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

英文中文

The effect of bath applied in two different sequences on stress level and physiological parameters in term babies 两种不同沐浴顺序对足月婴儿应激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 : 2026-01-07 DOI: 10.1016/j.pedn.2025.12.025

Ayşe Dilan Koçak , Sevil Inal

Background

The sequence of neonatal bathing may significantly influence an infant's ability to maintain homeostasis. Traditional methods begin with the head, but deferring head washing to the final stage may reduce thermal loss and procedural distress.

Purpose

This study compared the effects of two swaddle bathing sequences head-first versus body-first on the stress levels and physiological parameters of term newborns.

Design and methods

This randomized controlled trial (RCT) included 104 term infants born in a Training and Research Hospital in Istanbul between July 18 and September 20, 2023. Infants were randomly assigned to Group 1 (head washed first, then body; n = 52) or Group 2 (body washed first, then head; n = 52). Stress levels, calming durations, and physiological parameters (body temperature, oxygen saturation, heart rate) were systematically analyzed.

Findings

Baseline measurements were similar between groups (p > 0.05). During and after the procedure, Group 1 exhibited significantly higher stress levels (p < 0.001) and longer calming times (p < 0.001) than Group 2. Post-procedure body temperature and O₂ saturation were significantly lower (p < 0.001), while heart rate was significantly higher (p = 0.001) in Group 1.

Conclusion

Washing the body before the head minimizes neonatal stress, accelerates recovery, and preserves physiological stability. Deferring head washing is recommended to enhance neonatal care (RCT ID: NCT06166485).

Implications for practice

These findings provide evidence-based guidance for neonatal nurses. Implementing a body-first sequence optimizes thermoregulation and minimizes procedural stress in term infants.

背景：新生儿洗澡的顺序可能显著影响婴儿维持体内平衡的能力。传统的方法从头部开始，但推迟头部清洗到最后阶段可以减少热损失和程序上的痛苦。目的：比较头先和身体先两种襁褓洗浴方式对足月新生儿应激水平和生理参数的影响。设计和方法：本随机对照试验（RCT）纳入了2023年7月18日至9月20日在伊斯坦布尔一家培训和研究医院出生的104名足月婴儿。将婴儿随机分为第一组（先洗头，再洗身体，n = 52）和第二组（先洗身体，再洗头，n = 52）。系统分析应激水平、镇静时间和生理参数（体温、血氧饱和度、心率）。结果：两组间基线测量值相似（p < 0.05）。在手术期间和手术后，第1组表现出明显较高的应激水平（p 2饱和度显著降低）。结论：头部前冲洗身体可以最大限度地减少新生儿的应激，加速恢复，并保持生理稳定性。建议推迟洗头以加强新生儿护理（RCT ID: NCT06166485）。实践意义：这些发现为新生儿护士提供了循证指导。实施身体优先顺序优化体温调节和最小化程序压力在足月婴儿。

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引用次数: 0

The relationship between fathers' e-health literacy levels and pediatric fever management: A cross sectional study 父亲电子健康素养水平与儿科发烧管理的关系：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 : 2026-01-06 DOI: 10.1016/j.pedn.2025.12.031

Hilal Kurt Sezer Ph.D., RN , Funda Gurbuz M.Sc., RN

Aim

Pediatric nurses play a crucial role in promoting fathers' active involvement in managing pediatric fever by enhancing their health literacy behaviors. This study aimed to examine the relationship between fathers' e-health literacy levels and pediatric fever management.

Methods

This cross-sectional study was conducted with 155 fathers between February and April 2025. Data were collected using the Demographic Information Form, Parent Fever Management Scale, and E-Health Literacy Scale. Descriptive statistics (frequency, percentage, mean, and standard deviation), independent samples t-test, one-way analysis of variance, multivariate regression analysis, and correlation analysis were used for data collection. Statistical significance was set at p < 0.05.

Results

Fathers' mean scores were 30.32 ± 8.19 on the E-Health Literacy Scale and 33.78 ± 5.42 on the Parent Fever Management Scale. A statistically significant positive relationship was found between fathers' e-health literacy and fever management (p < 0.05). The variables related to fathers explained 25 % of the variance in e-health literacy and 42 % of the variance in fever management.

Conclusion

The study identified a significant relationship between e-health literacy and fever management. Raising fathers' awareness of accessing reliable health information sources and providing educational support can enhance both e-health literacy and fever management practices.

Practical implications

Considering the positive relationship between fathers' e-health literacy and fever management, pediatric nurses have a key responsibility to support fathers through training programs that enable them to obtain accurate and adequate information regarding fever management.

目的：儿科护士通过提高健康素养行为，在促进父亲积极参与儿科发热管理中发挥关键作用。本研究旨在探讨父亲电子健康素养水平与儿科发烧管理之间的关系。方法：于2025年2月至4月对155名父亲进行横断面研究。采用人口统计信息表、家长发热管理量表和电子卫生素养量表收集数据。采用描述性统计（频率、百分比、平均值和标准差）、独立样本t检验、单因素方差分析、多因素回归分析和相关分析进行数据收集。结果：父亲在电子健康素养量表上的平均得分为30.32±8.19分，在父母发烧管理量表上的平均得分为33.78±5.42分。结论：本研究确定了电子健康素养与发烧管理之间的显著关系。提高父亲对获取可靠卫生信息源的认识并提供教育支持，可提高电子卫生素养和发烧管理做法。实际意义：考虑到父亲的电子健康素养与发烧管理之间的积极关系，儿科护士有一项关键责任，即通过培训计划支持父亲，使他们能够获得有关发烧管理的准确和充分的信息。

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引用次数: 0

The effect of multi-sensory stimuli used during vaccination on pain and physiological parameters in infants: A randomized controlled trial 接种疫苗期间使用的多感官刺激对婴儿疼痛和生理参数的影响：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 : 2026-01-06 DOI: 10.1016/j.pedn.2025.11.051

Kadriye Şahin MSc, PhD , Suzan Yıldız RN, PhD , Emel Gür Md

Purpose

The study examine the effect of Multi-Sensory Stimulus Method (MSSM) during vaccination in infants on pain and physiological parameters.

Methods

The study was a randomized controlled trial between March and December 2023. A total of 96 infants aged 2–6 months were included, divided into 3 intervention and 1 control group. The MSSM was applied to the first intervention group by the nurse, and to the second intervention group by the mother. Third group infants were only breastfed without MSSM, while the control group (CG) received standard care. Data were collected via forms, pain scale, and physiological parameters. Pain, peak heart rate (HRP), and oxygen saturation (SpO₂) were evaluated at 5 points: 5 min before, 2 min before, immediately before and after vaccination, 2 min after, and 5 min after the vaccination. Process was video-recorded. Data analyzed with descriptive stats, ANOVA, Chi-Square, Bonferroni tests (p < 0.05).

Results

No significant differences among groups in terms of descriptive characteristics (p > 0.05). Significant differences found in total FLACC scores and SpO₂ values measured throughout the procedure, while no statistically significant difference was observed in HRP values (p < 0.05). MSSM by mother/nurse had lower FLACC scores than breastfeeding and control groups. Crying duration in the CG was longer than MSSM groups was applied by the mother or nurse.

Conclusion

MSSM applied by mothers and nurses during vaccination reduced pain, helped maintain SpO₂, and no effect on HRP.

Implications to practice

MSSM supports atraumatic and family-centered care practices, its use is recommended during painful procedures.

Clinical Trials number: NCT06291519

目的：研究多感觉刺激法（MSSM）对婴儿免疫接种过程中疼痛和生理参数的影响。方法：研究为随机对照试验，时间为2023年3月至12月。选取96例2 ~ 6月龄婴幼儿，分为3个干预组和1个对照组。第一组干预由护士实施，第二组干预由母亲实施。第三组婴儿仅母乳喂养，不加MSSM，而对照组（CG）接受标准护理。通过表格、疼痛量表和生理参数收集数据。分别在接种前5分钟、接种前2分钟、接种前、接种后、接种后2分钟、接种后5分钟5点评估疼痛、峰值心率（HRP）和血氧饱和度（SpO₂）。过程录像。数据分析采用描述性统计、方差分析、卡方检验、Bonferroni检验(p)。结果：组间描述性特征无显著差异（p < 0.05）。在整个接种过程中，FLACC总评分和SpO 2值的测量结果存在显著差异，而HRP值的测量结果无统计学差异(p)。结论：母亲和护士在接种疫苗期间使用MSSM可减轻疼痛，有助于维持SpO 2，但对HRP无影响。对实践的影响：MSSM支持无创伤和以家庭为中心的护理实践，建议在痛苦的过程中使用。临床试验编号：NCT06291519。

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引用次数: 0

Journeying through the landscape of home-based pediatric cancer care: Needs and expectations from the perspectives of children and parents 以家庭为基础的儿科癌症护理：从儿童和家长的角度的需求和期望。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-05 DOI: 10.1016/j.pedn.2025.12.029

Hazal Ozdemir Koyu PhD, RN, Ebru Kilicarslan PhD, RN

Purpose

Children with cancer and their parents face multidimensional demands in home-based pediatric cancer care, spanning informational, practical, and psychosocial domains, often requiring acute decision-making at home. However, qualitative evidence integrating both children's and parents' perspectives remains limited. This study aimed to explore and understand the needs, expectations, and experiences of children with cancer and their parents during home-based care.

Methods

A qualitative dyadic child–parent study was conducted in a pediatric oncology ward of a university hospital. Purposeful sampling continued until thematic saturation. Data were collected using a researcher-developed Characteristics Information Form and semi-structured interviews informed by Empowerment Theory. Reflexive thematic analysis guided by theoretical frameworks was used. Ethical approval was obtained, and trustworthiness was ensured through strategies addressing credibility, dependability, transferability, and confirmability.

Results

Eighteen children and eighteen parents participated. Two overarching themes emerged: (1) Navigating Challenges in Home-Based Pediatric Cancer Care, encompassing physical, informational, clinical, emotional, and psychosocial difficulties; and (2) The Lighthouse of Empowerment: Guiding Support, highlighting the need for tailored, structured support mechanisms, including home-care education, symptom management guidance, coordinated communication pathways, digital tools, psychological support modules, and clear emergency roadmaps.

Conclusion

The study reveals complex challenges and empowerment needs of children with cancer and their parents during home-based care. Findings emphasize the importance of family-centered and child-focused, empowerment-oriented, and technology-supported approaches to enhance home-care competence and psychosocial well-being.

Implications for practice

Pediatric oncology nurses can enhance home-based care by providing structured education, individualized symptom guidance, empowerment-focused interventions, digital tools, clear communication, and emergency planning, thereby improving family confidence, continuity of care, and psychosocial outcomes.

目的：在以家庭为基础的儿童癌症护理中，癌症儿童及其父母面临着多方面的需求，包括信息、实践和心理社会领域，通常需要在家中做出敏锐的决策。然而，结合儿童和家长观点的定性证据仍然有限。本研究旨在探讨和了解癌症儿童及其父母在家庭护理中的需求、期望和经历。方法：在某大学附属医院儿科肿瘤病房进行定性双元亲子研究。有目的的采样一直持续到主题饱和。数据收集使用研究人员开发的特征信息表和半结构化访谈，以授权理论为指导。采用了以理论框架为指导的反身性专题分析。获得伦理批准，并通过解决可信性、可靠性、可转移性和可确认性的策略确保可信性。结果：18名儿童和18名家长参与。出现了两个主要主题：(1)以家庭为基础的儿科癌症护理面临的挑战，包括身体、信息、临床、情感和社会心理方面的困难；(2)赋权灯塔：指导支持，强调需要量身定制的结构化支持机制，包括家庭护理教育、症状管理指导、协调沟通途径、数字工具、心理支持模块和明确的应急路线图。结论：该研究揭示了癌症儿童及其父母在家庭护理中面临的复杂挑战和赋权需求。研究结果强调了以家庭为中心、以儿童为中心、以赋权为导向和技术支持的方法对提高家庭护理能力和社会心理健康的重要性。对实践的启示：儿科肿瘤护士可以通过提供结构化的教育、个性化的症状指导、以赋权为重点的干预措施、数字工具、清晰的沟通和应急计划来加强家庭护理，从而提高家庭信心、护理的连续性和心理社会结果。

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引用次数: 0

Development and evaluation of an educational picture book targeted at perioperative psycho-behaviors among children undergoing tonsillectomy and adenoidectomy: A mixed-method study 针对扁桃体和腺样体切除术儿童围手术期心理行为的教育绘本的开发和评估：一项混合方法研究

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-02 DOI: 10.1016/j.pedn.2025.12.024

Yao Tang MSN , Ka Yan Ho PhD , Jinlin Ye BSN , Lei Yang MSN , Yunfan Li BSN , Xianhong Li PhD

Purpose

This study developed an educational picture book for pediatric patients aged 6–12 undergoing tonsillectomy and/or adenoidectomy (T&A) and evaluated its effectiveness in reducing perioperative psycho-behavioral responses.

Design and methods

Phase 1 used qualitative methods, including field observations, interviews with children, parents, and healthcare providers, and expert consultations, to inform the book's development. A multidisciplinary team incorporated elements promoting psychological well-being and coping skills into the storyline. In Phase 2, a non-randomized controlled study was conducted at a tertiary hospital from July to September 2022, involving 68 children. The intervention group read the picture book depicting a child protagonist using positive coping strategies during T&A, while the control group received standard care.

Results

Outcomes included resilience, preoperative anxiety, anesthetic compliance, anesthesia emergence delirium, post-hospitalization behavioral changes, and acceptability, measured from the preoperative visit through one month postoperatively. Compared with controls, the intervention group showed significantly lower anxiety (p < 0.001), better anesthetic compliance (p < 0.05), higher resilience (p < 0.05), fewer cases of anesthesia emergence delirium (p < 0.05), and fewer behavioral changes three days after surgery (p < 0.05). No significant group differences were observed at one month (p > 0.05). The picture book demonstrated high acceptability, with a mean liking score of 9.56 out of 10.

Conclusion

The findings indicate that the picture book effectively helps prevent perioperative psycho-behavioral problems in pediatric T&A patients.

Practice implications

The picture book provides a feasible, child-friendly educational tool that healthcare providers can integrate into routine perioperative care.

目的：本研究为6-12岁接受扁桃体切除术和/或腺样体切除术（T&；A）的儿童患者开发了一本教育绘本，并评估其在减少围手术期心理行为反应方面的有效性。设计和方法第一阶段采用定性方法，包括实地观察、对儿童、家长和医疗保健提供者的访谈以及专家咨询，为本书的编写提供信息。一个多学科团队将促进心理健康和应对技能的元素融入故事情节。第二阶段研究于2022年7月至9月在一家三级医院进行了一项非随机对照研究，涉及68名儿童。干预组在T&； a期间阅读绘本，绘本描绘了一个使用积极应对策略的儿童主角，而对照组则接受标准治疗。结果结果包括恢复力、术前焦虑、麻醉依从性、麻醉出现谵妄、住院后行为改变和可接受性，从术前随访到术后一个月。与对照组相比，干预组患者的焦虑程度明显降低（p < 0.001），麻醉依从性较好（p < 0.05），恢复力较强（p < 0.05），麻醉出现性谵妄病例较少（p < 0.05），术后3 d行为改变较少（p < 0.05）。1个月时各组差异无统计学意义（p > 0.05）。这本绘本表现出很高的可接受性，平均喜欢度为9.56分（满分为10分）。结论绘本能有效预防小儿T&患者围手术期的心理行为问题。实践意义绘本提供了一个可行的，儿童友好的教育工具，医疗保健提供者可以整合到常规围手术期护理。

{"title":"Development and evaluation of an educational picture book targeted at perioperative psycho-behaviors among children undergoing tonsillectomy and adenoidectomy: A mixed-method study","authors":"Yao Tang MSN , Ka Yan Ho PhD , Jinlin Ye BSN , Lei Yang MSN , Yunfan Li BSN , Xianhong Li PhD","doi":"10.1016/j.pedn.2025.12.024","DOIUrl":"10.1016/j.pedn.2025.12.024","url":null,"abstract":"<div><h3>Purpose</h3><div>This study developed an educational picture book for pediatric patients aged 6–12 undergoing tonsillectomy and/or adenoidectomy (T&A) and evaluated its effectiveness in reducing perioperative psycho-behavioral responses.</div></div><div><h3>Design and methods</h3><div>Phase 1 used qualitative methods, including field observations, interviews with children, parents, and healthcare providers, and expert consultations, to inform the book's development. A multidisciplinary team incorporated elements promoting psychological well-being and coping skills into the storyline. In Phase 2, a non-randomized controlled study was conducted at a tertiary hospital from July to September 2022, involving 68 children. The intervention group read the picture book depicting a child protagonist using positive coping strategies during T&A, while the control group received standard care.</div></div><div><h3>Results</h3><div>Outcomes included resilience, preoperative anxiety, anesthetic compliance, anesthesia emergence delirium, post-hospitalization behavioral changes, and acceptability, measured from the preoperative visit through one month postoperatively. Compared with controls, the intervention group showed significantly lower anxiety (<em>p</em> < 0.001), better anesthetic compliance (<em>p</em> < 0.05), higher resilience (<em>p</em> < 0.05), fewer cases of anesthesia emergence delirium (<em>p</em> < 0.05), and fewer behavioral changes three days after surgery (<em>p</em> < 0.05). No significant group differences were observed at one month (<em>p</em> > 0.05). The picture book demonstrated high acceptability, with a mean liking score of 9.56 out of 10.</div></div><div><h3>Conclusion</h3><div>The findings indicate that the picture book effectively helps prevent perioperative psycho-behavioral problems in pediatric T&A patients.</div></div><div><h3>Practice implications</h3><div>The picture book provides a feasible, child-friendly educational tool that healthcare providers can integrate into routine perioperative care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 1-10"},"PeriodicalIF":2.3,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145877091","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

Board of Directors 董事会

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-01 DOI: 10.1016/S0882-5963(26)00006-0

引用次数: 0

SPN 2025 year in review 国家战略规划2025年回顾。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-01 DOI: 10.1016/j.pedn.2025.10.027

Jennifer Baird PhD, MPH, MSW, RN, NEA-BC, NPD-BC, CPN

引用次数: 0

Pediatric Endocrinology Nursing Society: 2025 year in review 儿科内分泌护理学会：2025年回顾。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-01 DOI: 10.1016/j.pedn.2025.12.002

Mandi Cafasso DNP, APRN, CPNP-BC, Meg Keil PhD, CRNP, FAAN

引用次数: 0

The effect of educational animation on anxiety and fear in children with tympanostomy tube placement in paediatric surgery: A randomized controlled study 一项随机对照研究：教育动画对儿科中耳道造瘘置管患儿焦虑和恐惧的影响

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-01 DOI: 10.1016/j.pedn.2025.12.022

Aylin Kurt , Fatma Dinç , Emine Güneş Şan , Tülin Kurt Alkan

Aim

This study was conducted with the objective of ascertaining the effects of educational animation videos on the anxiety and worry levels of children who were scheduled to undergo tympanostomy tube placement.

Methods

A total of 56 children aged between 6 and 12 years old participated in the randomized controlled experimental study (educational animation group n = 28, control group n = 28). Preoperative and postoperative data were collected using the Child Anxiety Scale-State and Child Fear Scale. Prior to the procedure, the educational animation group was shown an audiovisual video designed to be appropriate to their age and developmental level, while the control group received routine briefings.

Results

In the post-operative period, the educational animation group exhibited significantly lower levels of anxiety and fear in comparison to the control group, as determined by assessments conducted by children, parents and nurses (p < 0.001). A positive correlation was identified between anxiety and fear levels, and reductions in preoperative anxiety significantly reduced postoperative fear levels.

Conclusion

The utilisation of educational animation videos, meticulously designed for paediatric audiences, has been demonstrated to be an efficacious medium in the mitigation of anxiety and the augmentation of knowledge prior to surgical interventions.

Implications of practice

It is recommended that audiovisual materials, employing a child-friendly approach, be integrated into paediatric nursing practices. Evidence suggests that nurses have the capacity to facilitate children's psychological adjustment and enhance the quality of pre-procedural care through the utilisation of animation content that is tailored to their age and developmental characteristics.

目的探讨教育动画影片对行鼓膜造瘘置管儿童焦虑和担忧水平的影响。方法选取56例6 ~ 12岁儿童进行随机对照实验研究，其中教育动画组28例，对照组28例。术前和术后数据采用儿童焦虑状态量表和儿童恐惧量表收集。在此之前，教育动画组观看了适合他们年龄和发展水平的视听视频，而对照组则接受了常规的简报。结果经儿童、家长和护士评估，教育动画组术后焦虑和恐惧水平明显低于对照组（p < 0.001）。焦虑和恐惧水平之间存在正相关，术前焦虑的减少显著降低了术后恐惧水平。结论：利用为儿科观众精心设计的教育动画视频，已被证明是一种有效的媒介，可以缓解手术干预前的焦虑和增加知识。实践的影响建议采用儿童友好的方法，将视听材料纳入儿科护理实践。有证据表明，护士有能力通过利用适合儿童年龄和发育特征的动画内容，促进儿童的心理调整，提高手术前护理的质量。

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引用次数: 0

Translational research – Coping with children's chronic conditions: The universal challenge for parents and caregivers 转化研究-应对儿童慢性疾病：对父母和照顾者的普遍挑战。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-01 DOI: 10.1016/j.pedn.2025.12.023

Becky J. Christian PhD, RN, FNAP, FAAN

引用次数: 0

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