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The effect of peer education on high school students' knowledge levels regarding Human Papillomavirus (HPV) infection and vaccination 同伴教育对高中生人乳头瘤病毒 (HPV) 感染和疫苗接种知识水平的影响。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.027
Elif Erbay , Sultan Kayan , Asiye Kartal

Purpose

This study aimed to explore the impact of the peer education model on adolescents' knowledge levels regarding Human Papillomavirus (HPV) infection and HPV vaccination.

Design and methods

The study was conducted quasi-experimentally in a pretest-posttest single-group design. The study sample consisted of 913 students enrolled in 9th, 10th, and 11th grades. The data of the study were collected between April and May 2023. Data were collected using the Demographic Information Form and the Human Papillomavirus Knowledge Scale (HPV-KS).

Results

It was determined that 8.8 % of the students had previously received information about HPV, of which 50 % had received this information through the media, and only 0.3 % of them had received the HPV vaccine. Before peer education, the mean HPV-KS score among students was 1.14 ± 3.54, while after peer education, the mean score increased to 23.78 ± 8.32, and this difference was found to be statistically significant (p < 0.005). Thus, it has been observed that the peer education model effectively enhances the knowledge level regarding HPV and the HPV vaccine among high school students.

Conclusions

The use of this model will help young people take healthy steps regarding risky sexual health. Moreover, it is recommended that nurses utilize the peer education model to promote healthy lifestyle behaviors and enhance knowledge on various health-related topics among adolescents, who constitute a significant at-risk group.

Practice implications

It is recommended that nurses utilize the peer education model to promote healthy lifestyle behaviors and enhance knowledge on various health-related topics among adolescents, who constitute a significant at-risk group.
目的:本研究旨在探讨同伴教育模式对青少年人乳头状瘤病毒(HPV)感染和HPV疫苗接种知识水平的影响:研究采用前测-后测单组设计,以准实验的方式进行。研究样本包括 913 名九年级、十年级和十一年级学生。研究数据于 2023 年 4 月至 5 月间收集。数据收集使用了人口信息表和人类乳头瘤病毒知识量表(HPV-KS):结果显示,8.8%的学生以前接受过有关人乳头瘤病毒的信息,其中50%是通过媒体获得的,只有0.3%的学生接种过人乳头瘤病毒疫苗。在同伴教育之前,学生的 HPV-KS 平均得分为 1.14 ± 3.54,而在同伴教育之后,平均得分为 23.78 ± 8.32,这一差异具有显著的统计学意义(p 结论:在同伴教育之前,学生的 HPV-KS 平均得分为 1.14 ± 3.54,而在同伴教育之后,平均得分为 23.78 ± 8.32,这一差异具有显著的统计学意义(p):该模式的使用将有助于青少年在危险性健康方面采取健康的措施。此外,建议护士利用同伴教育模式促进健康的生活方式行为,并加强青少年对各种健康相关主题的了解,因为青少年是一个重要的高危群体:建议护士利用同伴教育模式来促进青少年的健康生活方式行为,并加强他们对各种健康相关主题的了解,因为青少年是一个重要的高危群体。
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引用次数: 0
Information for Readers 读者资讯
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/S0882-5963(24)00415-9
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引用次数: 0
Enhancing medication adherence: A family-centered co-designed mHealth app for children undergoing hematopoietic stem cell transplant 提高服药依从性:以家庭为中心,为接受造血干细胞移植的儿童共同设计的移动医疗应用程序。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.009
Micah A. Skeens PhD , Mariam Kochashvili B.A , Ashley Benhayoun B.A , Jessica Ralph B.A , Rajinder Bajwa MD , Kathryn Vannatta PhD , Cynthia A. Gerhardt PhD , Emre Sezgin PhD

Background

High rates of medication non-adherence (52–73 %) in pediatric hematopoietic stem cell transplant (HCT), due to complex regimens and forgetfulness, increase life-threatening risks.

Purpose

This mixed methods study aimed to develop and evaluate the usability of the BMT4me© mobile health application to enhance adherence to immunosuppressants in children undergoing HCT.

Design and methods

A mixed methods, cross-sectional, iterative approach, with caregiver-child dyads and healthcare providers, was used to create the BMT4me© app prototype. This iterative approach involved continuously refining the app based on feedback from stakeholders at each phase. The process was user-centered, engaging patients, caregivers and healthcare providers in each stage. In phase 1, caregiver/child dyads (ages 8–17, n = 14) provided feedback on wireframes via qualitative interviews, which informed prototype development. Phase 2 involved focus groups with healthcare providers including physicians (n = 3), nurses (n = 15), and advanced practice nurses (n = 3) who evaluated the prototype's usability and provided feedback via reaction cards and the System Usability Scale (SUS). The System Usability Scale (SUS) measured usability, and thematic analysis identified key themes regarding engagement, ease of use, safety, and helpfulness. Quantitative data were analyzed using descriptive statistics, while qualitative data were thematically analyzed with NVivo software.

Results

The mean SUS score from healthcare providers was 84.2, notably higher than the average expected score of 68, indicating successful usability of the BMT4me app. Thematic analysis highlighted themes of engagement, ease of use, and safety among providers, and ease of use and helpfulness among children and caregivers. This feedback refined the app to better serve families, patients, and providers.

Practice implications

The BMT4me© app shows promise in improving medication adherence in pediatric HCT patients. Integrating such mHealth applications into clinical practice will support adherence and improve outcomes in patients with high-risk, complex regimens. This app will guide practical implications and effectiveness of digital health tools.

Conclusions

A user-centered design approach, involving multiple stakeholders, was essential in developing BMT4me app. Feedback facilitated enhancements in app features and functionality. Pilot feasibility testing with caregivers is ongoing. Future research will assess the efficacy of digital interventions on clinical outcomes in children with complex treatment regimens.
背景:目的:这项混合方法研究旨在开发和评估BMT4me©移动医疗应用程序的可用性,以提高接受造血干细胞移植的儿童对免疫抑制剂的依从性:采用混合法、横断面、迭代法与护理人员-儿童二人组和医疗服务提供者共同创建了 BMT4me© 应用程序原型。这种迭代方法包括在每个阶段根据利益相关者的反馈不断改进应用程序。这一过程以用户为中心,让患者、护理人员和医疗服务提供者参与到每个阶段。在第 1 阶段,护理人员/儿童二人组(8-17 岁,n = 14)通过定性访谈提供了对线框图的反馈意见,为原型开发提供了依据。第 2 阶段的焦点小组包括医生(3 人)、护士(15 人)和高级护士(3 人)等医疗服务提供者,他们通过反应卡和系统可用性量表 (SUS) 评估原型的可用性并提供反馈意见。系统可用性量表 (SUS) 对可用性进行了测量,主题分析确定了有关参与性、易用性、安全性和有用性的关键主题。定量数据使用描述性统计进行分析,定性数据则使用 NVivo 软件进行主题分析:结果:医疗服务提供者的平均 SUS 得分为 84.2 分,明显高于平均预期分数 68 分,这表明 BMT4me 应用程序的可用性取得了成功。主题分析突出了医疗服务提供者的参与度、易用性和安全性主题,以及儿童和护理人员的易用性和帮助性主题。这些反馈意见完善了该应用程序,使其能更好地服务于家庭、患者和医疗服务提供者:实践意义:BMT4me© 应用程序有望改善儿科 HCT 患者的用药依从性。将此类移动医疗应用融入临床实践将有助于高风险、复杂治疗方案患者坚持用药并改善治疗效果。该应用将指导数字健康工具的实际意义和有效性:在开发 BMT4me 应用程序的过程中,以用户为中心、多方参与的设计方法至关重要。反馈意见促进了应用程序特性和功能的改进。目前正在对护理人员进行试点可行性测试。未来的研究将评估数字干预措施对接受复杂治疗方案的儿童临床疗效的影响。
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引用次数: 0
Influence of caregiver-nurse communication on quality of life and clinical outcomes of children with long-term ventilator dependence 护理人员与护士之间的沟通对长期依赖呼吸机的儿童的生活质量和临床疗效的影响。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.005
Barbara K. Giambra , Kathleen Knafl , Nanhua Zhang , Yin Zhang , Stephen Haas , Rita H. Pickler , Maria T. Britto

Aim

To determine the effects of communication behaviors observed during discussion of home management of hospitalized children with long-term ventilator dependence on post-discharge quality of life and clinical outcomes.

Design

A descriptive, quantitative study of family caregiver and nurse communication.

Methods

Conversations between 100 family caregivers and 48 nurses were recorded and transcribed. Transcripts were coded for key communication behaviors: ask, listen, explain, negotiate roles, verify understanding and advocate. Quality of life measures and clinical outcomes were collected one week and one month post-discharge. Analysis included descriptive statistics and linear mixed-effects models.

Results

Each communication behavior was associated with quality of life outcomes. Family caregivers demonstrated more listening behaviors when there was poorer child quality of life (β = −1.52) and advocated more with increased child fatigue (β = 1.55). When family caregivers negotiated care roles with nurses, there was less child anxiety and mobility (β = −2.15, β = −1.54). Less child fatigue and more mobility were evidenced when nurses advocated (β = −1.49, β = 0.92). Better child quality of life was predicted by nurses asking family caregivers more questions (β = 1.03), while poorer child quality of life was evident when nurses negotiated care roles (β = −2.22). Overall, when family caregivers demonstrated a need or willingness to negotiate care roles with nurses, more respiratory infections were found post-discharge at one week (β = 1.23) and one month (β = 1.59).

Conclusion

Family caregiver and nurse communication can impact outcomes for hospitalized children with long-term ventilator dependence. Family caregivers advocate and negotiate roles to ensure support and appropriate care for themselves and their child.
目的:确定在讨论长期依赖呼吸机的住院患儿的家庭管理时观察到的沟通行为对出院后生活质量和临床结果的影响:方法:100 位家庭护理人员与护士之间的对话:对 100 名家庭护理人员和 48 名护士之间的对话进行记录和转录。根据关键的沟通行为对笔录进行编码:询问、倾听、解释、协商角色、验证理解和倡导。收集了出院后一周和一个月的生活质量测量数据和临床结果。分析包括描述性统计和线性混合效应模型:结果:每种沟通行为都与生活质量结果相关。当儿童生活质量较差时,家庭护理人员表现出更多的倾听行为(β=-1.52);当儿童疲劳程度增加时,家庭护理人员表现出更多的倡导行为(β=1.55)。当家庭护理者与护士协商护理角色时,儿童焦虑减少,活动能力增强(β = -2.15,β = -1.54)。当护士倡导时,儿童的疲劳程度较低,活动能力较强(β = -1.49, β = 0.92)。护士向家庭护理者询问更多问题时,儿童的生活质量较好(β = 1.03),而护士协商护理角色时,儿童的生活质量较差(β = -2.22)。总之,当家庭护理者表现出需要或愿意与护士协商护理角色时,出院后一周(β = 1.23)和一个月(β = 1.59)的呼吸道感染率较高:家庭护理者与护士的沟通会影响长期依赖呼吸机的住院患儿的治疗效果。家庭护理人员应倡导并协商角色,以确保为自己和患儿提供支持和适当的护理。
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引用次数: 0
Nurses' perspectives for the role of play with children in an onco-hematology department: A qualitative study 护士对肿瘤血液科儿童游戏角色的看法:定性研究。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.031
Giada Giuliani , Jessica Longhini , Francesca Ceni , Giulia Marini , Elisa Ambrosi , Federica Canzan

Purpose

to describe nurses' perceptions of using play in a pediatric onco-hematology setting.

Design and methods

A qualitative descriptive study was conducted in the pediatric onco-hematology department of a tertiary hospital in northern Italy. Eleven nurses working in the involved department were recruited via convenience sampling. Data were gathered through face-to-face interviews using a semi-structured guide. Data were analyzed using a descriptive qualitative approach.

Results

Four major themes emerged from the analysis: 1) The different purposes in using play, 2) A matter of time, 3) Choosing the most suitable game, and 4) Sharing celebrative moments as moments of interprofessional development. Nurses described play as a means to build trust, relieve parents, serve as an educational tool, and address children's needs. Although nurses recognized the limited time available, they wanted to manage their workload to accommodate play. They emphasized the importance of choosing suitable games and using playful moments as opportunities for fun and professional growth.

Conclusions

Therapeutic play should be systematically integrated into pediatric oncology care as it fosters trust, provides joy and relief, and supports the child and their parents.

Practice implications

Play should be incorporated into routine practice, ensuring children can access peer interaction and age-appropriate games. A multidisciplinary approach, with the involvement of trained professionals, should be fostered to support play-based care in pediatric oncology settings.
目的:描述护士对在儿科血液肿瘤科环境中使用游戏的看法:在意大利北部一家三级医院的儿科肿瘤血液科进行了一项定性描述性研究。通过方便抽样的方式招募了 11 名在相关部门工作的护士。研究采用半结构化指南,通过面对面访谈收集数据。采用描述性定性方法对数据进行分析:结果:分析得出了四大主题:1)使用游戏的不同目的;2)时间问题;3)选择最合适的游戏;4)分享庆祝时刻作为跨专业发展的时刻。护士们认为游戏是建立信任、缓解家长压力、作为教育工具和满足儿童需求的一种手段。尽管护士们认识到可用的时间有限,但她们希望管理好自己的工作量以适应游戏。她们强调了选择合适游戏的重要性,并将游戏时刻作为快乐和专业成长的机会:结论:治疗性游戏应系统地融入儿科肿瘤护理中,因为它能培养信任、提供快乐和缓解,并支持儿童及其父母:实践启示:应将游戏融入日常实践,确保儿童能获得同伴互动和适合其年龄的游戏。应在受过培训的专业人员的参与下促进多学科方法,以支持儿科肿瘤环境中以游戏为基础的护理。
{"title":"Nurses' perspectives for the role of play with children in an onco-hematology department: A qualitative study","authors":"Giada Giuliani ,&nbsp;Jessica Longhini ,&nbsp;Francesca Ceni ,&nbsp;Giulia Marini ,&nbsp;Elisa Ambrosi ,&nbsp;Federica Canzan","doi":"10.1016/j.pedn.2024.10.031","DOIUrl":"10.1016/j.pedn.2024.10.031","url":null,"abstract":"<div><h3>Purpose</h3><div>to describe nurses' perceptions of using play in a pediatric onco-hematology setting.</div></div><div><h3>Design and methods</h3><div>A qualitative descriptive study was conducted in the pediatric onco-hematology department of a tertiary hospital in northern Italy. Eleven nurses working in the involved department were recruited via convenience sampling. Data were gathered through face-to-face interviews using a semi-structured guide. Data were analyzed using a descriptive qualitative approach.</div></div><div><h3>Results</h3><div>Four major themes emerged from the analysis: 1) The different purposes in using play, 2) A matter of time, 3) Choosing the most suitable game, and 4) Sharing celebrative moments as moments of interprofessional development. Nurses described play as a means to build trust, relieve parents, serve as an educational tool, and address children's needs. Although nurses recognized the limited time available, they wanted to manage their workload to accommodate play. They emphasized the importance of choosing suitable games and using playful moments as opportunities for fun and professional growth.</div></div><div><h3>Conclusions</h3><div>Therapeutic play should be systematically integrated into pediatric oncology care as it fosters trust, provides joy and relief, and supports the child and their parents.</div></div><div><h3>Practice implications</h3><div>Play should be incorporated into routine practice, ensuring children can access peer interaction and age-appropriate games. A multidisciplinary approach, with the involvement of trained professionals, should be fostered to support play-based care in pediatric oncology settings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages e255-e261"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548470","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
Global trends in technology-dependent children, home care, and parental discharge education: A bibliometric analysis using Biblioshiny 依赖技术的儿童、家庭护理和父母出院教育的全球趋势:使用 Biblioshiny 进行文献计量分析。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.024
Fatma Azizoğlu Assistant of Professor, PhD , Banu Terzi Associate Professor, PhD, BSc, RN , Duygu Sönmez Düzkaya Professor, PhD, BSc, RN

Background

Parents of technology-dependent children constitute a different population in society and face diverse problems during caregiving.

Methods

This study aimed to identify and visualize studies conducted from 1990 to 2024 on technology-dependent children, home care, and parental discharge education and determine global trends. A descriptive and bibliometric study design was employed. Data were obtained from the Web of Science Core Collection database, and bibliometric analyses were performed with performance analysis, visualization, and mapping using the Biblioshiny interface in the R software. Screening yielded a total of 157 publications. A total of 138 publications were included.

Findings

The keywords frequently used by the authors included “home care,” “technology-dependent children,” “palliative care,” “home mechanical ventilation,” “child,” “family,” and “pediatric.” Co-author keywords with moderate centrality and density are “home mechanical ventilation” (Betw = 106.47), “technology-dependent” (Betw = 106.47), “home mechanical ventilation” (Betw = 106.47). Each article had 4.41 co-authorships, with an international co-authorship rate of 6.52 %.

Conclusions

This study provided important data on studies focusing on technology-dependent children, home care, and parental discharge education.

Application to practice

Since the number of studies in the field is small, the findings of this study are essential in guiding researchers about gaps in the literature.
背景技术依赖型儿童的父母是社会中的一个特殊群体,他们在照顾孩子的过程中面临着各种各样的问题:本研究旨在识别和观察 1990 年至 2024 年期间开展的有关技术依赖型儿童、家庭护理和父母出院教育的研究,并确定全球趋势。研究采用了描述性和文献计量学研究设计。数据来自科学网核心收藏数据库,文献计量分析使用 R 软件中的 Biblioshiny 界面进行性能分析、可视化和绘图。通过筛选,共获得 157 篇出版物。共收录 138 篇出版物:作者经常使用的关键词包括 "家庭护理"、"依赖技术的儿童"、"姑息治疗"、"家庭机械通气"、"儿童"、"家庭 "和 "儿科"。中等中心度和密度的共同作者关键词有 "家庭机械通气"(Betw = 106.47)、"技术依赖"(Betw = 106.47)、"家庭机械通气"(Betw = 106.47)。每篇文章有 4.41 位共同作者,国际共同作者率为 6.52%:本研究提供了关于技术依赖儿童、家庭护理和父母出院教育的重要研究数据:对实践的应用:由于该领域的研究数量较少,本研究的结果对于指导研究人员了解文献中的空白点至关重要。
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引用次数: 0
Effects of the Helfer skin tap technique and Buzzy® application on the levels of pain and fear experienced by children during vaccination: A randomized controlled trial 海尔弗皮肤拍打技术和 Buzzy® 应用程序对儿童接种疫苗时疼痛和恐惧程度的影响:随机对照试验。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.037
Duygu Sönmez Düzkaya , Gülzade Uysal , Özge Şiktaş , Atiye Karakul , Ayfer Açikgöz

Purpose

Vaccination is an invasive procedure that causes pain. Uncontrolled pain negatively affects all aspects of life, including health. This study aimed to determine the effects of the Helfer skin tap technique and Buzzy® application on the levels of pain and fear experienced by 4-year-old children during measles–mumps–rubella (MMR) vaccination.

Methods

This study adopted a randomized controlled experimental design. The study sample consisted of 96 children (Helfer skin tap technique group: n = 32, Buzzy® group: n = 32, control group: n = 32) who received MMR vaccination. Children in the Buzzy® and Helfer skin tap technique groups received their respective interventions before and after vaccine injection, while children in the control group received routine vaccine injection.

Results

Based on the parents' and nurse's observations, the pain and fear scores after vaccine injection were lowest in the Buzzy® group and highest in the control group. Based on the children's assessments, the pain scores after vaccine injection were lower in the Buzzy® group than in the Helfer skin tap technique group.

Conclusion

Buzzy® application and the Helfer skin tap technique have beneficial effects on children's pain and fear during MMR vaccination. Buzzy® application is more effective in reducing pain and fear during vaccine injection in children than the Helfer skin tap technique.

Practice implications

Nurses can increase the comfort of children by reducing pain during vaccination using Buzzy®.
目的:接种疫苗是一项侵入性程序,会引起疼痛。无法控制的疼痛会对包括健康在内的生活各个方面产生负面影响。本研究旨在确定 Helfer 皮肤拍打技术和 Buzzy® 应用对 4 岁儿童在接种麻疹-腮腺炎-风疹(MMR)疫苗期间所经历的疼痛和恐惧程度的影响:本研究采用随机对照实验设计。研究样本包括 96 名接受麻疹-腮腺炎-风疹(MMR)疫苗接种的儿童(Helfer 皮肤拍打技术组:32 人;Buzzy® 组:32 人;对照组:32 人)。Buzzy®和Helfer皮肤拍打技术组的儿童在注射疫苗前后接受了各自的干预措施,而对照组的儿童则接受了常规疫苗注射:结果:根据家长和护士的观察,Buzzy® 组儿童注射疫苗后的疼痛和恐惧评分最低,对照组最高。根据儿童的评估,Buzzy® 组注射疫苗后的疼痛评分低于 Helfer 皮肤拍打技术组:结论:使用 Buzzy® 和 Helfer 皮肤拍打技术对儿童在接种麻腮风疫苗时的疼痛和恐惧有好处。在减少儿童注射疫苗时的疼痛和恐惧感方面,Buzzy®应用比Helfer皮肤拍打技术更有效:实践意义:护士可以通过使用 Buzzy® 减轻儿童在接种疫苗时的疼痛,从而提高儿童的舒适度。
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引用次数: 0
Enhancing pediatric stoma care: Analyzing YouTube videos for pediatric stoma pouch changing techniques 加强儿科造口护理:分析 YouTube 视频中的儿科造口袋更换技术。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.002
Aylin Akca Sumengen , Inci Kirtil , Damla Ozcevik Subasi , Gokce Naz Cakir , Gozde Turkmenoglu Kucukakca

Purpose

The purpose of this study was to evaluate the quality, content, and reliability of YouTube videos that address ostomy bag change techniques in children. As digital platforms are increasingly used for health-related information, especially for those caring for pediatric ostomy patients, this study aims to identify the strengths and limitations of available online resources.

Design

A descriptive, retrospective, and cross-sectional research design was used to evaluate YouTube videos focused on pediatric ostomy bag change techniques.

Subjects and setting

The study included a total of 33 YouTube videos identified through searches conducted between May 3 and May 30, 2024. Videos included infants, children, and adolescents and were selected based on their relevance to pediatric double pouch ostomy care.

Methods

Videos were scored using the modified DISCERN score and the Global Quality Scale (GQS) to assess video quality and reliability. A checklist based on established ostomy care guidelines was used for content analysis and identification of common procedural errors. The view rates, video/likes ratio, and popularity of the videos were calculated as the video power index. Data were analyzed using SPSS 27 and statistical significance was determined with a p-value of less than 0.05.

Results

The analysis showed that 54.5 % of the videos were uploaded by independent publishers and 45.5 % by healthcare institutions. Videos aimed at caregivers were the most common (66.7 %). The mean number of views was 24,026.57, with a mean modified DISCERN score of 2.53 and a GQS score of 2.80. There was also a positive correlation between video length and quality scores. Significant differences in video quality were found between those published by healthcare organizations and independent publishers, with healthcare organization videos generally scoring higher. The most common errors in the videos included inadequate stoma coverage and improper disposal procedures.

Conclusions

The study shows that there is significant variability in the quality and reliability of YouTube videos on how to change an ostomy pouch in children. Compared to videos produced by independent publishers, videos produced by healthcare institutions had higher quality and reliability. The findings underscore the need for improved educational resources and quality control in digital platforms in order to better support the caregivers of pediatric ostomy patients.
目的:本研究旨在评估 YouTube 视频中有关儿童造口袋更换技术的质量、内容和可靠性。随着数字平台越来越多地被用于获取与健康相关的信息,特别是对于那些照顾小儿造口患者的人来说,本研究旨在确定现有在线资源的优势和局限性:设计:采用描述性、回顾性和横断面研究设计,对 YouTube 上有关小儿造口袋更换技术的视频进行评估:研究共包括 33 个 YouTube 视频,这些视频是在 2024 年 5 月 3 日至 5 月 30 日期间通过搜索确定的。视频包括婴儿、儿童和青少年,根据其与小儿双层造口袋护理的相关性进行选择:使用改良的 DISCERN 评分和全球质量量表 (GQS) 对视频进行评分,以评估视频质量和可靠性。在内容分析和识别常见程序错误时,使用了基于既定造口护理指南的核对表。视频的观看率、视频/点赞比和受欢迎程度被计算为视频功率指数。数据使用 SPSS 27 进行分析,统计意义以 p 值小于 0.05 为准:分析结果显示,54.5% 的视频由独立出版商上传,45.5% 由医疗机构上传。针对护理人员的视频最常见(66.7%)。平均观看次数为 24,026.57 次,平均修正 DISCERN 得分为 2.53 分,GQS 得分为 2.80 分。视频长度与质量得分之间也呈正相关。医疗机构和独立出版商出版的视频在质量上存在显著差异,医疗机构的视频得分普遍较高。视频中最常见的错误包括造口覆盖不足和处置程序不当:研究表明,YouTube 上有关如何更换儿童造口袋的视频在质量和可靠性方面存在很大差异。与独立出版商制作的视频相比,医疗机构制作的视频质量和可靠性更高。研究结果表明,有必要改进数字平台的教育资源和质量控制,以便为儿童造口患者的护理人员提供更好的支持。
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引用次数: 0
Pediatric endocrinology nursing society: 2024 year in review 儿科内分泌护理学会:2024 年回顾。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.014
Linda Steinkrauss MSN, CPNP-PC , Meg Keil PhD, CRNP
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引用次数: 0
The effect of the level of perceived social support in the postpartum period on maternal functioning and maternal attachment 产后感知到的社会支持水平对产妇功能和母性依恋的影响。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1016/j.pedn.2024.10.021
Fatma Gül Can , Gülsüm Akış , Ebru Solmaz

Aim

This study aims to examine the effect of the level of perceived social support in the postpartum period on maternal functioning and maternal attachment.

Methods

This study was conducted between January and May 2023 in two family health centers selected by simple randomization among 11 family health centers affiliated with the Health Directorate located in eastern Türkiye. The population of the study consisted of 410 mothers in the postpartum period who had babies aged 6–11 weeks old. Data were collected face-to-face using the “Personal Information Form”, the “Multidimensional Scale of Perceived Social Support”, the “Barkin Index of Maternal Functioning Scale” and the “Maternal Attachment Scale”. Data analysis was performed using numbers, percentages, arithmetic means, independent groups t-tests, ANOVA, Pearson correlation analysis, and simple linear regression analysis.

Findings

A positive, moderately significant relationship was found between maternal attachment and maternal functioning (r = 0.554; p < .05). A positive, moderately significant relationship was found between maternal attachment and perceived social support (r = 0.585; p < .05). A positive, highly significant relationship was detected between social support and maternal functioning (r = 0.861; p < .05).

Conclusion

This study found that postpartum women's attachment levels increased with the increase in their maternal functioning. It was also found that mothers' attachment levels increased with the increase in their perceived social support levels. Social support levels were proven to be effective on maternal functioning as well as maternal attachment. Women's maternal functioning levels were found to increase with the increase in their social support levels.

Practice implications

In light of these findings, pediatric nurses and obstetric nurses have great responsibilities. Starting from the prenatal period and including the postnatal period, both the mother and everyone around her should be explained the importance of social support.
目的:本研究旨在探讨产后感知到的社会支持水平对产妇功能和母性依恋的影响:本研究于 2023 年 1 月至 5 月间在位于土耳其东部的卫生局下属 11 家家庭保健中心中的两家家庭保健中心进行。研究对象包括 410 名产后母亲,她们的婴儿年龄在 6-11 周岁之间。研究采用 "个人信息表"、"感知社会支持多维量表"、"巴金产妇功能指数量表 "和 "产妇依恋量表 "面对面收集数据。数据分析采用数字、百分比、算术平均数、独立组 t 检验、方差分析、皮尔逊相关分析和简单线性回归分析:结果:产妇依恋与产妇功能之间存在中度显著的正相关关系(r = 0.554;p 结论:产妇依恋与产妇功能之间存在中度显著的正相关关系(r = 0.554;p):本研究发现,产后妇女的依恋水平随着其母性功能的提高而提高。研究还发现,母亲的依恋水平随着其感知到的社会支持水平的提高而提高。事实证明,社会支持水平对产妇的功能和依恋都有效。研究发现,随着社会支持水平的提高,妇女的母性功能水平也会提高:鉴于上述研究结果,儿科护士和产科护士责任重大。从产前开始,包括产后,都应向产妇及其周围的人解释社会支持的重要性。
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Journal of Pediatric Nursing-Nursing Care of Children & Families
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