Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献_第7页

Development and psychometric testing of the Pediatric Atraumatic Care Attitude Scale (PACAS) in pediatric nurses. 儿科护士创伤护理态度量表（PACAS）的开发和心理测试。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2024-09-24 DOI: 10.1016/j.pedn.2024.09.015

Adnan Batuhan Coşkun, Erhan Elmaoğlu, Murat Bektaş

Objective: The study aimed to develop and validate the Pediatric Atraumatic Care Attitude Scale (PACAS) for pediatric nurses, measuring attitudes toward atraumatic care practices.

Methods: This methodological and correlational study included 336 pediatric nurses from various clinics in Turkey, between January and August 2024. Construct validity was evaluated using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Internal consistency was assessed through item-total score correlation, test-retest reliability, and Cronbach's α coefficients.

Results: The content validity index (CVI) for PACAS items ranged from 0.84 to 1.00. The Kaiser-Meyer-Olkin (KMO) coefficient was 0.978, and Bartlett's test of sphericity was significant (χ² = 14,110.425, P < .001), supporting factor analysis. EFA revealed a two-factor structure with 31 items, explaining 76.7 % of the variance. The factors, "Knowledge and Awareness" and "Practice and Family Involvement," had loadings between 0.716 and 0.901 and 0.751-0.962, respectively. CFA confirmed the model fit (χ²/df = 2.77, RMSEA = 0.073, NFI = 0.92, NNFI = 0.97, CFI = 0.94, GFI = 0.91). Cronbach's α was 0.985, with subscale coefficients of 0.978 and 0.983. Test-retest reliability showed strong correlations (r = 0.980, r = 0.985, r = 0.957), with no significant differences between test and retest scores (P > .05).

Conclusions: PACAS is a reliable and valid tool for assessing pediatric nurses' attitudes toward atraumatic care, with the potential to enhance pediatric nursing practices by improving adherence to atraumatic care principles.

Implications to practice: PACAS helps integrate atraumatic care into nursing, enhancing pediatric care quality and outcomes.

研究目的该研究旨在为儿科护士开发并验证儿科创伤护理态度量表（PACAS），以衡量其对创伤护理实践的态度：这项方法学和相关性研究包括来自土耳其不同诊所的 336 名儿科护士，时间跨度为 2024 年 1 月至 8 月。采用探索性因子分析（EFA）和确认性因子分析（CFA）评估了结构效度。通过项目-总分相关性、测试-再测信度和 Cronbach's α 系数评估了内部一致性：结果：PACAS项目的内容效度指数（CVI）介于0.84和1.00之间。凯泽-迈耶-奥尔金（KMO）系数为 0.978，巴特利特球形度检验显著（χ2 = 14,110.425，P 2/df = 2.77，RMSEA = 0.073，NFI = 0.92，NNFI = 0.97，CFI = 0.94，GFI = 0.91）。Cronbach's α 为 0.985，子量表系数分别为 0.978 和 0.983。测试-重测信度显示出很强的相关性（r = 0.980、r = 0.985、r = 0.957），测试和重测得分之间无显著差异（P > .05）：结论：PACAS是评估儿科护士对创伤护理态度的可靠有效的工具，有可能通过改善对创伤护理原则的遵守来加强儿科护理实践：PACAS 有助于将创伤护理融入护理工作，提高儿科护理质量和效果。

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引用次数: 0

Evaluation of adolescents' cardiovascular health behaviors and health literacy levels in Turkey. 评估土耳其青少年的心血管健康行为和健康知识水平。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2024-09-20 DOI: 10.1016/j.pedn.2024.09.014

Aslihan Ozturk Eyimaya, Ayfer Tezel

Purpose: The study aimed to examine the relationship between cardiovascular health behaviors and health literacy levels of adolescents.

Design and methods: Cross-sectional design was used in this study. The sample consisted of 1228 students from two secondary schools in Turkey. The study data were collected in 2020. The data were collected via the Cardiovascular Health Behavior Scale and the The Health Literacy Scale.

Results: Cardiovascular Health Behavior Scale for Children mean score was 56.07 ± 10.80. The Health Literacy Scale total mean score of the students was 30.93 ± 5.31. The mean scores of the Cardiovascular Health Behavior Scale for those who were 14 years old, female, studying in the 8th grade, whose parents were primary school graduates, and presence of a person who has had a heart attack in the family were found to be statistically significantly higher. The average health literacy score of students who were female, high income, and who had parents with a baccalaureate or graduate degree was found to be statistically significantly higher. The Cardiovascular Health Behavior Scale and The Health Literacy Scale showed a weak negative correlation.

Conclusions: The cardiovascular health behaviors and health literacy of adolescents were found to be moderate. In order to improve adolescents' health literacy and help them develop good cardiovascular health habits from an early age, interventions should be planned and overseen in collaboration.

Practice implications: Adolescent health promotion requires that nurses assess adolescents' cardiovascular health behaviors and health literacy levels. To achieve the objectives of enhanced cardiovascular health behaviors and better health literacy, parent cooperation is also required.

目的：本研究旨在探讨青少年心血管健康行为与健康素养水平之间的关系：本研究采用横断面设计。样本包括来自土耳其两所中学的 1228 名学生。研究数据于 2020 年收集。数据通过心血管健康行为量表和健康素养量表收集：儿童心血管健康行为量表平均得分为 56.07 ± 10.80。学生健康素养量表总平均分为 30.93 ± 5.31。经统计发现，14 岁、女性、就读八年级、父母均为小学毕业生、家庭中有心脏病患者的学生的心血管健康行为量表平均得分明显更高。女性、高收入、父母拥有学士或研究生学位的学生的平均健康素养得分在统计学上明显更高。心血管健康行为量表与健康素养量表呈弱负相关：结论：研究发现，青少年的心血管健康行为和健康素养处于中等水平。为了提高青少年的健康素养，帮助他们从小养成良好的心血管健康习惯，应共同规划和监督干预措施：实践意义：促进青少年健康需要护士对青少年的心血管健康行为和健康知识水平进行评估。要实现加强心血管健康行为和提高健康素养的目标，还需要家长的配合。

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引用次数: 0

Seize the day: A quality improvement approach to support transition of care and decrease 30-day readmissions for pediatric patients with epilepsy 把握今天：支持护理过渡和减少儿科癫痫患者 30 天再入院率的质量改进方法。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2024-09-20 DOI: 10.1016/j.pedn.2024.09.010

Jenna Lang MSN, RN, CPN, Danielle Altares Sarik PhD, APRN, CPNP-PC, Ivette Nieves Roldan MSN, RN, CPN

Purpose

Elevated rates of 30-day readmission for children with epilepsy were noted at a stand-alone pediatric acute care facility. To address this issue, a standardized pathway was created and implemented in 2017. The main objective was to ensure that patients with epilepsy and their families were adequately prepared for discharge and the transition to home.

Design and methods

Using a quality improvement (QI) approach, a standardized education pathway was developed and implemented to decrease unplanned 30-day readmissions of patients with a diagnosis of epilepsy from a specialized neurology unit. An interprofessional care team received training to ensure standardized communication around the pathway approach and components. All patients with a diagnosis of epilepsy and their families were educated using the pathway and guided through additional simulation and teach-back exercises.

Results

Analysis demonstrated a 27.6 % decrease in unplanned 30-day readmissions in the 6 years following implementation. An estimated $950,000 in cost savings was achieved secondary to program implementation.

Conclusions

Utilizing the pathway standardizes epilepsy management education and decreases unplanned 30-day readmissions for pediatric patients diagnosed with epilepsy. A standardized educational plan is an essential component of patient discharge teaching and proper home management of epilepsy.

Practice implications

For sustainability, education needs to be continuously refreshed and included in onboarding new nurses. To ensure health equity, translation of the pathway into multiple languages is needed.

目的：一家独立的儿科急症护理机构发现，癫痫患儿的 30 天再入院率较高。为解决这一问题，2017 年创建并实施了标准化路径。主要目的是确保癫痫患者及其家人为出院和回家过渡做好充分准备：采用质量改进（QI）方法，制定并实施了标准化教育路径，以减少神经内科专科诊断为癫痫的患者在30天内的非计划再入院率。跨专业护理团队接受了培训，以确保围绕路径方法和组成部分进行标准化交流。所有确诊为癫痫的患者及其家属都接受了路径教育，并在指导下进行了额外的模拟和回访练习：结果：分析表明，在实施后的 6 年中，30 天非计划再入院率下降了 27.6%。实施该计划后，估计节省了 95 万美元的成本：结论：采用该路径可使癫痫管理教育标准化，并减少确诊为癫痫的儿科患者 30 天内的非计划再入院率。标准化的教育计划是患者出院教育和正确家庭癫痫管理的重要组成部分：为实现可持续发展，需要不断更新教育内容，并将其纳入新护士入职培训中。为确保健康公平，需要将路径翻译成多种语言。

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引用次数: 0

Comparison of the effectiveness of three different distraction methods in reducing pain and anxiety during blood drawing in children: A randomized controlled study 比较三种不同分散注意力的方法对减轻儿童抽血过程中的疼痛和焦虑的效果：随机对照研究。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2024-09-19 DOI: 10.1016/j.pedn.2024.09.009

Selda Ates Besirik PhD. Assist. Prof. , Nejla Canbulat Sahiner PhD. Prof.

Background

Healthcare professionals need to use effective pain and anxiety-relieving methods during blood drawing in children.

Aim

This study aimed to compare the effects of three different distraction methods (Virtual Reality Glasses, Kaleidoscope, and Distraction Cards) in reducing pain and anxiety during blood drawing in children.

Methods

This study was a randomized controlled study. The research was conducted on 400 children between the ages of 7 and 11 years who required blood for routine check-ups upon the doctor's request and who met the sample selection criteria. Children were randomized into four groups: Virtual Reality Glasses, Kaleidoscope, Distraction Cards, and Control Group. Data were collected using the Interview and Observation Form, Wong-Baker FACES Pain Rating Scale, and Children's Fear Scale. Wong-Baker FACES and Children's Fear Scale were assessed and reported by children, parent, and observer.

Findings

Pain assessments of the child, parent, and observer after the procedure, and anxiety assessments of the parent, and observer after the procedure in the Virtual Reality Glasses, Kaleidoscope, and Distraction Cards Group were significantly lower than the Control Group (p < 0.001).

Conclusions

All three methods applied to the child during blood drawing were effective in reducing the child's pain and anxiety level. However, it was found that the most effective method to relieve pain and anxiety is virtual reality glasses.

Practice implications

These results contribute to the pain and anxiety management of children during blood drawing.

Clinical Trial Registration Number: NCT06192498.

背景：在儿童抽血过程中，医护人员需要使用有效的疼痛和焦虑缓解方法：目的：本研究旨在比较三种不同的分散注意力方法（虚拟现实眼镜、万花筒和分散注意力卡片）在减轻儿童抽血过程中的疼痛和焦虑方面的效果：本研究是一项随机对照研究。研究对象为 400 名 7 至 11 岁的儿童，他们在医生的要求下需要抽血进行常规检查，并符合样本选择标准。儿童被随机分为四组：虚拟现实眼镜组、万花筒组、分散注意力卡组和对照组。使用访谈和观察表、Wong-Baker FACES 疼痛评分量表和儿童恐惧量表收集数据。Wong-Baker FACES 和儿童恐惧量表由儿童、家长和观察者进行评估和报告：结果：虚拟现实眼镜组、万花筒组和分散注意力卡组的儿童、家长和观察者在手术后的疼痛评估以及家长和观察者在手术后的焦虑评估均显著低于对照组（p 结论：虚拟现实眼镜组、万花筒组和分散注意力卡组的儿童、家长和观察者在手术后的疼痛评估以及家长和观察者在手术后的焦虑评估均显著低于对照组（p在抽血过程中对儿童使用的三种方法都能有效减轻儿童的疼痛和焦虑程度。但研究发现，缓解疼痛和焦虑最有效的方法是虚拟现实眼镜：临床试验注册号：NCT06192498：临床试验注册号：NCT06192498。

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引用次数: 0

Development of the Paternal Involvement in Early Infancy Scale (PEACE) for fathers in Singapore 为新加坡的父亲编制《父亲参与婴儿早期教育量表》（PEACE）

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2024-09-18 DOI: 10.1016/j.pedn.2024.09.013

Joelle Yan Xin Chua , Yiong Huak Chan , Shefaly Shorey

Objectives

To develop and validate a psychometrically sound self-reported Paternal involvement in Early InfAnCy ScalE (PEACE) for Asian fathers with infants aged 0–12 months old.

Methods

This study comprised of three phases: (1) Pilot test among 100 fathers, (2) Exploring and confirming the PEACE's multidimensional structure using exploratory factor analysis (EFA) (n = 200 fathers) and confirmatory factor analysis (CFA) (n = 200 fathers), and (3) Assessing one-month test-retest reliability of PEACE among 30 fathers. Data was collected from August 2022 to August 2023. The EFA was conducted using principal axis factoring and varimax rotation. The CFA confirmed the factor structure via goodness-of-fit statistics. To assess the PEACE's concurrent validity, paternal involvement was measured using a previously validated paternal involvement scale. Convergent validity was established by examining correlations between PEACE and theoretically related measures of parenting self-efficacy, parent-child bonding, parenting satisfaction, and depression. Test-retest reliability was examined using the intra-class correlation coefficient.

Results

The EFA and CFA results supported the five-factor 25-item PEACE. The five subscales were: i) Providing Tangible Support, ii) Meeting Basic Needs, iii) Bonding with Baby, iv) Decision-Making for Baby, and v) Sense of Responsibility and Accomplishment. All subscales reported good internal consistency and weak to moderate one-month test-retest reliability. Correlation coefficients between the PEACE and other scales supported the concurrent and convergent validity of the PEACE.

Conclusion

This study provided sufficient evidence to establish the initial reliability and validity of the five-factor 25-item PEACE.

Implications to practice

The PEACE could be used to quantitatively assess paternal involvement in infant care.

目标为有 0-12 个月大婴儿的亚洲父亲开发并验证一个心理测量学上可靠的 "父亲参与婴儿早期教育量表"（PEACE）。方法本研究包括三个阶段：（1）在100名父亲中进行试点测试；（2）使用探索性因子分析（EFA）（n = 200名父亲）和确认性因子分析（CFA）（n = 200名父亲）探索和确认PEACE的多维结构；以及（3）在30名父亲中评估PEACE一个月的测试-重测信度。数据收集时间为2022年8月至2023年8月。EFA 采用主轴因子法和方差旋转法进行。CFA通过拟合优度统计确认了因子结构。为了评估 PEACE 的并发效度，我们使用先前验证过的父亲参与量表来测量父亲参与度。通过检验 PEACE 与理论相关的养育自我效能、亲子关系、养育满意度和抑郁之间的相关性，确定了 PEACE 的收敛效度。结果 EFA 和 CFA 的结果支持由五个因素组成的 25 个项目的 PEACE。五个子量表分别是：i) 提供有形支持；ii) 满足基本需求；iii) 与宝宝建立亲子关系；iv) 为宝宝做决定；v) 责任感和成就感。所有分量表都具有良好的内部一致性，一个月的测试-再测可靠性为弱至中等。PEACE与其他量表之间的相关系数证明了PEACE的并发有效性和收敛有效性。

{"title":"Development of the Paternal Involvement in Early Infancy Scale (PEACE) for fathers in Singapore","authors":"Joelle Yan Xin Chua , Yiong Huak Chan , Shefaly Shorey","doi":"10.1016/j.pedn.2024.09.013","DOIUrl":"10.1016/j.pedn.2024.09.013","url":null,"abstract":"<div><h3>Objectives</h3><p>To develop and validate a psychometrically sound self-reported Paternal involvement in Early InfAnCy ScalE (PEACE) for Asian fathers with infants aged 0–12 months old.</p></div><div><h3>Methods</h3><p>This study comprised of three phases: (1) Pilot test among 100 fathers, (2) Exploring and confirming the PEACE's multidimensional structure using exploratory factor analysis (EFA) (<em>n</em> = 200 fathers) and confirmatory factor analysis (CFA) (n = 200 fathers), and (3) Assessing one-month test-retest reliability of PEACE among 30 fathers. Data was collected from August 2022 to August 2023. The EFA was conducted using principal axis factoring and varimax rotation. The CFA confirmed the factor structure via goodness-of-fit statistics. To assess the PEACE's concurrent validity, paternal involvement was measured using a previously validated paternal involvement scale. Convergent validity was established by examining correlations between PEACE and theoretically related measures of parenting self-efficacy, parent-child bonding, parenting satisfaction, and depression. Test-retest reliability was examined using the intra-class correlation coefficient.</p></div><div><h3>Results</h3><p>The EFA and CFA results supported the five-factor 25-item PEACE. The five subscales were: i) Providing Tangible Support, ii) Meeting Basic Needs, iii) Bonding with Baby, iv) Decision-Making for Baby, and v) Sense of Responsibility and Accomplishment. All subscales reported good internal consistency and weak to moderate one-month test-retest reliability. Correlation coefficients between the PEACE and other scales supported the concurrent and convergent validity of the PEACE.</p></div><div><h3>Conclusion</h3><p>This study provided sufficient evidence to establish the initial reliability and validity of the five-factor 25-item PEACE.</p></div><div><h3>Implications to practice</h3><p>The PEACE could be used to quantitatively assess paternal involvement in infant care.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages 213-224"},"PeriodicalIF":2.1,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242271","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

The effects of virtual reality and stress ball distraction on procedure-related emotional appearance, pain, fear, and anxiety during phlebotomy in children: A randomized controlled study 虚拟现实和压力球分散对儿童抽血过程中与手术相关的情绪表现、疼痛、恐惧和焦虑的影响：随机对照研究

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2024-09-17 DOI: 10.1016/j.pedn.2024.08.029

Gülçin Özalp Gerçeker RN, PhD (Assoc. Prof.) , İlknur Bektaş RN, PhD (Assoc. Prof.) , Figen Yardımcı RN, PhD (Assoc. Prof.)

Background

Virtual reality (VR) and stress balls can be used during phlebotomy in school-age children.

Objectives

This randomized controlled study was conducted to evaluate the effect of distraction methods using VR and stress balls on the emotional behavior, pain, fear, and anxiety associated with phlebotomy in children aged 7–12.

Methods

A parallel trial with a three-arm design approach was adopted for this randomized controlled trial, guided by the CONSORT checklist. The study sample (n = 150) was divided into VR, stress ball, and control group using stratified randomization. The mean scores obtained from the Children's Emotional Manifestation Scale, Wong-Baker FACES Pain Rating Scale, Child Anxiety Scale-State, and Child Fear Scale were compared between the groups. Linear regression analysis and correlation analysis were performed.

Results

Significant differences were found in phlebotomy-related pain, fear, and anxiety. While there was no difference in emotional behavior before the phlebotomy, a significant difference was found after the phlebotomy. Being in the virtual reality group explained 30.8 % of the difference between the before and after phlebotomy-related-emotional behavior scores. A strong, positive, and significant relationship was found between emotional behavior scores after phlebotomy and phlebotomy-related fear, pain, and anxiety scores (p < .01).

Conclusion

Virtual reality and stress ball distraction were found to be effective in reducing pain, fear, and anxiety during phlebotomy. Virtual reality distraction is effective in reducing negative emotional behaviors.

Application to practice

The VR distraction can be used in the pediatric population in pain, fear, anxiety, and emotional behavior management during phlebotomy.

ClinicalTrials.gov Identifier: NCT05818761

背景虚拟现实（VR）和压力球可在学龄儿童抽血过程中使用.目的本随机对照研究旨在评估使用 VR 和压力球分散注意力的方法对 7-12 岁儿童抽血过程中的情绪行为、疼痛、恐惧和焦虑的影响.方法在 CONSORT 检查表的指导下，本随机对照试验采用了三臂设计的平行试验方法。采用分层随机法将研究样本（n = 150）分为 VR 组、压力球组和对照组。各组间比较了儿童情绪表现量表、Wong-Baker FACES 疼痛评分量表、儿童焦虑量表-状态和儿童恐惧量表的平均得分。结果发现，抽血相关的疼痛、恐惧和焦虑存在显著差异。虽然抽血前情绪行为没有差异，但抽血后却发现了显著差异。在抽血前后与抽血相关的情绪行为得分差异中，虚拟现实组占 30.8%。抽血术后的情绪行为得分与抽血术相关的恐惧、疼痛和焦虑得分之间存在强烈、积极和显著的关系（p <.01）。虚拟现实分散注意力法能有效减少负面情绪行为。应用于实践虚拟现实分散注意力法可用于儿科人群抽血过程中的疼痛、恐惧、焦虑和情绪行为管理：NCT05818761

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引用次数: 0

A qualitative exploration of nurses' views on technology-based interventions in pediatric oncology care 护士对儿科肿瘤护理中基于技术的干预措施的定性研究

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2024-09-17 DOI: 10.1016/j.pedn.2024.09.011

Ayşe Ay , Eyşan Hanzade Savaş , Aylin Akça Sumengen , İlçim Ercan Koyuncu , Münevver Erkul , Remziye Semerci

Objectives

Recent technological advancements offer tools for pediatric oncology care, but their integration into clnical practice is still under research. This study aimed to explore pediatric oncology nurses' perspectives on integrating technology-based interventions into care.

Methods

A descriptive phenomenological qualitative study was conducted with 13 pediatric oncology nurses. The focus groups were led by the research members, and each group included four to five participants. Nurses were asked to discuss their perceptions of the technology-based intervention, the type of technology used in the clinic, and the advantages and disadvantages of the technology. The focus groups were audio-recorded and professionally transcribed. The transcripts were analyzed thematically by two study team members using MAXQDA. The Consolidated Criteria for Reporting Qualitative Research were followed.

Results

The mean age of nurses was 38.46 ± 5.23 years and 92.3 % had more than 10 years of professional experience. As a result of the focus group interviews, three main themes and seven sub-themes were identified. These main themes included: (i) Need for competence and training for technology-based interventions, (ii) Effectiveness of technology-based interventions in pediatric patient care, and (iii) Challenges in integrating technology-based interventions into care.

Conclusion

The study found that from the perspective of pediatric oncology nurses, technology-based interventions have multifaceted benefits and are effective in improving patient outcomes and care; however, nurses' limited ability to use technology-based interventions restricts them from integrating their care.

Implications to practice

It is recommended that nurses should be trained on technology-based interventions and the safe use of these interventions.

目的最近的技术进步为儿科肿瘤护理提供了工具，但将其融入临床实践的研究仍在进行中。本研究旨在探讨儿科肿瘤科护士对将基于技术的干预措施融入护理工作的看法。方法对 13 名儿科肿瘤科护士进行了描述性现象学定性研究。焦点小组由研究成员领导，每个小组包括四到五名参与者。护士们被要求讨论他们对基于技术的干预措施的看法、诊所中使用的技术类型以及技术的优缺点。对焦点小组进行了录音和专业转录。研究小组的两名成员使用 MAXQDA 对记录誊本进行了专题分析。结果护士的平均年龄为（38.46 ± 5.23）岁，92.3%的护士拥有 10 年以上的专业经验。通过焦点小组访谈，确定了三个主题和七个次主题。这些主题包括(i) 以技术为基础的干预措施对能力和培训的需求，(ii) 以技术为基础的干预措施在儿科患者护理中的有效性，以及 (iii) 将以技术为基础的干预措施融入护理中面临的挑战。结论该研究发现，从儿科肿瘤科护士的角度来看，基于技术的干预措施具有多方面的益处，并能有效改善患者的预后和护理；然而，护士使用基于技术的干预措施的能力有限，这限制了她们将这些措施融入护理工作中。

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引用次数: 0

Golden Breath: Feasibility and acceptability of a biofeedback-based virtual reality game on reducing children's needle-related pain and fear 金色呼吸基于生物反馈的虚拟现实游戏在减轻儿童针刺相关疼痛和恐惧方面的可行性和可接受性

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2024-09-14 DOI: 10.1016/j.pedn.2024.09.008

İdil Ada Aydos , Remziye Semerci , Eyşan Hanzade Savaş , Arda Gülersoy , Hakan Ürey

Background

Needle procedures can cause pain and fear in children. Current literature reports that biofeedback-based virtual reality applications may help alleviate children's pain and fear. This study aims to evaluate the feasibility, acceptability, and safety of the newly developed game Golden Breath, which uses biofeedback-based virtual reality to reduce children's needle-related pain and fear.

Methods

The development of Golden Breath includes; (1) development of the application's features based on needs assessment, (2) gamification of the application content based on literature, (3) development of the prototype, (4) expert evaluation and feedback on the application content, (5) usability testing by 11 children (4–12 years).

Results

Regarding acceptability, the expert evaluation showed a high usability of the system. All children provided positive feedback and reported high satisfaction with Golden Breath. The game was feasible and effective for reducing children's pain and fear levels during needle procedures. Golden Breath was deemed safe for children because it did not cause symptoms such as dizziness, vomiting, or nausea.

Conclusion

The expert evaluation, children's feedback, and pilot study results showed that the Golden Breath game is feasible, acceptable, and safe for children during the needle-related procedure. The pilot study revealed that the Golden Breath game effectively reduced pain and fear during blood sampling in children.

Practice to implications

It is recommended that healthcare professionals use Golden Breath to optimize the well-being of children receiving treatment for chronic and acute diseases.

背景针刺过程会引起儿童疼痛和恐惧。现有文献报道，基于生物反馈的虚拟现实应用可能有助于减轻儿童的疼痛和恐惧。本研究旨在评估新开发的游戏 "黄金呼吸 "的可行性、可接受性和安全性，该游戏使用基于生物反馈的虚拟现实技术来减轻儿童与针相关的疼痛和恐惧。方法 "黄金呼吸 "的开发包括：（1）根据需求评估开发应用功能；（2）根据文献将应用内容游戏化；（3）开发原型；（4）专家对应用内容的评估和反馈；（5）11 名儿童（4-12 岁）的可用性测试。所有儿童都对 "金色呼吸 "给予了积极反馈，并表示非常满意。该游戏在减少儿童在针刺过程中的疼痛和恐惧程度方面是可行和有效的。结论专家评估、儿童反馈和试点研究结果表明，"黄金呼吸 "游戏对儿童来说是可行、可接受和安全的。试点研究表明，"金色呼吸 "游戏能有效减轻儿童在抽血过程中的疼痛和恐惧感。

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引用次数: 0

The effectiveness of an individual and family self-management theory-based education program given for adolescents with epilepsy and parents: Randomized controlled trial 以个人和家庭自我管理理论为基础的青少年癫痫患者及家长教育计划的有效性：随机对照试验

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2024-09-13 DOI: 10.1016/j.pedn.2024.08.026

Hilal Kurt Sezer , Sibel Küçükoğlu , Abdullah Canbal

Background

This study focused on an online education program based on Individual and Family Self-Management Theory.

Purpose

The study investigated whether the education program affected adolescents' attitudes toward epilepsy, seizure self-efficacy, quality of life, and their parents' perceived nurse-support levels.

Methods

The study is a single-blind, randomized, controlled trial. The study was conducted in the pediatric neurology outpatient clinic of a medical hospital between January 2021 and April 2022 in Konya. The sample consisted of adolescents with epilepsy (n = 36) and their parents (n = 36). The intervention group attended the education program in three main sessions, two weeks apart. The control group received routine education. Data were collected using a Child Demographics Form (CDF), a Parent Demographics Form (PDF), the Child Attitude Toward Illness Scale (CATIS), the Self-Efficacy Scale for Children with Epilepsy (SSES-C), the Pediatric Quality of Life Inventory (PedsQL), and the Nurse Parents Support Tool (NPST). The data were analyzed using descriptive statistics, Pearson's chi-square test, Fisher's Exact test, independent samples t-test, Mann-Whitney U test, Mixed design ANOVA analysis, Cohen's d, and 95 % confidence interval. This study adhered to CONSORT research guidelines.

Results

The intervention group adolescents had a significantly higher mean of all scale scores than the control group adolescents. The intervention group parents had a significantly higher mean NPST score than the control group parents.

Conclusion

Healthcare professionals should organize theory-based online education programs for adolescents and their parents at regular intervals for the self-management of epilepsy in special situations, such as pandemics, where face-to-face education is impossible.

Practice implications

The study revealed that, unlike existing cues that highlight the effectiveness of face-to-face education, online interventions will strengthen epilepsy self-management of children with epilepsy and their parents. In extreme situations where face-to-face education has to be postponed for a long time and in routine education interventions, it is recommended to plan and implement online education so that children with chronic diseases can maintain their self-management.

ClinicalTrials: The paper is registered in the Clinical Trials database (NCT04822662).

背景本研究侧重于基于个人和家庭自我管理理论的在线教育项目。目的本研究调查了该教育项目是否会影响青少年对癫痫的态度、癫痫发作自我效能感、生活质量以及其父母感知到的护士支持水平。研究于 2021 年 1 月至 2022 年 4 月在科尼亚一家医疗医院的小儿神经科门诊进行。样本包括患有癫痫的青少年（36 人）及其父母（36 人）。干预组参加了教育项目，主要分三次进行，每次间隔两周。对照组接受常规教育。数据收集采用了儿童人口统计学表格 (CDF)、家长人口统计学表格 (PDF)、儿童对疾病态度量表 (CATIS)、癫痫儿童自我效能量表 (SSES-C)、儿科生活质量量表 (PedsQL) 和护士家长支持工具 (NPST)。数据分析采用了描述性统计、皮尔逊卡方检验、费雪精确检验、独立样本 t 检验、曼-惠特尼 U 检验、混合设计方差分析、科恩氏 d 和 95 % 置信区间。结果干预组青少年的所有量表评分的平均值都明显高于对照组青少年。结论医护人员应定期为青少年及其家长组织基于理论的在线教育项目，以便在大流行病等无法进行面对面教育的特殊情况下进行癫痫的自我管理。实践意义研究表明，与现有的强调面对面教育有效性的线索不同，在线干预将加强癫痫患儿及其家长的癫痫自我管理。在不得不长期推迟面对面教育的极端情况下，以及在常规教育干预中，建议规划并实施在线教育，以便慢性病患儿能够坚持自我管理：该论文已在临床试验数据库（NCT04822662）注册。

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引用次数: 0

The effects of open and closed suctioning systems on neonatal pain and vital signs in neonatal intensive care units 新生儿重症监护室中开放式和封闭式抽吸系统对新生儿疼痛和生命体征的影响

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2024-09-13 DOI: 10.1016/j.pedn.2024.09.007

Aslı Alaca MSc , Hatice Yildirim Sari , Hanife Karaöz , Hatice Akın Bostan , Defne Engür

Background

Endotracheal suctioning is a procedure used by neonatal intensive care unit nurses to maximize oxygenation and clear airways of secretions, and is one of the most common painful procedures causing stress in intubated newborns.

Aim

This aim of this study is to compare the effects of open and closed endotracheal suctioning on pain, peak heart rate and oxygen saturation in neonates on mechanicalventilation.

Materials and methods

This experimental-design study was conducted on 30 newborns who were mechanically ventilated in the tertiary neonatal intensive care unit of a public hospital. First, closed suctioning and then open suctioning was performed on patients during the day. Pain, peak heart rate and oxygen saturation levels were evaluated before, during and 30 min after each suctioning procedure.

Results

Of the newborns included in the study, 53.3 % were male and 36.6 % were admitted to intensive care unit due to a heart defect. No statistically significant differences were found in pain, peak heart rate, or oxygen saturation between the open and closed suctioning methods. However, oxygen saturation levels during suctioning were lower compared to levels before and 30 min after the procedure. Additionally, peak heart rate was lower during suctioning compared to 30 min afterward.

Conclusions

The study concludes that there is no significant difference between open and closed suctioning techniques concerning pain, peak heart rate, and oxygen saturation.

Implications to practice

Given its sterility and ease of use, the closed suction method may be preferable in clinical settings.

背景气管内吸引是新生儿重症监护室护士用来最大限度地增加氧合和清除气道分泌物的一种程序，也是导致插管新生儿紧张的最常见的疼痛程序之一。本研究旨在比较开放式和封闭式气管内吸痰对接受机械通气的新生儿的疼痛、峰值心率和血氧饱和度的影响。首先在白天对患者进行封闭式抽吸，然后进行开放式抽吸。在每次抽吸前、抽吸过程中和抽吸后 30 分钟，对疼痛、心率峰值和血氧饱和度进行了评估。在疼痛、峰值心率或氧饱和度方面，开放式和封闭式抽吸法没有发现明显的统计学差异。不过，抽吸过程中的血氧饱和度低于手术前和手术后 30 分钟的水平。该研究得出结论，开放式和封闭式抽吸技术在疼痛、心率峰值和血氧饱和度方面没有明显差异。

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引用次数: 0