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The use and prevention of procedural restraint in children – A scoping review 儿童程序性约束的使用和预防--范围界定审查。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.006
Marthe Karolina Østberg , Peter Forde Hougaard , Nina Margrethe Kynø , Edel Jannecke Svendsen
Problem: In healthcare facilities, restraint may be used on children to perform treatments or procedures. Restraint can be harmful, and little is known about how to prevent the use of restraint during medical procedures. A scoping review was conducted to find and map knowledge about (1) the use and prevention of restraint and (2) approaches, such as interventions and guidelines, available to prevent the use of restraint. Eligibility criteria: This review was conducted following Arksey and O’Malley's framework, the JBI framework for scoping reviews, and the PRISMA-ScR (Protocol registration number GN5R3). Medline, EMBASE, PsycINFO, Epistemonikos, CINAHL, Cochrane Library were searched sept 2023. The search encompassed texts about children 1–18 years of age undergoing procedures conducted in non-psychiatric health care facilities. Sample: The sample size was 2943 texts, and 288 texts met the inclusion criteria, of which 188 were considered research. Results: Non-research texts consisted of reviews, demonstrations, opinions, and guidelines. The research lacked definitions of restraint though they described observations and attitudes toward restraint. Eight studies reported children's experiences. No evidence of how to prevent restraint was found, only reduction. Eleven guidelines were identified. Conclusions: Few approaches have addressed how to reduce and prevent the use of restraints. Lack of a clear and united understanding and definition of restraint hinders the development of effective trials and guidelines. Implications: Going forward, it is important to develop and explore approaches that build upon existing knowledge concerning restraint and positive procedural practice, including healthcare personnels competence, attitudes, and resources.
问题:在医疗机构中,可能会对儿童使用束缚手段来进行治疗或手术。束缚可能有害,而人们对如何防止在医疗过程中使用束缚知之甚少。我们进行了一次范围界定综述,以查找和绘制有关以下方面的知识:(1) 强制手段的使用和预防;(2) 可用来预防使用强制手段的方法,如干预措施和指南:本综述遵循 Arksey 和 O'Malley 的框架、JBI 的范围界定综述框架以及 PRISMA-ScR(协议注册号 GN5R3)。对 Medline、EMBASE、PsycINFO、Epistemonikos、CINAHL 和 Cochrane 图书馆进行了检索。搜索范围包括 1-18 岁儿童在非精神科医疗机构接受手术的相关文献:样本量为 2943 篇,288 篇符合纳入标准,其中 188 篇被视为研究性文章:非研究性文本包括评论、演示、意见和指南。这些研究虽然描述了对束缚的观察和态度,但缺乏对束缚的定义。八项研究报告了儿童的经历。没有发现如何防止限制的证据,只有减少限制的证据。共找到 11 项指导原则:很少有方法涉及如何减少和防止使用束缚。缺乏对束缚的清晰统一的理解和定义阻碍了有效试验和指导方针的制定:展望未来,重要的是要开发和探索建立在现有约束知识和积极程序实践基础上的方法,包括医护人员的能力、态度和资源。
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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 Pub Date : 2024-11-01 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
Translational research – Pain management in premature infants and children and self-management of chronic conditions by adolescents 转化研究-早产儿和儿童的疼痛管理和青少年慢性病的自我管理
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.11.004
Becky J. Christian PhD, RN, FNAP, FAAN
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引用次数: 0
Addressing antimicrobial resistance: The potential role of parental health literacy and intensive parenting attitudes in antibiotic use 应对抗生素耐药性:父母的健康素养和强化养育态度在抗生素使用中的潜在作用。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.08.025
Néstor Montoro-Pérez , Enrique Castro-Sánchez , Silvia Escribano , Miguel Richart-Martínez , Raimunda Montejano-Lozoya
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引用次数: 0
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 Pub Date : 2024-11-01 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
Effectiveness of specialist nurse-led WeChat mini program management for disease control in asthma: A randomized controlled study 专科护士主导的微信小程序管理对哮喘疾病控制的效果:随机对照研究。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.004
Ji-Mei Wu, Tu-Hong Yang, Xia Qin, Dan Liu, Yan He

Background

Asthma is a common chronic respiratory disease in childhood, requiring effective management strategies.

Purpose

This study aims to evaluate the effectiveness of a nurse-led WeChat Mini Program in managing asthma among children aged 6 to 11 years.

Methods

This randomized controlled trial adhered to the CONSORT checklist and was conducted at a tertiary hospital in China from January 2023 to August 2023. One hundred and eight children with asthma were randomly assigned to two groups, and 81 children completed the 6-month follow-up. All participants received asthma management from specialist nurses, including routine treatments such as inhaled corticosteroids. The experimental group also utilized the WeChat Mini Program for asthma management. Both groups underwent follow-up assessments at 3 and 6 months post-enrollment, which included the Childhood Asthma Control Test (C-ACT), asthma control levels, frequency of exacerbations, and lung function.

Results

At 3 and 6 months, the experimental group showed significantly higher C-ACT scores and a lower exacerbation frequency compared to the control group (p < 0.05). While Peak Expiratory Flow improved, Forced Expiratory Volume in 1 Second Percentage Predicted (FEV1%) and FEV1/FVC did not change significantly.

Conclusions

The WeChat Mini Program significantly improved asthma control and reduced exacerbations but did not substantially enhance all lung function parameters. Further research is required to confirm its long-term effects.

Application to practice

Incorporating a specialist nurse-led digital management tool, such as the WeChat Mini Program, into standard pediatric asthma care may offer an effective management strategy.
背景:哮喘是儿童时期常见的慢性呼吸道疾病,需要有效的管理策略:目的:本研究旨在评估以护士为主导的微信小程序在管理6至11岁儿童哮喘方面的有效性:本随机对照试验遵循 CONSORT 检查表,于 2023 年 1 月至 2023 年 8 月在中国一家三甲医院进行。108 名哮喘儿童被随机分配到两组,其中 81 名儿童完成了 6 个月的随访。所有参与者都接受了专科护士的哮喘管理,包括吸入皮质类固醇等常规治疗。实验组还使用微信小程序进行哮喘管理。实验组和实验组均在入组后 3 个月和 6 个月进行了随访评估,评估内容包括儿童哮喘控制测试(C-ACT)、哮喘控制水平、哮喘加重频率和肺功能:结果:与对照组相比,实验组在 3 个月和 6 个月后的 C-ACT 分数明显提高,恶化频率明显降低(p 结论:微信小程序显著改善了实验组的哮喘控制水平:微信小程序明显改善了哮喘控制并减少了病情恶化,但并未大幅提高所有肺功能指标。需要进一步研究以确认其长期效果:实践应用:将专科护士主导的数字化管理工具(如微信小程序)纳入标准的儿科哮喘护理中,可能会提供一种有效的管理策略。
{"title":"Effectiveness of specialist nurse-led WeChat mini program management for disease control in asthma: A randomized controlled study","authors":"Ji-Mei Wu,&nbsp;Tu-Hong Yang,&nbsp;Xia Qin,&nbsp;Dan Liu,&nbsp;Yan He","doi":"10.1016/j.pedn.2024.10.004","DOIUrl":"10.1016/j.pedn.2024.10.004","url":null,"abstract":"<div><h3>Background</h3><div>Asthma is a common chronic respiratory disease in childhood, requiring effective management strategies.</div></div><div><h3>Purpose</h3><div>This study aims to evaluate the effectiveness of a nurse-led WeChat Mini Program in managing asthma among children aged 6 to 11 years.</div></div><div><h3>Methods</h3><div>This randomized controlled trial adhered to the CONSORT checklist and was conducted at a tertiary hospital in China from January 2023 to August 2023. One hundred and eight children with asthma were randomly assigned to two groups, and 81 children completed the 6-month follow-up. All participants received asthma management from specialist nurses, including routine treatments such as inhaled corticosteroids. The experimental group also utilized the WeChat Mini Program for asthma management. Both groups underwent follow-up assessments at 3 and 6 months post-enrollment, which included the Childhood Asthma Control Test (C-ACT), asthma control levels, frequency of exacerbations, and lung function.</div></div><div><h3>Results</h3><div>At 3 and 6 months, the experimental group showed significantly higher C-ACT scores and a lower exacerbation frequency compared to the control group (<em>p</em> &lt; 0.05). While Peak Expiratory Flow improved, Forced Expiratory Volume in 1 Second Percentage Predicted (FEV1%) and FEV1/FVC did not change significantly.</div></div><div><h3>Conclusions</h3><div>The WeChat Mini Program significantly improved asthma control and reduced exacerbations but did not substantially enhance all lung function parameters. Further research is required to confirm its long-term effects.</div></div><div><h3>Application to practice</h3><div>Incorporating a specialist nurse-led digital management tool, such as the WeChat Mini Program, into standard pediatric asthma care may offer an effective management strategy.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages e93-e99"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478484","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
Sociodemographic factors and their association with HIV risk behaviors among Indonesian females aged 15–24 years: A nationwide study 印度尼西亚 15-24 岁女性的社会人口因素及其与 HIV 风险行为的关系:一项全国性研究。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.017
Aria Aulia Nastiti , Mira Triharini , Retnayu Pradanie , Nursalam Nursalam , Nuzul Qur'aniati , Alison Hutton , Zain Budi Syulthoni , Hidayat Arifin

Purpose

This study aimed to evaluate the determinants of human immunodeficiency virus (HIV) risk behaviors among Indonesian females aged 15–24 years from 2012 to 2017.

Design and methods

Secondary data from the Indonesian Demographic and Health Survey conducted in 2012 and 2017 were analyzed and explored. A total of 23,210 respondents were included in the analysis, which focused on female individuals aged 15–24 years. Binary logistic regression was used to analyze the data.

Results

Out of 23,210 females aged 15–24 years, HIV risk behaviors increased from 80.2 % in 2012 to 86.2 % in 2017. In 2012, HIV risk behaviors were associated with age (AOR: 1.38; 95 % CI: 1.27–1.51), education (AOR: 0.67; 95 % CI: 0.60–0.75), wealth quintiles (AOR: 1.21; 95 % CI: 1.05–1.39), employment (AOR: 1.10; 95 % CI: 1.01–1.20), sexual activity (AOR: 1.63; 95 % CI: 1.13–2.31), residence (AOR: 1.63; 95 % CI: 1.13–2.31), and visiting health facilities (AOR: 1.16; 95 % CI: 1.07–1.27). In 2017, HIV risk behaviors were associated with age (AOR: 1.24; 95 % CI: 1.13–1.37), education (AOR: 0.65; 95 % CI: 0.53–0.81), wealth quintiles (AOR: 1.30; 95 % CI: 1.14–1.48), employment (AOR: 1.11; 95 % CI: 1.02–1.19), and sexual activity (AOR: 1.17; 95 % CI: 1.30–2.44).

Conclusion

The findings emphasize the intricate sociodemographic and related factors influencing HIV risk among Indonesian females aged 15–24 years and highlight the need for multifaceted interventions that consider these demographics in addressing HIV risk behaviors in this age group and population.

Practice implications

Targeted interventions addressing specific sociodemographic and related factors are crucial for reducing HIV risk behaviors among Indonesian females aged 15–24. These interventions should be integrated into national health strategies, with a focus on improving healthcare access and providing comprehensive sexual education.
目的:本研究旨在评估2012年至2017年印度尼西亚15-24岁女性的人类免疫缺陷病毒(HIV)风险行为的决定因素:对 2012 年和 2017 年进行的印度尼西亚人口与健康调查的二手数据进行了分析和探讨。共有 23210 名受访者参与了分析,主要针对 15-24 岁的女性。数据分析采用二元逻辑回归法:在 23210 名 15-24 岁女性中,艾滋病风险行为从 2012 年的 80.2% 上升到 2017 年的 86.2%。2012 年,HIV 风险行为与年龄(AOR:1.38;95 % CI:1.27-1.51)、教育程度(AOR:0.67;95 % CI:0.60-0.75)、财富五分位数(AOR:1.21;95 % CI:1.05-1.39)、就业(AOR:1.10;95 % CI:1.01-1.20)、性活动(AOR:1.63;95 % CI:1.13-2.31)、居住地(AOR:1.63;95 % CI:1.13-2.31)和访问医疗机构(AOR:1.16;95 % CI:1.07-1.27)。2017 年,艾滋病风险行为与年龄(AOR:1.24;95 % CI:1.13-1.37)、教育程度(AOR:0.65;95 % CI:0.53-0.81)、财富五分位数(AOR:1.30;95 % CI:1.14-1.48)、就业(AOR:1.11;95 % CI:1.02-1.19)和性行为(AOR:1.17;95 % CI:1.30-2.44)相关:研究结果强调了影响 15-24 岁印尼女性艾滋病风险的错综复杂的社会人口因素和相关因素,并强调在解决该年龄组和人群的艾滋病风险行为时,需要考虑到这些人口因素,采取多方面的干预措施:针对特定社会人口和相关因素采取有针对性的干预措施,对于减少 15-24 岁印尼女性的 HIV 风险行为至关重要。这些干预措施应纳入国家卫生战略,重点是改善医疗保健的可及性和提供全面的性教育。
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引用次数: 0
Perceptions of pediatric emergency nurses and parents presenting to the emergency department regarding violence: A qualitative study 儿科急诊护士和家长对暴力的看法:定性研究。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.018
Meltem Kürtüncü , Aylin Kurt , Sümeyye Özdemir , Betül Akkoç , Emine Uzuntarla Güney

Aim

We aimed to examine in-depth the violence which pediatric emergency service nurses and parents of the children perceive towards them.

Methods

The study was conducted as phenomenological research and 15 pediatric nurses, and 15 parents were included in the pediatric emergency department. The data were analyzed using the thematic analysis method.

Results

The main themes of (1) Reasons for violence (2) Consequences of violence (3) Prevention of violence were created. The nursing staff indicated that violence was primarily attributable to patients and their relatives, as well as deficiencies in institutional and legal security measures. In contrast, the parents identified the nurses as the primary source of violence. Both groups underscored the significance of effective communication and empathy in the prevention of violence.

Conclusion

To prevent violence, healthcare professionals should receive training in interpersonal empathy, effective communication, and the recognition, management, and declaration of violence.

Implications to practice

Regarding the services and processes provided to patients, it is essential to ensure that they are adequately informed about the procedures using orientation marks/signs, information boards, and effective communication, to prevent any potential feelings of chaos, fear, and stress.
目的:我们旨在深入研究儿科急诊室护士和患儿家长眼中的暴力:研究以现象学研究的方式进行,包括儿科急诊室的 15 名儿科护士和 15 名家长。研究采用主题分析法对数据进行分析:结果:形成了(1)暴力的原因(2)暴力的后果(3)暴力的预防等主题。护理人员指出,暴力行为主要归咎于病人及其亲属,以及机构和法律安全措施的缺陷。相比之下,家长则认为护士是暴力的主要来源。两个群体都强调了有效沟通和换位思考在预防暴力方面的重要性:结论:为预防暴力,医护人员应接受人际共情、有效沟通以及识别、管理和宣布暴力方面的培训:关于为患者提供的服务和流程,必须确保患者通过导向标识/标志、信息板和有效沟通充分了解相关程序,以防止出现任何潜在的混乱、恐惧和压力感。
{"title":"Perceptions of pediatric emergency nurses and parents presenting to the emergency department regarding violence: A qualitative study","authors":"Meltem Kürtüncü ,&nbsp;Aylin Kurt ,&nbsp;Sümeyye Özdemir ,&nbsp;Betül Akkoç ,&nbsp;Emine Uzuntarla Güney","doi":"10.1016/j.pedn.2024.10.018","DOIUrl":"10.1016/j.pedn.2024.10.018","url":null,"abstract":"<div><h3>Aim</h3><div>We aimed to examine in-depth the violence which pediatric emergency service nurses and parents of the children perceive towards them.</div></div><div><h3>Methods</h3><div>The study was conducted as phenomenological research and 15 pediatric nurses, and 15 parents were included in the pediatric emergency department. The data were analyzed using the thematic analysis method.</div></div><div><h3>Results</h3><div>The main themes of (1) Reasons for violence (2) Consequences of violence (3) Prevention of violence were created. The nursing staff indicated that violence was primarily attributable to patients and their relatives, as well as deficiencies in institutional and legal security measures. In contrast, the parents identified the nurses as the primary source of violence. Both groups underscored the significance of effective communication and empathy in the prevention of violence.</div></div><div><h3>Conclusion</h3><div>To prevent violence, healthcare professionals should receive training in interpersonal empathy, effective communication, and the recognition, management, and declaration of violence.</div></div><div><h3>Implications to practice</h3><div>Regarding the services and processes provided to patients, it is essential to ensure that they are adequately informed about the procedures using orientation marks/signs, information boards, and effective communication, to prevent any potential feelings of chaos, fear, and stress.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages e177-e185"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569987","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
Transition from the neonatal unit to home: Parents' educational needs to promote their psychological well-being and sleep quality 从新生儿病房到家庭的过渡:提高父母心理健康和睡眠质量的教育需求。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.07.024
Valérie Lebel RN. Ph.D , Marilyn Aita RN. Ph.D , Isabelle Landry R.N, PhD , Marie-Josée Martel RN, Ph.D , Paméla Hamel-Hilaréguy RN, B.Sc

Purpose

Parents may experience altered psychological well-being and sleep following the discharge of their preterm infant. They also perceive a lack of information from healthcare professionals. This study aims to describe the educational needs of parents regarding their psychological well-being and their sleep quality following their infant's discharge from the neonatal unit.

Design and methods

This descriptive quantitative study uses an online survey to assess parental information needs. Multiple parents (n = 87) completed the survey. Descriptive statistics were conducted to report the results of the survey.

Results

According to parents, the most helpful information given by health professionals to reduce the stress felt during this period concerned the follow-up of the infant after hospitalization and access to a health professional in case of questions (n = 12; 31.6%). Few parents (n = 17; 19.5%) reported seeing a health professional about their sleep in the past six months. According to 54.8% of parents, none of the information received by health professionals when preparing for their infant's transition home helped improve their sleep quality.

Conclusion

After discharge, parents have several information needs that may impact their psychological well-being and the quality of their sleep.

Practice implications

Healthcare professionals must address these informational needs before and after discharge from the neonatal unit to enhance the experience of parents during the transition of their preterm infant in the family environment.
目的:早产儿出院后,父母的心理状态和睡眠可能会发生改变。他们还认为缺乏来自医护人员的信息。本研究旨在描述早产儿出院后,父母在心理健康和睡眠质量方面的教育需求:这项描述性定量研究通过在线调查来评估家长的信息需求。多名家长(n = 87)完成了调查。研究采用描述性统计方法报告调查结果:家长们认为,医护人员提供的对减轻这一时期的压力最有帮助的信息涉及婴儿住院后的随访和有问题时向医护人员求助(n = 12;31.6%)。很少有家长(17 人,占 19.5%)表示在过去六个月中曾就睡眠问题咨询过专业医护人员。54.8%的家长表示,在为婴儿回家做准备时,医疗专业人员提供的信息都无助于改善他们的睡眠质量:结论:出院后,父母有几种信息需求,这些需求可能会影响他们的心理健康和睡眠质量:实践意义:医护人员必须在新生儿病房出院前后满足这些信息需求,以改善早产儿父母在家庭环境中的过渡体验。
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引用次数: 0
Anxiety and depression in children with siblings who have special health care needs: A systematic review 有兄弟姐妹有特殊健康护理需求的儿童的焦虑和抑郁:系统综述。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.09.016
Kimberly Egan Gonzalez , Elif Isik

Problem

Anxiety and depression are the most common mental health disorders in children and adolescents. Siblings with special healthcare needs can significantly impact the psychosocial development of other children in the family. This review will examine anxiety and depression in children aged eight to 18 who have a sibling with a special healthcare need.

Eligibility criteria

From 2013 to 2023, three databases (PubMed, CINAHL, and PsychArticles) were systematically searched for peer-reviewed studies in English on anxiety and depression in children aged eight to 18 with a sibling with a special healthcare need.

Results

Eight studies met the inclusion criteria, revealing a higher prevalence of anxiety and depression in this population, with five emerging themes: the child's and parent's psychological factors, quality of relationships, parental awareness, demographics, and disease type, and perceived quality of life and support.

Conclusions

Nurses have a crucial role in assessing anxiety and depression signs in children with siblings requiring special healthcare and initiating necessary interventions.

Implications

More research on anxiety and depression is needed for this age group. Providing developmentally targeted interventions to prevent increased symptoms and promote healthy development in children would be beneficial.
问题:焦虑和抑郁是儿童和青少年最常见的心理健康疾病。有特殊医疗需求的兄弟姐妹会对家庭中其他儿童的社会心理发展产生重大影响。本综述将研究有特殊医疗需求的兄弟姐妹的 8 至 18 岁儿童的焦虑和抑郁情况:从 2013 年到 2023 年,我们在三个数据库(PubMed、CINAHL 和 PsychArticles)中系统检索了经同行评审的关于有兄弟姐妹有特殊医疗需求的 8 至 18 岁儿童焦虑和抑郁问题的英文研究:结果:八项研究符合纳入标准,揭示了这一人群中焦虑和抑郁的发病率较高,并出现了五个新的主题:儿童和父母的心理因素、人际关系的质量、父母的意识、人口统计学和疾病类型,以及感知到的生活质量和支持:结论:护士在评估需要特殊医疗保健的兄弟姐妹患儿的焦虑和抑郁症状并启动必要的干预措施方面发挥着至关重要的作用:我们需要针对这一年龄段的儿童开展更多有关焦虑和抑郁的研究。提供针对发展的干预措施,以防止症状加重并促进儿童的健康发展,这将是有益的。
{"title":"Anxiety and depression in children with siblings who have special health care needs: A systematic review","authors":"Kimberly Egan Gonzalez ,&nbsp;Elif Isik","doi":"10.1016/j.pedn.2024.09.016","DOIUrl":"10.1016/j.pedn.2024.09.016","url":null,"abstract":"<div><h3>Problem</h3><div>Anxiety and depression are the most common mental health disorders in children and adolescents. Siblings with special healthcare needs can significantly impact the psychosocial development of other children in the family. This review will examine anxiety and depression in children aged eight to 18 who have a sibling with a special healthcare need.</div></div><div><h3>Eligibility criteria</h3><div>From 2013 to 2023, three databases (PubMed, CINAHL, and PsychArticles) were systematically searched for peer-reviewed studies in English on anxiety and depression in children aged eight to 18 with a sibling with a special healthcare need.</div></div><div><h3>Results</h3><div>Eight studies met the inclusion criteria, revealing a higher prevalence of anxiety and depression in this population, with five emerging themes: the child's and parent's psychological factors, quality of relationships, parental awareness, demographics, and disease type, and perceived quality of life and support.</div></div><div><h3>Conclusions</h3><div>Nurses have a crucial role in assessing anxiety and depression signs in children with siblings requiring special healthcare and initiating necessary interventions.</div></div><div><h3>Implications</h3><div>More research on anxiety and depression is needed for this age group. Providing developmentally targeted interventions to prevent increased symptoms and promote healthy development in children would be beneficial.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages e38-e44"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394473","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}
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Journal of Pediatric Nursing-Nursing Care of Children & Families
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