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

Quality of life of caregivers of children with autism spectrum disorder in Saudi Arabia 沙特阿拉伯自闭症谱系障碍儿童照料者的生活质量

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.2025.12.010

Mohammed Sanad M. Alodaili RN, MSc-PHCN , Larry Terence O. Cornejo PhD, RN , Khalil A. Saleh PhD , Habib Alrashedi PhD, AG-ACNP , Gamil Ghaleb Alrubaiee PhD , Mokhtar Abdu Almoliky PhD , Talal Ali Hussein Alqalah PhD, MSc, BSc, RN , Sameer A. Alkubati PhD

Background

Caregivers of children with autism spectrum disorder (ASD) often experience significant emotional, physical, financial, and social challenges that influence their quality of life (QoL). In Saudi Arabia, the impact of caregiving within culturally distinct family structures remain underexplored.

Objective

To assess the caregivers QoL with ASD in Saudi Arabia and to analyze how demographic factors affect the QoL across the four domains of the WHOQOL-BREF.

Methods

A descriptive cross-sectional study was conducted between March and May 2025 among 302 caregivers recruited from autism centers and online groups. The validated WHOQOL-BREF was used to assess physical, psychological, social, and environmental domains. Data were analyzed using SPSS v25 with descriptive statistics, independent t-test, ANOVA, multiple regression analyses, and Pearson correlation.

Results

Caregivers scored lowest in physical health (M = 2.67, 41.8/100), while social relationships scored highest (M = 2.94, 48.5/100). Female caregivers had significantly lower physical QoL than male (p = 0.011; d = 0.36, 95 % CI: 0.12–0.60). Moderate positive correlations were found between physical and psychological health (r = 0.31, p < 0.001). The socioeconomic status and employment positively predicted QoL across domains.

Conclusion

Caregivers, particularly women, experience poorer physical and psychological well-being. Findings underscore the need for gender-responsive, family-centered nursing interventions that integrate psychological support and community resources.

Implications for practice

Pediatric nurses should incorporate caregiver burden screening, psychoeducation, and referral pathways into ASD care plans to enhance overall family health.

背景：自闭症谱系障碍（ASD）儿童的照顾者经常经历影响其生活质量的重大情感、身体、经济和社会挑战。在沙特阿拉伯，照料在文化上不同的家庭结构中的影响仍未得到充分探讨。目的：评估沙特阿拉伯ASD护理人员的生活质量，并分析人口统计学因素如何影响WHOQOL-BREF四个领域的生活质量。方法：在2025年3月至5月期间，对从自闭症中心和在线团体招募的302名护理人员进行了描述性横断面研究。经验证的WHOQOL-BREF用于评估身体、心理、社会和环境领域。数据分析采用SPSS v25进行描述性统计、独立t检验、方差分析、多元回归分析和Pearson相关分析。结果：照顾者身体健康得分最低（M = 2.67, 41.8/100），社会关系得分最高（M = 2.94, 48.5/100）。女性照顾者的身体生活质量显著低于男性（p = 0.011; d = 0.36, 95% CI: 0.12-0.60）。结论：照顾者，尤其是女性，身体和心理健康状况较差。调查结果强调，需要采取顾及性别、以家庭为中心的护理干预措施，将心理支持和社区资源结合起来。对实践的启示：儿科护士应将照顾者负担筛查、心理教育和转诊途径纳入ASD护理计划，以增强整体家庭健康。

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引用次数: 0

Predatory journals and authors in the age of AI: An emerging threat to pediatric research 人工智能时代掠夺性期刊和作者：对儿科研究的新威胁。

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.2025.12.018

M. Al-Motlaq , M. Foster

引用次数: 0

Which bath is better? Evaluating comfort and vital signs in pediatric intensive care unit: A quasi-experimental study 哪个浴缸比较好？评估儿童重症监护病房的舒适度和生命体征：一项准实验研究

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-26 DOI: 10.1016/j.pedn.2025.12.016

Esra Ardahan Akgül RN, PhD , Beste Özgüven Öztornacı RN, PhD , Esat Erdem Gökpınar RN, MSc

Background

Bathing cleanses the skin, and the wiping and scrubbing movements during bathing stimulate blood circulation and help oxygenate tissues. There are two types of baths commonly used in intensive care: the traditional bath is washing the child with running water in the bed, and the wiping bathis wiping the child with warm, damp cloths. We planned this study to determine the effect of traditional and wiping baths on vital parameters (pulse rate, blood pressure, oxygen saturation, body temperature, mean blood pressure) and comfort of children in the Pediatric Intensive Care Unit.

Methods

In this quasi-experimental prospective study, there were two groups, the traditional bath group (n = 28) and the wiping bath group (n = 26).Comfort levels and vital signs were measured just before and 5 min after the bathing.

Findings

We found that the mean blood pressure of the wiping bath group was higher.The pulse rate and body temperature in the wiping bath group decreased significantly after the bath.No significant differences were found in other vital parameters.Those in the traditional bathing group were 4.929 times more comfortable than those in the wiping bath group.

Conclusion

This study showed that while traditional bathing increases comfort in pediatric intensive care patients, wiping bathing decreases comfort and creates different effects on some vital parameters.Based on the results, nurses may decide on the type of bath to choose for children.

Implications to practice

It is recommended that nurses incorporate traditional bathing into routine care practices as long as the child's clinical condition permits.

洗澡可以清洁皮肤，洗澡时的擦拭和擦洗动作可以刺激血液循环，帮助组织充氧。重症监护中常用的洗浴有两种：传统的洗浴是用床上的流水给孩子洗澡，而擦拭式的洗浴是用温暖的湿布擦拭孩子。我们计划进行这项研究，以确定传统和擦拭浴对儿科重症监护室儿童重要参数（脉搏率、血压、血氧饱和度、体温、平均血压）和舒适度的影响。方法准实验前瞻性研究分为传统浴组（n = 28）和擦拭浴组（n = 26）。在沐浴前和沐浴后5分钟测量舒适度和生命体征。结果：我们发现擦拭浴组的平均血压更高。洗浴后，擦浴组脉搏率和体温明显下降。其他重要参数无显著差异。传统沐浴组的舒适度是擦拭沐浴组的4.929倍。结论传统洗浴可提高小儿重症患者的舒适度，而擦拭洗浴则会降低患者的舒适度，并对一些重要参数产生不同的影响。根据结果，护士可以决定为孩子选择哪种沐浴方式。建议只要儿童的临床条件允许，护士将传统的沐浴纳入常规护理实践。

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引用次数: 0

The effect of one-year online counseling provided to mothers of children and adolescents with newly diagnosed type 1 diabetes on A1C and patient outcomes: A retrospective study 为新诊断为1型糖尿病的儿童和青少年的母亲提供为期一年的在线咨询对A1C和患者结局的影响：一项回顾性研究

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-26 DOI: 10.1016/j.pedn.2025.12.019

Merve Günbaş PhD , Dilek Büyükkaya Besen PhD , Merve Dervişoğlu PhD

Background

Children diagnosed with type 1 diabetes (T1D) and their parents often need additional support in managing the condition.

Aim

This study examined the effect of online counseling provided to mothers of children and adolescents newly diagnosed with T1D on A1C levels and patient outcomes.

Materials and methods

Between December 2022 and December 2023, 40 mothers whose children were newly diagnosed with T1D were included. Children's A1C levels and clinical outcomes (hospital admissions, hospitalization frequency, diabetic ketoacidosis, and lipohypertrophy) were retrospectively recorded over 12 months.

Results

Among the 40 children (aged 3–17) who were hospitalized due to diabetes, 37.5 % had been hospitalized 4–5 times in total. The rehospitalization rate was 10 % among those with 1–2 hospitalizations and 7.5 % among those with three or more hospitalizations. Most did not develop diabetic ketoacidosis (85 %) or lipohypertrophy (80 %). The mean A1C at diagnosis was 11.53 % ± 2.16 %, decreasing to 7.77 % ± 1.04 % at 12 months. The largest drop occurred in the first 6 months (ΔM = 2.88, p < 0.001), with slower but significant declines at later intervals.

Conclusion

Online counseling was associated with improvements in A1C and patient outcomes during the first year post-diagnosis. Integrating such support into routine care may enhance the effectiveness of diabetes management in children and adolescents.

诊断为1型糖尿病（T1D）的儿童及其父母通常需要额外的支持来控制病情。目的本研究旨在探讨在线咨询对新诊断为T1D的儿童和青少年母亲的A1C水平和患者预后的影响。材料和方法在2022年12月至2023年12月期间，纳入了40名新诊断为T1D的孩子的母亲。回顾性记录儿童A1C水平和临床结果（住院次数、住院频率、糖尿病酮症酸中毒和脂肪肥大）超过12个月。结果40例因糖尿病住院的儿童（3 ~ 17岁）中，37.5%共住院4 ~ 5次。1-2次住院患者再住院率为10%，3次及以上住院患者再住院率为7.5%。大多数没有发生糖尿病酮症酸中毒（85%）或脂肪肥大（80%）。诊断时平均糖化血红蛋白为11.53%±2.16%，12个月时降至7.77%±1.04%。最大的下降发生在前6个月（ΔM = 2.88, p < 0.001），在之后的时间间隔中下降缓慢但显著。结论：在线咨询与诊断后第一年的A1C改善和患者预后相关。将此类支持纳入日常护理可提高儿童和青少年糖尿病管理的有效性。

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引用次数: 0

The Swedish children and young people-patient reported experience measure questionnaire – A pilot study from paediatric inpatient and outpatient care 瑞典儿童和年轻人-患者报告经验测量问卷-从儿科住院和门诊护理试点研究。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-24 DOI: 10.1016/j.pedn.2025.12.021

Anna Nordlind RN, MN, PhD student , Ann-Sofie Sundqvist RNA, PhD , Agneta Anderzén-Carlsson RN, PhD , Ann-Charlotte Almblad RN, PhD , Karin Ängeby RNM, PhD , Jo Wray , Geralyn Oldham , Junia Joffer PhD

Background

Using Patient Reported Experience Measures (PREM) is one way of assessing children's perspectives in identifying areas for improvement in paediatric care. The generic questionnaire Children and Young People - Patient Reported Experience Measure (CYP-PREM) has been adapted to the Swedish paediatric healthcare context to enable children to evaluate their care on issues important to them.

Aim

The aim of the study was to pilot the Swedish versions of the CYP-PREM questionnaire in paediatric care.

Methods

This pilot study used a descriptive cross-sectional design. Children aged 8–16 years were included when discharged from an inpatient ward or after an outpatient visit. The participating children were asked to complete two questionnaires: Swedish CYP-PREM (Swe-CYP-PREM) appropriate for their inpatient or outpatient visit and the age of the child, and a study-specific questionnaire to evaluate the children's opinions of the Swe-CYP-PREM.

Findings

Out of the 319 invited children, 296 agreed to participate, of whom 189 children submitted the questionnaires, resulting in a response rate of 59.5 %. The Swe-CYP-PREM was well accepted by the target population and considered to provide good data completeness and few response errors. The Swe-CYP-PREM captured a range of experiences from children's healthcare visits, with predominantly positive responses. In the open-ended question about what was good or bad about the visit, 66 children had provided comments, which added value to the closed questions in the questionnaire.

Conclusion

The Swe-CYP-PREM can be used in clinical practice to enable children to voice their experiences after a healthcare visit.

背景：使用患者报告经验措施（PREM）是一种评估儿童观点的方法，以确定儿科护理的改进领域。《儿童和年轻人——病人报告经验衡量标准》（CYP-PREM）这一一般性调查问卷已根据瑞典儿科保健情况进行了调整，使儿童能够评估对他们重要问题的护理。目的：本研究的目的是在儿科护理中试点瑞典版本的cypprem问卷。方法：本初步研究采用描述性横断面设计。年龄8-16岁的儿童被包括在从住院病房出院或门诊就诊后。参与研究的儿童被要求完成两份调查问卷：一份是适合其住院或门诊就诊和儿童年龄的瑞典cep - prem (swe - cep - prem)，一份是评估儿童对swe - cep - prem的意见的研究特定问卷。调查结果：在319名受邀儿童中，296名同意参与，其中189名儿童提交了问卷，回复率为59.5%。Swe-CYP-PREM被目标人群广泛接受，并被认为提供了良好的数据完整性和很少的响应误差。swep - cyp - prem从儿童保健访问中获得了一系列经验，主要是积极的反应。在关于这次访问的好与坏的开放式问题中，66名儿童提供了评论，这为问卷中的封闭式问题增加了价值。结论：Swe-CYP-PREM可用于临床实践，使儿童在医疗保健访问后表达他们的经历。

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引用次数: 0

Association between pediatric patient death and burnout among nurses: A single-center, point-prevalence study 儿科患者死亡与护士职业倦怠之间的关系：一项单中心、点患病率研究。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-24 DOI: 10.1016/j.pedn.2025.12.020

Soichiro Tanimura MD , Kana Yamashita RN , Sarina Akiba RN , Kaori Meguro RN , Norihiko Tsuboi MD , Shotaro Matsumoto MD, PhD

Objective

Nurse burnout is an important issue related to nurse turnover. Although numerous risk factors have been identified, the impact of pediatric patient death on nurse burnout remains unclear. This study investigated the influence of the number of pediatric patient deaths encountered on burnout scores among nurses.

Design

Single-center, point-prevalence study conducted in 2023.

Setting

Tertiary pediatric hospital with a pediatric intensive care unit (PICU) in Japan.

Measurements and main results

An online questionnaire was developed and distributed to eligible nurses. Burnout was assessed via the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), and the online questionnaire was used to collect data on the nurses' age, overtime hours, and the number of pediatric patient deaths encountered by nurses in the previous year. In total, 132 nurses were included, with response rates of 91 % in PICU nurses and 79 % in general ward nurses. Based on the MBI-HSS results, PICU nurses had higher emotional exhaustion scores than general ward nurses (median: 29 [interquartile range: 17–40] vs. 16 [interquartile range: 14–24]). Further, the proportion of PICU nurses presenting with high burnout tendencies was greater than that of general ward nurses (54 % vs. 20 %). In the multiple regression analysis, the emotional exhaustion scores were associated with the number of pediatric deaths encountered by nurses (β = 2.4, 95 % confidence interval: 0.99–3.71, p = 0.001).

Conclusions

The number of pediatric patient deaths encountered by nurses within the past year has an impact on emotional exhaustion.

目的：护士职业倦怠是影响护士离职的重要因素。虽然已经确定了许多风险因素，但儿科患者死亡对护士职业倦怠的影响仍不清楚。本研究旨在探讨儿科病人死亡人数对护士职业倦怠评分的影响。设计：2023年开展单中心、点患病率研究。环境：日本三级儿科医院，设有儿科重症监护病房（PICU）。测量和主要结果：开发了一份在线问卷，并向符合条件的护士分发。通过Maslach职业倦怠量表-人力服务调查（MBI-HSS）对护士的职业倦怠进行评估，并使用在线问卷收集护士前一年的年龄、加班时间和儿科患者死亡人数等数据。共纳入132名护士，PICU护士的有效率为91%，普通病房护士的有效率为79%。根据MBI-HSS结果，PICU护士的情绪衰竭得分高于普通病房护士（中位数：29[四分位数范围：17-40]对16[四分位数范围：14-24]）。重症监护病房护士出现高倦怠倾向的比例高于普通病房护士（54%比20%）。在多元回归分析中，情绪衰竭得分与护士遇到的儿科死亡人数相关（β = 2.4, 95%置信区间：0.99-3.71,p = 0.001）。结论：护士在过去一年中遇到的儿科患者死亡人数对情绪衰竭有影响。

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引用次数: 0

Touching without hurting: The relationship between pediatric nurses' liking of children and their attitudes toward atraumatic care 触摸而不伤害：儿科护士对儿童的喜爱程度与无创性护理态度的关系。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-23 DOI: 10.1016/j.pedn.2025.12.009

Zeynep Aközlü , Eylül Emre Durmuş , Zeynep Erkut

Aim

This study examined the relationship between pediatric nurses' liking of children and their attitudes toward atraumatic care.

Methods

A descriptive, cross-sectional, and correlational design was used with 245 pediatric nurses in Türkiye. Data were collected online between January and March 2025 using the Information Form, Barnett Liking of Children Scale (BLOCS) and Pediatric Atraumatic Care Attitude Scale (PACAS). The sample size was justified by a power analysis (80 % power). Data analysis included Spearman's correlation, linear regression, and non-parametric tests with effect size calculations.

Results

The mean total BLOCS score of participants was 82.20 ± 15.90, and the mean total PACAS score was 129.83 ± 22.44. A statistically significant positive correlation was found between liking children and atraumatic care attitudes (r = 0.421, p < .001), explaining 17.7 % of the variance (R² = 0.177). Nurses with a master's/doctorate degree and those working in pediatric units by their own preference had significantly higher attitude scores (p < .001) compared to others.

Conclusion

Pediatric nurses showed generally high levels of liking children and positive attitudes toward atraumatic care. Completing specialization in pediatric nursing and working voluntarily in pediatric clinics positively affected nurses' atraumatic care attitudes and practices.

Practice implications

Selecting nurses for pediatric clinics who have completed specialization in the field and are willing to work in these units may enhance positive attitudes toward atraumatic care. This approach can strengthen child-centered and sensitive nursing practices, supporting the effective implementation of atraumatic care principles.

目的：探讨儿科护士对儿童的喜爱程度与无创性护理态度的关系。方法：采用描述性、横断面和相关设计对基耶省245名儿科护士进行研究。数据于2025年1月至3月间通过信息表、Barnett儿童喜好量表（BLOCS）和儿科非创伤性护理态度量表（PACAS）在线收集。通过功率分析（80%功率）证明了样本量的合理性。数据分析包括Spearman相关、线性回归和非参数检验及效应量计算。结果：受试者的BLOCS总分平均为82.20±15.90分，PACAS总分平均为129.83±22.44分。喜欢孩子与无创性护理态度之间存在显著正相关（r = 0.421, p = 0.177）。结论：儿科护士对儿童的喜爱程度普遍较高，对无创性护理的态度也较为积极。完成儿科护理专业和自愿在儿科诊所工作对护士的无创性护理态度和做法有积极影响。实践启示：为儿科诊所选择在该领域完成专业化并愿意在这些单位工作的护士可能会增强对无创性护理的积极态度。这种方法可以加强以儿童为中心和敏感的护理实践，支持有效实施无创伤护理原则。

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引用次数: 0

Explaining the concepts of family vigilance theory in the context of anticipatory grief in mothers of children with life-threatening illnesse: A directed qualitative content analysis 解释家庭警觉性理论的概念，在预期悲伤的背景下，儿童的威胁生命的疾病：一个直接定性的内容分析。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-22 DOI: 10.1016/j.pedn.2025.11.049

Kazem Najafi , Azam Shirinabadi Farahani , Maryam Rassouli , Hamid Alavi Majd , Motahareh Faramarzpour , Massoumeh Ghasemi

Background

Mothers of chronically ill children encounter distinct challenges throughout their child's illness journey.

Purpose

To identify predictive behaviors of anticipatory grief based on participants' perceptions within the cultural context of Iranian society.

Design & method

This qualitative study, part of a larger sequential exploratory project, used a directed content analysis based on Family Vigilance Theory (FVT) to conduct semi-structured interviews with 19 mothers of children with life-threatening illnesses in Shiraz and Tehran, Iran from August to September 2021. Data collection continued until saturation was reached. Data analysis, conducted using MAXQDA, followed the process outlined by Elo and Kyngas: preparation, organizing, and reporting.

Results

The thematic analysis revealed five main categories related to the pre-determined components: emotional upheaval, commitment to care, resilience, dynamic nexus, and transition.

Conclusion

The Family Vigilance Theory explores the meaning, patterns, and daily rhythms of parental caring behaviors for sick children. It provides a valuable framework for understanding the complexities of caregiving. Given the multifaceted nature of anticipatory grief—shaped by cultural habits and beliefs—the Family Vigilance Theory serves as a comprehensive lens for understanding, explaining, interpreting, and potentially predicting this phenomenon.

背景：患有慢性病的儿童的母亲在孩子的患病过程中会遇到不同的挑战。目的：在伊朗社会的文化背景下，根据参与者的认知来确定预期悲伤的预测行为。设计与方法：本定性研究是一个较大的顺序探索性项目的一部分，采用基于家庭警戒理论（FVT）的直接内容分析，于2021年8月至9月对伊朗设拉子和德黑兰19名患有危及生命疾病儿童的母亲进行了半结构化访谈。继续收集数据，直到达到饱和。使用MAXQDA进行数据分析，遵循Elo和Kyngas概述的过程：准备，组织和报告。结果：主题分析揭示了与预定成分相关的五个主要类别：情绪剧变、护理承诺、弹性、动态联系和过渡。结论：家庭警惕性理论探讨了病童父母关爱行为的意义、模式和日常节奏。它为理解护理的复杂性提供了一个有价值的框架。考虑到由文化习惯和信仰塑造的预期悲伤的多面性，家庭警惕理论可以作为理解、解释、解释和潜在预测这种现象的综合视角。

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引用次数: 0

Understanding vulnerability and diabetes management in families of children with type 1-diabetes - A qualitative study 了解1型糖尿病儿童家庭的易感性和糖尿病管理-一项定性研究。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-22 DOI: 10.1016/j.pedn.2025.12.017

Marie Nedergaard Jeppesen RN, MHH, MSc, PhD-Stud , Jane Clemensen RN, MScN, PhD, Prof. , Malene Søborg Heidemann MD, PhD , Birgitte Hertz MD , Bodil Rasmussen RN, PhD, Prof. , Mette Juel Rothmann RN, PhD, Prof.

Aim & purpose

This study aimed to explore how vulnerability among children with Type 1 Diabetes (T1D) and their families influences diabetes management. Vulnerability was defined broadly, encompassing mental or physical illness, dysfunctional family dynamics, substance abuse, and socio-economic hardship. The research explored how these factors shaped the lived experiences of families managing T1D.

Methods & results

An explorative, qualitative study with eight families followed over 1.5 years through 40 h of field observations and 29 interviews. A phenomenological-hermeneutical analysis grounded in Ricoeur's theory of narrative and interpretation revealed three overarching themes: ‘Like facing a massive wall’, ‘There is not enough room for diabetes’, and ‘Give me the skills so I can become independent’. These themes reflect challenges at the systemic, family, and individual levels. Families encountered significant barriers to accessing support, often feeling overwhelmed and resigned. Diabetes care was frequently not prioritised due to competing life challenges, with children sometimes assuming caregiving roles. Children expressed a strong desire for autonomy in managing their condition, while parents sought better knowledge to support them.

Conclusions

Vulnerability significantly impairs effective diabetes management in children with T1D. The findings highlight the need for healthcare professionals to recognise systemic and familial barriers and to tailor interventions accordingly. Collaborative care approaches, realistic goal-setting, and age-appropriate skill-building programs are essential.

Implications for practice

The study highlights the need for development of inclusive and responsive diabetes care strategies, focusing on the identification of systemic and familial barriers.

目的与目的：本研究旨在探讨1型糖尿病儿童（T1D）及其家庭的易感性对糖尿病管理的影响。脆弱性的定义很宽泛，包括精神或身体疾病、不正常的家庭动态、药物滥用和社会经济困难。该研究探讨了这些因素如何影响管理T1D的家庭的生活经历。方法与结果：通过40小时的实地观察和29次访谈，对8个家庭进行了为期1.5年的探索性定性研究。以利科的叙事和阐释理论为基础的现象学-解释学分析揭示了三个主要主题：“就像面对一堵巨大的墙”，“没有足够的空间容纳糖尿病”，以及“给我技能，这样我就能独立”。这些主题反映了系统、家庭和个人层面的挑战。家庭在获得支持方面遇到了重大障碍，常常感到不知所措，听天由命。由于生活挑战的竞争，糖尿病护理经常不被优先考虑，儿童有时承担照顾的角色。孩子们表达了对自主管理自己病情的强烈愿望，而父母则寻求更好的知识来支持他们。结论：易感性显著影响T1D儿童糖尿病的有效管理。研究结果强调，卫生保健专业人员需要认识到系统性和家族性障碍，并相应地调整干预措施。协作护理方法、现实的目标设定和适合年龄的技能培养计划是必不可少的。实践意义：该研究强调了制定包容性和响应性糖尿病护理策略的必要性，重点是识别系统性和家族性障碍。

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引用次数: 0

The application of virtual and augmented reality in hospitalized pediatric nursing interventions: An integrative literature review 虚拟和增强现实在住院儿科护理干预中的应用：综合文献综述

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2025-12-19 DOI: 10.1016/j.pedn.2025.12.015

Yujeong Kim , Mingi Chang , Eunhee Nam

Purpose

This integrative review synthesized evidence on nursing interventions using virtual reality (VR) and augmented reality (AR) for hospitalized children, focusing on intervention strategies and components to guide standardized technology-based nursing programs.

Methods

Following Whittemore and Knafl's framework, a comprehensive search was conducted in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), ProQuest, simulation-related journals, and domestic databases including Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS), and Database Periodical Information Academic (DBpia). Thirteen studies met inclusion criteria: ten randomized controlled trials, two case reports, and one quasi-experimental study. Study quality was appraised using Joanna Briggs Institute (JBI) tools, and data were analyzed by general characteristics, intervention strategies, and components.

Results

Most studies were published after 2020. Participants were mainly children aged 4–12 years. VR interventions predominated (84.6 %), while AR appeared in two studies. Single-session applications (76.9 %) under 10 min were common during injections, dressing changes, or surgery preparation. Longer AR storybooks supported psychological and educational needs. Outcomes included reductions in pain (46.2 %), anxiety (53.8 %), and fear, with interactive content showing stronger effects than passive viewing.

Conclusion

VR and AR are effective non-pharmacological tools to reduce distress in hospitalized children. VR is useful for procedural support, while AR shows potential for extended psychosocial care. Evidence gaps remain regarding chronic conditions, optimal dosage, and child-appropriate devices.

Implications

By matching intervention type, duration, and interactivity to clinical goals and developmental stage, VR and AR can be applied as child-centered nursing strategies to enhance the hospital experience.

目的本综述综合了基于虚拟现实（VR）和增强现实（AR）的住院儿童护理干预证据，重点探讨了干预策略和组成部分，以指导标准化的基于技术的护理方案。方法按照Whittemore和Knafl的框架，综合检索PubMed、chinese journal Index to Nursing and Allied Health Literature （CINAHL）、ProQuest、仿真相关期刊以及研究信息共享服务（RISS）、韩国学信息服务系统（KISS）、数据库期刊信息学术（DBpia）等国内数据库。13项研究符合纳入标准：10项随机对照试验，2项病例报告和1项准实验研究。采用乔安娜布里格斯研究所（Joanna Briggs Institute， JBI）的工具对研究质量进行评价，并对数据进行一般特征、干预策略和成分分析。结果大多数研究发表于2020年以后。参与者主要是4-12岁的儿童。VR干预占主导地位（84.6%），而AR在两项研究中出现。在注射、换药或手术准备期间，10分钟内的单次应用（76.9%）很常见。较长的AR故事书支持心理和教育需求。结果包括疼痛（46.2%）、焦虑（53.8%）和恐惧的减少，互动内容显示出比被动观看更强的效果。结论vr和AR是减轻住院患儿痛苦的有效非药物手段。虚拟现实可用于程序支持，而增强现实显示了扩展心理社会护理的潜力。在慢性病、最佳剂量和适合儿童的器械方面，证据差距仍然存在。通过将干预的类型、持续时间和互动性与临床目标和发育阶段相匹配，VR和AR可以作为以儿童为中心的护理策略来提高医院体验。

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