Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献_第8页

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

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

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

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

引用次数: 0

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

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

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

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

Aim

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

Methods

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

Results

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

Conclusion

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

Implications of practice

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

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

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引用次数: 0

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

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

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

Becky J. Christian PhD, RN, FNAP, FAAN

引用次数: 0

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