a role in the effectiveness of the storybook use intervention in pediatric health services on children's anxiety and fear levels.</div></div><div><h3>Conclusion</h3><div>The use of story books in children's health services reduces the level of fear and anxiety in children.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e160-e169"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899586","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}

{"title":"Predictors of parent-child bonding and parenting satisfaction during the perinatal period: A structural equation model","authors":"Joelle Yan Xin Chua ,&nbsp;Mahesh Choolani ,&nbsp;Cornelia Yin Ing Chee ,&nbsp;Yi Huso ,&nbsp;Yiong Huak Chan ,&nbsp;Joan Gabrielle Lalor ,&nbsp;Yap Seng Chong ,&nbsp;Shefaly Shorey","doi":"10.1016/j.pedn.2025.01.004","DOIUrl":"10.1016/j.pedn.2025.01.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the predictors of parent-child bonding and parenting satisfaction using structural equation models at three time points across the perinatal period: (1) during pregnancy at &gt;24 gestational weeks, (2) one month postpartum, and (3) three months postpartum.</div></div><div><h3>Methods</h3><div>This longitudinal exploratory quantitative study recruited a convenient sample of 118 heterosexual couples (236 participants; 118 mothers and 118 fathers) from maternity clinics of a public tertiary hospital in Singapore. Descriptive statistics were used to summarize the parents' characteristics and study variables. Structural equation modeling was used to test the appropriateness of the hypothesized model on the study variables. Multigroup analyses according to gender were conducted to understand the relationships among parental outcome variables for mothers and fathers separately. Goodness-of-fit statistics were used to determine the adequateness of the hypothesized models.</div></div><div><h3>Results</h3><div>An adequate fit between the hypothesized model and the study's data was reported for all analyses. Among couples, no variable was identified as a significant predictor for parent-child bonding, while parenting self-efficacy, parent-child bonding, and social support were identified as significant predictors of parenting satisfaction. Fathers with more social support had stronger father-infant bonds. Mothers with poorer psychological well-being had more maternal-child bonding and maternal satisfaction. Different relationships between the parental variables among fathers and mothers were reported at only one month postpartum.</div></div><div><h3>Conclusion</h3><div>Both parents need to receive perinatal support.</div></div><div><h3>Implications to practice</h3><div>Fathers could receive more encouragement to be involved in perinatal care and maternal-infant bonding can be promoted during the first month postpartum.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 167-176"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972822","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}

{"title":"Evaluation of the impact of family-centered care training on pediatric nurses' attitudes","authors":"Adnan Batuhan Coşkun ,&nbsp;Mohammad Al-Motlaq ,&nbsp;Merve Pişkin ,&nbsp;Erhan Elmaoğlu ,&nbsp;Ayda Çelebioğlu","doi":"10.1016/j.pedn.2024.12.003","DOIUrl":"10.1016/j.pedn.2024.12.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the impact of structured Family-Centered Care training on pediatric nurses' attitudes toward Family-Centered Care.</div></div><div><h3>Methods</h3><div>This quasi-experimental study utilized a pretest-posttest control group design with 140 pediatric nurses (70 intervention, 70 control). Conducted in public hospitals from March to August 2024, the intervention group received a four-week Family-Centered Care training. The Family-Centered Care Attitude Scale was used to measure attitudes, and data collection included a demographic data form administered both before the training and six weeks after its completion. Statistical analysis included <em>t</em>-tests and chi-square tests.</div></div><div><h3>Results</h3><div>Nurses in the intervention group showed significant improvement in their attitudes toward Family-Centered Care after training, with higher posttest scores compared to the control group (<em>P</em> &lt; 0.05). The control group showed no significant changes between pretest and posttest scores. These findings confirmed the hypothesis that Family-Centered Care training positively influences pediatric nurses' attitudes.</div></div><div><h3>Conclusions</h3><div>Structured Family-Centered Care training significantly improved pediatric nurses' attitudes toward Family-Centered Care, emphasizing the importance of innovative educational methods in promoting Family-Centered Care adoption in pediatric nursing.</div></div><div><h3>Implications for practice</h3><div>Incorporating regular Family-Centered Care training into pediatric nursing practices can foster more Family-Centered Care approaches, improve patient and family satisfaction, and promote nurses' professional growth, ultimately enhancing the overall quality of care in pediatric settings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e136-e143"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824531","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}

{"title":"Factors related to quality of life in children with chronic illness from their own perspectives: A cross-sectional study","authors":"Idyatul Hasanah ,&nbsp;Nursalam ,&nbsp;Chui Ping Lei ,&nbsp;Apriani Susmita Sari ,&nbsp;Susi Roida Simanjuntak ,&nbsp;Agus Supinganto ,&nbsp;Zulkahfi ,&nbsp;Sopian Halid ,&nbsp;Irwan Hadi ,&nbsp;Misroh Mulianingsih","doi":"10.1016/j.pedn.2024.12.016","DOIUrl":"10.1016/j.pedn.2024.12.016","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to explore the demographic, clinical, and psychological factors that influence the quality of life in children with chronic illnesses.</div></div><div><h3>Design and methods</h3><div>A descriptive, cross-sectional study was conducted between February and July 2023. The sample consisted of 120 pediatric patients, aged 7 to 18 years, diagnosed with chronic illnesses and treated in outpatient and inpatient wards. Participants were selected using purposive sampling based on specific inclusion and exclusion criteria. Data were collected using 11 validated questionnaires covering demographic, clinical, and psychological factors, as well as the Pediatric Quality of Life Inventory (PedsQL). Data were analyzed using <em>t</em>-tests, ANOVA, and multivariate linear regression to identify the most influential factors on children's quality of life, with a significance threshold set at <em>p</em> &lt; 0.05.</div></div><div><h3>Results</h3><div>Gender, age, duration of illness, disease symptoms, and pain level were significantly correlated with children's quality of life (<em>p</em> &lt; 0.05). Another factors like self-efficacy, self-concept, and role function had a strong positive impact (<em>p</em> &lt; 0.01), while coping mechanisms, resilience, self-esteem, and family support showed no significant effect. Duration of illness was the most influential factor (B = 0.969).</div></div><div><h3>Conclusions</h3><div>Children's quality of life is strongly influenced by factors like gender, age, illness duration, symptoms, self-efficacy, self-concept, and role function, with illness duration having the greatest impact.</div></div><div><h3>Practice implications</h3><div>Healthcare providers should take a holistic approach, addressing clinical, demographic, and psychosocial factors, with special attention to children with longer illness durations, as this greatly affects their quality of life.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e218-e227"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915624","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}

{"title":"Board of Directors","authors":"","doi":"10.1016/S0882-5963(25)00017-X","DOIUrl":"10.1016/S0882-5963(25)00017-X","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Page vi"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159071","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}

{"title":"Developing conceptual guidelines for Family-Centered Care for standard ICU practice: A constructivist grounded theory","authors":"Alhassan Sibdow Abukari ,&nbsp;Shelley Schmollgruber","doi":"10.1016/j.pedn.2024.11.025","DOIUrl":"10.1016/j.pedn.2024.11.025","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the constructs of family-centered care (FCC) from the perspectives of nurses, doctors, and families in the intensive care units (ICU) and to develop FCC guidelines for ICUs.</div></div><div><h3>Design</h3><div>A constructivist grounded theory (CGT) design was employed.</div></div><div><h3>Methods</h3><div>We conducted 12 individual interviews and triangulated the data with 12 focus group discussions (FGDs) using an interview guide from February to December 2020. The interviews and the FGDs were conducted face-to-face. Data was analyzed using CGT analysis. The data analysis was assisted by MAXQDA version 2020 plus. The study was guided by the 32-COREQ checklist.</div></div><div><h3>Results</h3><div>The participants (72) were nurses (<em>n</em> = 28), doctors (<em>n</em> = 8), and family (<em>n</em> = 36). Four themes were generated: respect, family support, participation, and collaboration. Each theme had subthemes to illuminate the participants' perspectives of the FCC constructs.</div></div><div><h3>Conclusion</h3><div>This study revealed that nurses and doctors had positive perspectives of FCC in the ICU and are willing to accept and implement it into standard ICU practice. Four main constructs of FCC emerged from this CGT study: respect, family support, participation, and collaboration and were used to develop a conceptual guideline.</div></div><div><h3>Practice implication</h3><div>FCC implementation in the ICU may be facilitated by designing family-inclusive ICUs with spacious subunits, kangaroo rooms, family areas, provision of counselling, as well as adopting regular and effective communication guidelines, and adequate staff training. Conceptual guidelines for FCC have been developed to promote FCC in standard ICU practice.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e95-e103"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of toys made from medical materials on anxiety among hospitalized children: A randomized controlled trial","authors":"Maksude Yildirim ,&nbsp;Hasret Yağmur Sevinç Akin ,&nbsp;Barış Akin","doi":"10.1016/j.pedn.2024.12.010","DOIUrl":"10.1016/j.pedn.2024.12.010","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was conducted as a randomized controlled trial to examine the effect of toys made from medical materials on anxiety among hospitalized children.</div></div><div><h3>Design and methods</h3><div>This study was conducted with pediatric patients aged 4–6 years who were hospitalized in the pediatrics department of a teaching and research hospital in the Southeastern Anatolia Region. The study was completed with 90 children, allocated to the toys made of medical materials group (45) and the control group (45). Children, in the toys made of medical materials group, were given medical materials and asked to make toys. The anxiety levels of children in both the toys made of medical materials and control groups were assessed using the Children's State Anxiety (CSA) scale.</div></div><div><h3>Results</h3><div>Analysis based on children's self-reports revealed a significant reduction in the post-test anxiety scores of children in the toys made of medical materials group. No significant difference was observed in the anxiety scores of children in the control group. In the comparison between groups based on mothers' reports, it was found that the post-test anxiety scores of children in the toys made of medical materials group were significantly lower than those of children in the control group.</div></div><div><h3>Conclusions</h3><div>Our study found that toys made from medical materials were effective in reducing children's anxiety.</div></div><div><h3>Practice implications</h3><div>Healthcare workers can relieve children's anxieties by making toys using medical materials that are easily accessible in the clinic.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e180-e186"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872612","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}