Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献_第6页

Three-year-old development: The relationship of child health and parenting stress to neurocognition 三岁发育：儿童健康与父母压力对神经认知的关系。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-01-01 DOI: 10.1016/j.pedn.2024.12.005

N. Alise Farrell , Tamekia Jones , Bruce L. Keisling , Sarah Rhoads , Sara Day , J. Carolyn Graff

Purpose

This study examined parenting stress and child special healthcare needs to child neurocognitive development (NCD).

Design and methods

This secondary analysis used data from the primary study, a longitudinal cohort study of mother-child dyads. Multivariable regression models examined the associations between parenting stress and child special healthcare needs with NCD. Mothers completed the Children with Special Health Care Needs Screener and the Parenting Stress Index-Short Form. The outcome, child NCD, was evaluated using the Bayley Scales of Infant and Toddler Development-Third Edition (Bayley-III) Cognitive and Language Scales. Covariates included maternal and child sociodemographic factors and maternal knowledge of child development, depression, and IQ.

Results

Of the 1040 mother-child dyads in this analysis, 171 (16.4 %) mothers reported that their child had one or more special healthcare needs and reported higher levels of parenting stress (PS) compared to those not experiencing health needs. Models including clinically significant PS along with identified child health needs showed the effect of 0.515 reduction (CI = 0.11, 0.92, p = .013) in Bayley-III Receptive Scaled scores.

Conclusions

Clinically significant parenting stress and the presence of child special healthcare needs were associated with lower child NCD, specifically receptive communication skills.

Practice implications

Healthcare providers, including pediatric nurses, should support NCD in young children by identifying children with special healthcare needs early on, recognizing and providing support to decrease parenting stress, and delivering needed medical and developmental support to young children and their families.

目的：本研究探讨了父母压力和儿童特殊保健需求对儿童神经认知发展的影响。设计和方法：这项二次分析使用了来自主要研究的数据，这是一项对母亲和孩子的纵向队列研究。多变量回归模型检验了父母压力与非传染性疾病儿童特殊保健需求之间的关系。母亲们完成了有特殊保健需要的儿童筛选表和养育压力指数短表。使用Bayley婴幼儿发展量表第三版（Bayley- iii）认知和语言量表评估儿童非传染性疾病的结果。协变量包括母亲和儿童的社会人口学因素以及母亲对儿童发展、抑郁和智商的了解。结果：在本分析的1040对母子中，171位（16.4%）母亲报告说她们的孩子有一种或多种特殊的医疗保健需求，与那些没有健康需求的母亲相比，她们报告的养育压力（PS）水平更高。包括临床显著的PS和确定的儿童健康需求的模型显示，贝利- iii接受性量表得分降低了0.515 （CI = 0.11, 0.92, p = 0.013）。结论：具有临床意义的父母压力和儿童特殊保健需求的存在与较低的儿童非传染性疾病有关，特别是接受性沟通技巧。实践意义：医疗保健提供者，包括儿科护士，应该通过早期识别有特殊医疗保健需求的儿童，认识并提供支持以减少养育压力，并向幼儿及其家庭提供所需的医疗和发展支持，来支持幼儿的非传染性疾病。

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引用次数: 0

Measuring the role of fathers on breastfeeding success: Psychometric properties of Ethiopia's Afaan Oromo version of the partner breastfeeding influence scale 衡量父亲对母乳喂养成功的作用：埃塞俄比亚阿法安·奥罗莫版伴侣母乳喂养影响量表的心理测量特性。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-01-01 DOI: 10.1016/j.pedn.2025.01.005

Reta Tsegaye Gayesa , Yao Jie Xie (PhD) , Fei Wan Ngai (PhD)

Aim

This study aimed to translate the partner breastfeeding influence scale (PBIS) to the Afaan Oromo language and determine its psychometric properties.

Methods

A cross-sectional study involving 320 fathers of infants under six months old was conducted with a 4-week retest. The scale underwent translation and back-translation before its psychometric evaluation. Its content validity was determined using the Content Validity Index (CVI), while construct validity was assessed through Exploratory Factor Analysis (EFA). The scale's reliability was evaluated using Cronbach's alpha and intraclass correlation coefficient (ICC). Mean differences in father breastfeeding support by sociodemographic factors were analysed using independent t-tests and one-way ANOVA.

Results

The EFA conducted on the scale resulted in a 31-item with a five-component structure, demonstrating excellent reliability. The overall scale showed a Cronbach's alpha of 0.96, while the subscales for breastfeeding savvy, helping, appreciation, breastfeeding presence, and responsiveness recorded Cronbach's alpha values of 0.88, 0.92, 0.89, 0.89, and 0.74, respectively. The scale demonstrated high test-retest reliability (ICC = 0.96) and strong content validity (item-level CVI: 0.86–1.00; scale-level CVI: 0.98). Father's age, number of children, education, employment, and income correlated significantly with their breastfeeding support levels.

Conclusion

The study found that the Afaan Oromo version of the Partner Breastfeeding Influence Scale (PBIS-AO) is a reliable and valid tool for assessing father support for breastfeeding among Afaan Oromo-speaking fathers in Ethiopia.

Implications to practice

The validated tool can enhance evidence-based practice by providing healthcare professionals with reliable instruments to evaluate patient outcomes, interventions, and informed decisions on breastfeeding practices.

目的：将伴侣母乳喂养影响量表（PBIS）翻译成阿法安奥罗莫语，并确定其心理测量特征。方法：对320名6个月以下婴儿的父亲进行横断面研究，并进行为期4周的重新测试。量表在进行心理测量评估前，先进行了翻译和反翻译。其内容效度采用内容效度指数（CVI）确定，建构效度采用探索性因子分析（EFA）评估。采用Cronbach’s alpha和类内相关系数（intraclass correlation coefficient， ICC）评价量表的信度。采用独立t检验和单因素方差分析分析社会人口学因素对父亲母乳喂养支持的平均差异。结果：在量表上进行EFA，得到31个条目，具有五分量结构，具有良好的信度。总体量表的Cronbach's alpha值为0.96，而母乳喂养知识、帮助、感激、母乳喂养存在和反应的子量表的Cronbach's alpha值分别为0.88、0.92、0.89、0.89和0.74。量表具有较高的重测信度（ICC = 0.96）和较强的内容效度(项目水平CVI: 0.86-1.00；量表水平CVI: 0.98)。父亲的年龄、子女数量、教育程度、就业和收入与母乳喂养支持水平显著相关。结论：本研究发现，阿法奥罗莫语版本的伴侣母乳喂养影响量表（PBIS-AO）是评估埃塞俄比亚阿法奥罗莫语父亲对母乳喂养支持的可靠有效工具。对实践的启示：经过验证的工具可以通过为医疗保健专业人员提供可靠的工具来评估患者的结果、干预措施和关于母乳喂养实践的知情决定，从而加强循证实践。

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引用次数: 0

Adaptation of the depression scale for neurological disorders in young people with epilepsy in Turkey and determination of depression characteristics 土耳其青年癫痫患者神经障碍抑郁量表的适应性及抑郁特征的确定

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-01-01 DOI: 10.1016/j.pedn.2024.12.014

Neslihan Özcanarslan , Zeynep Güngörmüş

Aim

The aim of this study was to determine the psychometric properties of the depression scale in neurological disorders and to determine the characteristics of depression in young people with a diagnosis of epilepsy.

Methods

The population of the study consisted of epileptic youth aged 12–17 years (96 people) who attended the paediatric neurology outpatient clinic of a university hospital during the data collection process and who were able to make self-reports.Validity and reliability analyzes were performed with IBM SPSS 22 and AMOS 22 programs.

Results

The scale; Sensitivity was found to be 81 %, Specificity was 98.1 %, Positive Predictive Values (PPV) was 97.14 %, and Negative Predictive Values (NPV) was 86.88 %. The reliability coefficient (cronbach's alpha) of the scale was 0.924, which indicates a high level of reliability. In confirmatory factor analysis (CFA), CFA factor loading values of the items were found to be valid in the range of 0.575–0.904. The depression rate of young people with epilepsy was 36.5 % and the mean score of depression levels was 25.4 ± 9.0, which is above the average.

Conclusions

The depression scale in neurological disorders adapted to Turkish for young people who were diagnosed with epilepsy was found to be valid and reliabl.

Practical implications

The Turkish version of the Depression Inventory in Neurological Disorders can be used as a valid and reliable measurement tool to assess depression in young people aged 12–17 years diagnosed with epilepsy.

目的：本研究的目的是确定神经系统疾病抑郁量表的心理测量特性，并确定诊断为癫痫的年轻人的抑郁特征。方法：研究对象为12-17岁的癫痫病青年（96人），他们在数据收集过程中曾在某大学医院儿科神经内科门诊就诊，并能自我报告。采用IBM SPSS 22和AMOS 22进行效度和信度分析。结果：量表；敏感性为81%，特异性为98.1%，阳性预测值（PPV）为97.14%，阴性预测值（NPV）为86.88%。量表的信度系数（cronbach’s alpha）为0.924，信度水平较高。在验证性因子分析（confirmatory factor analysis， CFA）中，各条目的CFA因子负荷值在0.575 ~ 0.904范围内有效。青少年癫痫患者抑郁率为36.5%，抑郁水平平均评分为25.4±9.0分，高于平均水平。结论：适用于土耳其青年癫痫患者的神经障碍抑郁量表是有效和可靠的。实际意义：土耳其版的神经系统疾病抑郁量表可作为一种有效和可靠的测量工具，用于评估12-17岁被诊断为癫痫的年轻人的抑郁状况。

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引用次数: 0

The effect of digital parental awareness and somatic symptoms on problematic media use in children with attention-deficit/hyperactivity disorder 数字父母意识和躯体症状对注意力缺陷/多动障碍儿童问题媒体使用的影响

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-01-01 DOI: 10.1016/j.pedn.2024.12.019

Yağmur Güzel, Masum Öztürk

Background

Children diagnosed with Attention-deficit/hyperactivity disorder (ADHD) have greater difficulty in regulating their own media usage and are inclined to spend more time engaging in video games compared to neurotypical children. This study aimed to investigate the effects of ADHD severity, digital parenting awareness, and accompanying psychiatric symptoms on children's problematic media (PMU) use in children with ADHD.

Methods

The study included 95 ADHD patients aged between 6 and 11 years and 90 age—and gender-matched healthy controls. The Problematic Media Use Measure-Short form (PMUM-SF), Child Behavior Checklist (6–18 years) (CBCL-6/18), Conners Parent Rating Scale-Revised Short (CPRS-RS), and Digital Parental Awareness Scale (DPAS) were administered to all parents.

Results

Daily screen time was 183.56 ± 84.77 min in the ADHD group and 117.47 ± 49.08 min in the control group (p < 0.001), and PMUM-SF scores were higher in children with ADHD (p < 0.001). Comorbid internalizing and externalizing problems were positively associated with PMU. The results of the hierarchical regression analysis showed that ADHD severity, somatic complaints in children, negative media role modeling by mothers, and neglect of children's media use were associated with increased PMU in children (p < 0.001, Adjusted R² = 0.520).

Conclusion

PMU in children with ADHD can be better managed by raising parents' awareness of the adverse effects of digital media within prevention and treatment interventions. Moreover, since comorbid ADHD and somatic symptoms may affect PMU, the severity of somatic complaints should be evaluated within the scope of treatment programs.

背景：与神经正常的儿童相比，被诊断为注意力缺陷/多动障碍（ADHD）的儿童在调节自己的媒体使用方面有更大的困难，并且倾向于花更多的时间参与电子游戏。本研究旨在探讨ADHD严重程度、数字父母意识和伴随的精神症状对ADHD儿童问题媒体（PMU）使用的影响。方法：研究纳入95例6 - 11岁的ADHD患者和90例年龄和性别匹配的健康对照。对所有家长进行问题媒体使用简易量表（pmm - sf）、儿童行为检查表（6-18岁）（CBCL-6/18）、康纳斯家长评定量表-修订简易量表（CPRS-RS）和数字家长意识量表（DPAS）。结果：ADHD组每日屏幕时间为183.56±84.77 min，对照组为117.47±49.08 min （p = 0.520）。结论：通过在预防和治疗干预措施中提高家长对数字媒体不良影响的认识，可以更好地管理ADHD儿童的PMU。此外，由于ADHD和躯体症状的合并症可能影响PMU，因此躯体症状的严重程度应在治疗方案的范围内进行评估。

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引用次数: 0

The effect of the physical activity program developed according to the precede-proceed model on the physical activity level and physical activity behavior of elementary school students 根据前-后模型制定的体育活动方案对小学生体育活动水平和体育活动行为的影响。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-01-01 DOI: 10.1016/j.pedn.2024.12.013

Recep Kara , Zümrüt Başbakkal

Purpose

The present study aims to investigate the effect of the physical activity program developed according to the PRECEDE-PROCEED Model on children's physical activity level, physical activity self-efficacy, and attitude.

Design and methods

This study was conducted in an experimental design with a pretest-posttest control group. Considering the possibility of data loss during the research, 178 students between the ages of 9 and 11 were included in the study, 89 in the intervention group and 89 in the control group. The exercises were carried out three days a week for 30 min in the school garden and gym, and the training was carried out in the classrooms one day a week.

Results

A significant difference is observed between the mean scores of the children's physical activity questionnaire at the interim follow-up (t = 2.885, p < 0.01) and post-test (t = 12.588, p < 0.01) stages, when comparing the groups of students (p < 0.05). It was determined that the post-test physical activity self-efficacy scale scores for the intervention group were markedly higher than those observed for the control group (t = 11.548, p < 0.01). Significant differences between the two groups in terms of physical activity attitudes were observed at the intermediate follow-up (t = 4.157, p < 0.01) and post-test (t = 9.197, p < 0.01) stages.

Conclusion

According to this study, the physical activity program increased children's physical activity levels as well as their self-efficacy and attitudes towards physical activity.

Practice implications

School health nurses can facilitate student engagement in physical activity by collaborating closely with school administrators and parents.

目的：本研究旨在探讨根据pre - proceed模型制定的体育活动计划对儿童体育活动水平、体育活动自我效能感和态度的影响。设计与方法：本研究采用前测后测对照组的实验设计。考虑到研究过程中数据丢失的可能性，我们选取了178名9 - 11岁的学生作为研究对象，其中干预组89人，对照组89人。每周三天在学校花园和体育馆进行30分钟的锻炼，每周三天在教室进行训练。结果：中期随访时儿童体育活动问卷平均分与对照组有显著差异（t = 2.885, p）。结论：本研究认为，体育活动方案提高了儿童的体育活动水平，提高了儿童的体育活动自我效能感和体育活动态度。实践意义：学校保健护士可以通过与学校管理人员和家长密切合作，促进学生参与体育活动。

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引用次数: 0

Parental and family presence are essential: A qualitative study of children's lived experiences with family presence in pediatric intensive care 父母和家庭的存在是必不可少的：在儿童重症监护家庭存在儿童的生活经验的定性研究。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-01-01 DOI: 10.1016/j.pedn.2024.12.017

Molly J. Ryan MPH , Laurie A. Lee NP MN PhD Candidate , Franco A. Carnevale PhD , Laura Crump RN MSc , Daniel Garros MD , Katie O'Hearn MSc , Janet A. Curran RN PhD , Kirsten M. Fiest PhD , Patricia Fontela MD PhD , Neda Moghadam , Corey Slumkoski PhD , Martha Walls PhD , Jennifer R. Foster MD , for the RFP-PICU research collaboration

Objective

To better understand critically ill children's lived experiences with family presence in the pediatric intensive care unit (PICU).

Study design

This qualitative, interpretive phenomenological study is grounded in a Childhood Ethics ontology. We recruited children (aged 6–17 years) admitted to one of four participating Canadian PICUs between November 2021–July 2022 using maximum variation sampling. Data generation methods included participant observation and semi-structured interviews. Field-notes and interview transcripts were analyzed following the SAMMSA (Summary & Analysis coding, Micro themes, Meso themes, Syntheses, and Analysis) approach.

Results

Fourteen participants (7 boys; 7 girls) described parental presence in PICU as essential. Parents contributed to their sense of safety, acted as advocates and interlocuters, and were crucial to participants' belief that their voices would be heard and their needs met. Participants valued the ways in which family and visitor presence mitigated the disruptions that being in PICU caused to their social worlds. Age limits restricted sibling and peer interaction and inadvertently restricting parental presence due to sibling childcare needs.

Conclusions and implications

Parental figure presence in PICU is essential for children. Policies that focus on children as patients instead of whole people discredit childrens' concerns and the ways parental figures mitigate the disruptive nature of PICU admissions. Future policy generation must involve children to ensure that their priorities and concerns are meaningfully recognized.

目的：更好地了解重症监护病房（PICU）危重患儿的家庭生活体验。研究设计：这个定性的、解释性的现象学研究以儿童伦理学本体论为基础。我们招募了在2021年11月至2022年7月期间进入四个加拿大picu之一的儿童（6-17岁），采用最大变异抽样。数据生成方法包括参与观察和半结构化访谈。根据SAMMSA（总结与分析编码、微观主题、中观主题、综合和分析）方法分析现场笔记和访谈记录。结果：14名参与者(7名男孩；（7名女孩）认为父母在PICU的陪伴至关重要。父母为他们的安全感做出了贡献，充当了倡导者和对话者的角色，对参与者相信他们的声音会被听到、他们的需求会得到满足至关重要。参与者重视家庭和访客的存在减轻了PICU对他们的社会世界造成的破坏。年龄限制限制了兄弟姐妹和同伴的互动，由于兄弟姐妹的照顾需要，无意中限制了父母的存在。结论和意义：父母在PICU的存在对儿童至关重要。将儿童作为患者而不是整个人的政策使儿童的担忧和父母形象减轻PICU入院的破坏性的方式蒙上了阴影。未来制定政策时必须让儿童参与，以确保他们的优先事项和关切得到有意义地承认。

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引用次数: 0

A qualitative study on the experiences of Turkish caregivers of learning clean intermittent catheterization 关于土耳其护理人员学习清洁间歇导尿术经验的定性研究。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-01-01 DOI: 10.1016/j.pedn.2024.11.003

Canan Sarı , Mukaddes Kalyoncu , Birsel Canan Demirbağ

Purpose

The process of caregivers learning to implement clean intermittent catheterization (CIC) affects both children and caregivers negatively. The aim of this study was to examine the experiences of caregivers performing CIC on their children with spina bifida (SB).

Design and methods

This study was conducted with a qualitative design between June 5 and September 25, 2022, with the caregivers of 17 children. The data were collected using a semi-structured questionnaire and analyzed using a thematic analysis technique. The COREQ guidelines were followed in the study.

Results

The data were grouped under fourteen sub-themes: “not knowing CIC, having knowledge about CIC, positive and supportive, negative and compelling, family support, health personnel support, loneliness, sharing responsibility, taking on the role of caregiver, satisfaction, sadness, indecisiveness, limitation of social life, change in social life routine”. Caregivers had both positive and negative experiences in this period.

Conclusion

Caregivers face various challenges during the implementation of CIC for children with SB. The results reveal the importance of identifying the performance of caregivers. Nurses who are aware of the difficulties faced by caregivers in this period can be actively involved in personalized care-oriented health education, counseling, and support for caregivers.

Implications for clinical practice

Failure to provide adequate support to caregivers during the CIC application process causes both children and caregivers to be negatively affected in this process. For this reason, protocols or guidelines should be created by nurses in order to reduce the negative experiences of caregivers who apply CIC to their children.

目的：护理人员学习实施清洁间歇导尿术（CIC）的过程对儿童和护理人员都有负面影响。本研究旨在探讨护理人员为脊柱裂（SB）患儿实施 CIC 的经验：本研究采用定性设计，于 2022 年 6 月 5 日至 9 月 25 日期间对 17 名儿童的护理人员进行了调查。采用半结构式问卷收集数据，并使用主题分析技术对数据进行分析。研究遵循了 COREQ 准则：结果：数据被归纳为十四个次主题："不了解 CIC、了解 CIC、积极支持、消极强迫、家庭支持、医护人员支持、孤独、分担责任、承担照顾者角色、满意、悲伤、犹豫不决、社交生活受限、社交生活常规改变"。照顾者在此期间既有积极的经历，也有消极的经历：结论：在对患有 SB 的儿童实施儿童保育和治疗过程中，照顾者面临着各种挑战。结果表明，确定护理人员的表现非常重要。了解护理人员在此期间面临的困难的护士可以积极参与以个性化护理为导向的健康教育、咨询和对护理人员的支持：临床实践的启示：在申请儿童信息中心的过程中，如果不能为照顾者提供足够的支持，儿童和照顾者都会在这一过程中受到负面影响。因此，护士应制定相关协议或指南，以减少护理人员在为其子女申请 CIC 时的负面经历。

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引用次数: 0

Menstrual poverty and genital hygiene behaviors among adolescents: A cross-sectional study 月经贫困与青少年的生殖器卫生行为：一项横断面研究。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-01-01 DOI: 10.1016/j.pedn.2024.10.028

Ayse Ozge Deniz PhD, RN, Serap Acikgoz PhD, RN

Purpose

Period poverty is an important public health problem that negatively affects genital hygiene behaviors. This study was conducted to examine period poverty and genital hygiene behaviors in adolescents.

Design and methods

This cross-sectional study was conducted with 397 adolescents between May 1, 2023 and November 30, 2023 by using a “Personal Information Form,” a “ Menstrual Cycle Characteristics Form,” a “Period Poverty Characteristics Form,” and the “Genital Hygiene Behavior Scale.” The data were analyzed using SPSS 27.0 program and according to the results of descriptive statistical methods and normality analysis, t-test, Mann Whitney U test and Kruskal Wallis H test analysis were used in independent groups.

Results

The total mean Adolescents' Genital Hygiene Behavior Scale score was 86.58 ± 10.03. The genital hygiene behavior scale score was low in adolescents who had financial difficulties purchasing hygiene products, whose frequency of changing hygiene products was negatively affected by economic reasons, who were worried about running out of hygiene products during the last period, and who thought that menstrual education was inadequate (p < 0.001).

Conclusion

Our results indicated that period poverty in adolescents negatively affected their genital hygiene behaviors.

Practical implications

It is recommended that adolescents be addressed within the scope of social policies for better access to affordable menstrual products.

目的：生理期贫困是一个重要的公共卫生问题，会对生殖器卫生行为产生负面影响。本研究旨在调查青少年的经期贫困和生殖器卫生行为：这项横断面研究使用 "个人信息表"、"月经周期特征表"、"生理期贫困特征表 "和 "生殖器卫生行为量表"，在 2023 年 5 月 1 日至 2023 年 11 月 30 日期间对 397 名青少年进行了调查。数据采用 SPSS 27.0 程序进行分析，根据描述性统计方法和正态性分析结果，采用 t 检验、Mann Whitney U 检验和 Kruskal Wallis H 检验进行独立分组分析：青少年生殖器卫生行为量表总分的平均值为（86.58±10.03）分。在购买卫生用品有经济困难、更换卫生用品的频率受到经济原因的负面影响、担心末次月经期间卫生用品用完以及认为经期教育不充分的青少年中，生殖器卫生行为量表得分较低（p 结论：我们的研究结果表明，经期贫困对青少年的生殖器卫生行为造成了负面影响：我们的研究结果表明，经期贫困对青少年的生殖器卫生行为有负面影响：建议在社会政策范围内解决青少年的问题，使他们能够更好地获得负担得起的月经用品。

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引用次数: 0

Child-friendly healthcare: A concept analysis 儿童友好型医疗保健：概念分析。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-01-01 DOI: 10.1016/j.pedn.2024.10.035

Wei Xiao Huang PhD, MNSc, BNSc , Mei Chan Chong PhD, MSc, BNSc, RN , Li Yoong Tang PhD, MSc, BNSc , Xiao Xia Liu MNSc, BNSc, RN

Objective

This study aims to analyze the concept of Child-friendly Healthcare (CFH) using Walker and Avant's conceptual analysis framework to clarify its meaning, attributes, and implications for clinical practice.

Method

The study employed Walker and Avant's conceptual analysis method, which involves a systematic process comprising concept selection, setting objectives, exploring potential uses, defining attributes, constructing a model case, identifying contrary cases, determining antecedents and consequences, and examining empirical referents. A scoping review was conducted across multiple sources, including online dictionaries, scientific databases, and grey literature, with a focus on literature relevant to CFH.

Result

A total of 37 articles were reviewed, revealing diverse definitions and interpretations of CFH across various contexts. The concept was defined by five key attributes: (1) child interests-prioritized quality services, (2) child-friendly environments and spaces, (3) social interaction, (4) child participation, and (5) development facilitation. The study also identified the antecedents and consequences of CFH, developed model and contrary cases, and examined empirical referents to offer a comprehensive understanding of the concept.

Conclusion

This analysis effectively clarified the concept of CFH, highlighting its core attributes and providing valuable insights for clinical nursing practice. The findings suggest that CFH can be used as a framework to guide child-centered healthcare practices, thereby enhancing the quality of care provided to pediatric patients.

Implications

Conducting a concept analysis of CFH can significantly contribute to improving patient health outcomes, supporting institutional development, and fostering future research and practical applications in child healthcare settings.

研究目的本研究旨在使用 Walker 和 Avant 的概念分析框架分析儿童友好型医疗保健（CFH）的概念，以明确其含义、属性和对临床实践的影响：本研究采用了 Walker 和 Avant 的概念分析方法，其中包括一个系统的过程，包括选择概念、设定目标、探索潜在用途、定义属性、构建模型案例、识别相反案例、确定前因后果以及研究经验参照物。我们通过多种渠道进行了范围审查，包括在线词典、科学数据库和灰色文献，重点是与 CFH 相关的文献：结果：共审查了 37 篇文章，发现不同背景下对 CFH 的定义和解释各不相同。这一概念由五个关键属性定义：（1）儿童兴趣优先的优质服务；（2）儿童友好的环境和空间；（3）社会互动；（4）儿童参与；（5）促进发展。本研究还确定了儿童健康中心的前因后果，建立了模型和相反案例，并考察了经验参照，从而对这一概念有了全面的理解：这项分析有效地澄清了 CFH 的概念，突出了其核心属性，并为临床护理实践提供了有价值的见解。研究结果表明，CFH 可作为指导以儿童为中心的医疗实践的框架，从而提高为儿科患者提供的护理质量：对 CFH 进行概念分析可大大有助于改善患者的健康状况，支持机构发展，促进儿童医疗保健领域的未来研究和实际应用。

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引用次数: 0

Undergraduate nursing students' perspectives of trauma-informed care in pediatric nursing: A cross-sectional Egyptian study 护理本科生对儿科护理中创伤知情护理的看法：埃及横断面研究。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-01-01 DOI: 10.1016/j.pedn.2024.12.002

Ahmed Loutfy , Amina Elzeiny , Sameer A. Alkubati , Ahmed Hashem El-Monshed , Mohamed Ali Zoromba , Corrien Van Belkum , Fatma Sayed Abdelaziz Mohamed

Introduction

Trauma-Informed Care (TIC) is a critical approach in pediatric nursing, addressing the unique challenges and high trauma susceptibility in children. Including TIC in nursing education aims to equip students with the necessary skills for empathetic and efficient care, enhancing patient outcomes and professional competence. This study investigates the perspectives of undergraduate pediatric nursing students on TIC.

Methods

In February 2024, a cross-sectional study was launched after the pediatric nursing course. It targeted third-year students via an online survey. Out of 325 invited, 261 participated. The TIC Provider Survey v2.0 and the Students' Profile Form were used for data collection.

Results

Of the 261 pediatric nursing students, 71.6 % were female, and 70.5 % were over 22. About 62.8 % had previous trauma care education. The study found moderately high mean scores in different sub-items of TIC knowledge (Mean ± SD = 40.26 ± 7.401), moderate self-rated competence (Mean ± SD = 17.57 ± 4.809) in TIC practices, and high favorable opinions (Mean ± SD = 22.23 ± 4.015) towards TIC. It emphasized the combined impact of classroom learning and clinical practice on understanding and applying TIC principles.

Conclusion

This study emphasizes the need for TIC in pediatric nursing curricula to enhance students' skills and confidence. It suggests that targeted educational interventions can improve holistic care for trauma-affected patients. The research advocates continuous training to bolster TIC competencies, benefiting children and families. It calls for future research with larger samples and qualitative analysis to further understand TIC in nursing education.

简介：创伤知情护理（TIC）是儿科护理的关键方法，解决儿童独特的挑战和高创伤易感性。将议会教育纳入护理教育，目的是让学生掌握必要的技能，以达致同理心和高效率的护理，提高病人的治疗效果和专业能力。本研究旨在探讨儿科护理本科学生对TIC的看法。方法：于2024年2月在儿科护理课程结束后开展横断面研究。它通过一项在线调查瞄准了三年级学生。被邀请的325人中，261人参加了。数据收集使用议会服务提供者调查v2.0及学生资料表格。结果：261名儿科护理专业学生中，女性占71.6%，年龄在22岁以上的占70.5%。约62.8%曾接受过创伤护理教育。研究发现，患者在TIC知识各分项平均得分中高（mean±SD = 40.26±7.401），在TIC实践中自评能力中高（mean±SD = 17.57±4.809），对TIC的好感度较高（mean±SD = 22.23±4.015）。它强调课堂学习和临床实践对理解和应用TIC原则的综合影响。结论：本研究强调了在儿科护理课程中进行TIC的必要性，以提高学生的技能和信心。这表明有针对性的教育干预可以改善创伤患者的整体护理。这项研究提倡持续的培训，以提高议会的能力，使儿童和家庭受益。未来需要更大样本的研究和定性分析，以进一步了解TIC在护理教育中的作用。

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引用次数: 0