Journal for Specialists in Pediatric Nursing最新文献_第3页

Metabolic syndrome risk among adolescents in the Deep South and the relationships with behavioral health, food insecurity, and physical activity 深南地区青少年的代谢综合征风险以及与行为健康、粮食不安全和体育锻炼的关系

IF 1.3 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing

Pub Date : 2023-12-14 DOI: 10.1111/jspn.12420

Angela A. Duck PhD, RN, CNE, Masoumeh Karimi PhD, MPH, LaDaryl L. Watkins MSN, FNP, RN, Joseph W. Tacy PhD, RN, Christy L. Savell PhD, RN, AGPCNP-BC, CNE, Katherine C. Hall PhD, RN, CNE

Purpose

A combination of physical and psychosocial risk factors put adolescents at risk for poor cardiometabolic health and chronic disease burden, often recognized as metabolic syndrome. The purposes of this study were to (1) identify the prevalence of metabolic syndrome risk among adolescents, utilizing the metabolic syndrome severity index, and (2) determine the relationship between metabolic syndrome risk and behavioral health, food insecurity, and physical inactivity among adolescents.

Methods and Design

A cross-sectional, descriptive, correlational design was deployed in an inner-city high school in the Deep South. An 8-month recruitment and enrollment period yielded a sample of 55 adolescents. A battery of measures included assessment of demographic data, anthropometric, cardiovascular, and psychosocial data. Utilizing these data elements, a progressive methodological approach was used to identify metabolic severity risk as a continuous variable for use in the adolescent population.

Results

All participants identified as African American/Black. Among them, 71% (N = 39) were female and an average age of 16 (SD = 1.3) years old, with 67.3% (N = 37) of the sample at risk for metabolic syndrome. There was not a statistically significant relationship between metabolic syndrome severity score and behavioral health risk, food insecurity, and physical inactivity in this sample.

Practice Implications

Future use of the continuous metabolic syndrome severity score may guide practice by utilizing longitudinal data to assess the trends of metabolic syndrome severity scores in relation to disease outcomes in adolescents. This may promote the identification of psychosocial and physical interrelationships with metabolic syndrome, thus improving overall health through the development of age-appropriate interventions.

身体和社会心理风险因素的组合使青少年面临心脏代谢健康状况不佳和慢性疾病负担的风险，这通常被认为是代谢综合征。本研究的目的是:(1)利用代谢综合征严重程度指数确定青少年代谢综合征风险的患病率;(2)确定青少年代谢综合征风险与行为健康、食物不安全和缺乏身体活动之间的关系。

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引用次数: 0

A quest for an integrated management system of children following a drowning incident: A review of the literature 寻求儿童溺水事件后的综合管理系统:文献综述。

IF 1.3 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing

Pub Date : 2023-12-04 DOI: 10.1111/jspn.12418

Seugnette Rossouw MACur, RN, RM, Carin Maree PhD, RN, RM, Jos M. Latour PhD, RN

Purpose

Management of children following a drowning incident is based on specific interventions which are used in the prehospital environment, the emergency department (ED) and the Paediatric Intensive Care Unit (PICU). This paper presents a review of the literature to map and describe the management and interventions used by healthcare professionals when managing a child following a drowning incident. Of specific interest was to map, synthesise and describe the management and interventions according to the different clinical domains or practice areas of healthcare professionals.

Design and Methods

A traditional review of the literature was performed to appraise, map and describe information from 32 relevant articles. Four electronic databases were searched using search strings and the Boolean operators AND as well as OR. The included articles were all published in English between 2010 and 2022, as it comprised a timeline including current guidelines and practices necessary to describe management and interventions.

Results

Concepts and phrases from the literature were used as headings to form a picture or overview of the interventions used for managing a child following a drowning incident. Information extracted from the literature was mapped under management and interventions for prehospital, the ED and the PICU and a figure was constructed to display the findings. It was evident from the literature that management and interventions are well researched, evidence-informed and discussed, but no clear arguments or examples could be found to link the interventions for integrated management from the scene of drowning through to the PICU. Cooling and/or rewarming techniques and approaches and termination of resuscitation were found to be discussed as interventions, but no evidence of integration from prehospital to the ED and beyond was found. The review also highlighted the absence of parental involvement in the management of children following a drowning incident.

Practice Implications

Mapping the literature enables visualisation of management and interventions used for children following a drowning incident. Integration of these interventions can collaboratively be done by involving the healthcare practitioners to form a link or chain for integrated management from the scene of drowning through to the PICU.

目的:对溺水事件后儿童的管理是基于在院前环境、急诊科(ED)和儿科重症监护病房(PICU)使用的具体干预措施。这篇论文提出了文献回顾地图和描述的管理和干预措施使用的卫生保健专业人员当管理一个溺水事件后的孩子。特别感兴趣的是根据医疗保健专业人员的不同临床领域或实践领域绘制、综合和描述管理和干预措施。设计和方法:对32篇相关文章进行传统的文献回顾，以评估、绘制和描述信息。使用搜索字符串和布尔运算符and以及OR对四个电子数据库进行了搜索。纳入的文章都是在2010年至2022年期间用英文发表的，因为它包含了一个时间表，包括描述管理和干预措施所需的当前指南和实践。结果:从文献中的概念和短语被用作标题，形成一个图片或概述用于管理溺水事件后的儿童的干预措施。从文献中提取的信息被绘制为院前、急诊科和PICU的管理和干预措施，并构建了一个图表来显示结果。从文献中可以明显看出，管理和干预措施得到了充分的研究、证据和讨论，但没有找到明确的论据或例子来将从溺水现场到PICU的综合管理干预措施联系起来。降温和/或复温技术和方法以及复苏终止作为干预措施进行了讨论，但没有发现从院前到急诊科及其他地方整合的证据。该审查还强调了溺水事件后父母参与儿童管理的缺失。实践意义:绘制文献可以使溺水事件后儿童的管理和干预措施可视化。这些干预措施的整合可以通过医疗从业人员的参与来协作完成，形成从溺水现场到PICU的综合管理的链接或链。

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引用次数: 0

Placement of peripherally inserted central catheter through upper versus lower limb vein in neonates: A meta-analysis of randomized controlled trials 新生儿通过上肢静脉与下肢静脉置入外周中心导管:随机对照试验的荟萃分析。

IF 1.3 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing

Pub Date : 2023-11-21 DOI: 10.1111/jspn.12417

Xuetang Zhao BSN, Yingfei Liu BSN, Xiaoyan Li BSN, Li Wei BSN, Lanzheng Bian BSN, Mingqi Peng BSN

Aim

Peripherally inserted central catheter (PICC) is an important treatment for the drug and nutrition administration in neonates. We aimed to evaluate the effects and safety of PICC placement through upper versus lower limb vein in neonates, to provide insights into the clinical PICC nursing care.

Design

A meta-analysis.

Methods

We searched the Cochrane Library, Web of Science, PubMed, Science Direct, China national knowledge infrastructure, Wanfang Data Knowledge Service Platform, China Weipu Database, China Biomedical Literature Database for published randomized controlled trials (RCTs) on the placement of PICC via upper limb and lower limb venipuncture. Two reviewers independently evaluated and cross-checked the quality of the included studies in accordance with the quality standards of the Cochrane Manual. We used RevMan 5.3 software for statistical processing.

Results

A total of 12 RCTs were included in this meta-analysis. Meta-analysis indicated that compared with upper limb veins, PICC insertion through lower limb veins is beneficial to increase the one-time puncture success rate (relative risk [RR] = 0.73, 95% confidence interval [CI]: 0.68–0.79) and the indwelling time (mean difference [MD] = −3.60, 95% CI: −5.35 to −1.86), reduce the operation time (MD = 10.37, 95% CI: 7.48–13.26), estimated bleeding volume (MD = 0.55, 95% CI: 0.34–0.75), incidence of catheter ectopia (RR = 2.46, 95% CI: 1.81–3.35), PICC-associated infection (RR = 2.82, 95% CI: 1.65–4.83), exosmosis (RR = 2.45, 95% CI: 1.49–4.04, p < .001) and phlebitis (RR = 1.40, 95% CI: 1.03–1.90). No significant difference in the Incidence of catheter obstruction between the upper and lower limb veins (RR = 1.20, 95% CI: 0.73–1.97, p = .48) was found.

Public Contribution

There are certain advantages in neonatal PICC puncture through the lower limb vein. The lower limb vein may be the preferred choice for neonatal PICC puncture.

目的:外周中心导管(PICC)是新生儿药物和营养管理的重要手段。我们旨在评估新生儿上肢静脉与下肢静脉置入PICC的效果和安全性，为临床PICC护理提供参考。设计:荟萃分析。方法:检索Cochrane图书馆、Web of Science、PubMed、Science Direct、中国国家知识基础设施、万方数据知识服务平台、中国卫普数据库、中国生物医学文献数据库，检索已发表的经上肢和下肢静脉穿刺放置PICC的随机对照试验(RCTs)。两位审稿人按照Cochrane手册的质量标准独立评估和交叉检查纳入研究的质量。采用RevMan 5.3软件进行统计处理。结果:本meta分析共纳入12项rct。meta分析显示，与上肢静脉相比，经下肢静脉置入PICC有利于增加一次性穿刺成功率(相对危险度[RR] = 0.73, 95%可信区间[CI]: 0.68 ~ 0.79)和留置时间(平均差值[MD] = -3.60, 95% CI: -5.35 ~ -1.86)，减少手术时间(MD = 10.37, 95% CI: 7.48 ~ 13.26)，减少预估出血量(MD = 0.55, 95% CI: 0.34 ~ 0.75)，减少导管异位发生率(RR = 2.46, 95% CI:1.81 ~ 3.35)， PICC相关感染(RR = 2.82, 95% CI: 1.65 ~ 4.83)，外渗(RR = 2.45, 95% CI: 1.49 ~ 4.04)， p公众贡献:新生儿PICC经下肢静脉穿刺有一定优势。下肢静脉可能是新生儿PICC穿刺的首选。

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引用次数: 0

The effect of auditory stimuli on the pain and physiological parameters of children on mechanical ventilation during aspiration procedure: A randomized controlled trial 吸气过程中听觉刺激对儿童机械通气疼痛和生理参数的影响：一项随机对照试验。

IF 1.3 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing

Pub Date : 2023-09-14 DOI: 10.1111/jspn.12416

Kübra Demir MSC, RN, Dilek Konuk Şener PhD, RN

Purpose

The study was conducted to determine the effect of mother's voice and music sound on pain and physiological parameters during aspiration procedure in children with mechanical ventilation support in the pediatric intensive care unit.

Design and Methods

This study was a randomized controlled type experimental study. According to the power analysis result of the sample of the study, 84 children who were treated in the pediatric intensive care unit of two university hospitals in Istanbul were formed. Introductory Information Form, Ramsey Sedation Scale, Physiological Parameter Form and Face, Legs, Activity, Cry, Consolability (FLACC) Pain Scale were used to collect data.

Results

When the pain results of the children were evaluated, the mean FLACC Pain Scale value of the children in the control group was found to be significantly higher than children in the mother's voice and music voice group (p < 0.05). It was determined that the lowest FLACC Pain Scale value was in the mother's voice group (p < 0.05). When the physical parameter results were evaluated, it was determined that the physiological measurement values of the children in the experimental group were positively affected (p < 0.05), there was a significant difference between the control group (p < 0.05) and the most effective result was in the mother's voice group (p < 0.05).

Practice Implications

Allowing children to listen mother's voice and music during aspiration procedure reduces pain of the children, positively affects their physical parameter values and enhances quality of nursing care. The results of this study create a scientific basis for nursing practices in the clinical settings and contribute to the clinical practices by shedding a light on future evidence-based studies.

目的：本研究旨在确定在儿科重症监护室接受机械通气支持的儿童抽吸过程中，母亲的声音和音乐对疼痛和生理参数的影响。设计与方法：本研究为随机对照型实验研究。根据研究样本的功率分析结果，形成了84名在伊斯坦布尔两家大学医院儿科重症监护室接受治疗的儿童。采用介绍信息量表、拉姆齐镇静量表、生理参数量表和面部、腿部、活动、哭泣、安慰（FLACC）疼痛量表进行数据收集。结果：当评估儿童的疼痛结果时，对照组儿童的平均FLACC疼痛量表值显著高于母亲声音和音乐声音组的儿童（p 实践意义：在吸气过程中，允许孩子听母亲的声音和音乐可以减轻孩子的疼痛，积极影响他们的身体参数值，提高护理质量。这项研究的结果为临床环境中的护理实践奠定了科学基础，并为未来的循证研究做出了贡献。

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引用次数: 0

Health care transition planning for adolescents and emerging adults with intellectual disabilities and developmental disabilities: Distinctions and challenges 患有智力残疾和发育性残疾的青少年和初成人的保健过渡规划:区别和挑战

IF 1.3 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing

Pub Date : 2023-06-28 DOI: 10.1111/jspn.12415

Cecily L. Betz PhD, RN, FAAN

Purpose

The purpose of this article is to provide the reader with insight and enhanced understanding of the health care transition planning process for adolescents and emerging adults with intellectual disabilities and developmental disabilities. There are distinctly different programmatic considerations that need to be addressed in advancing their transfer of care to adult providers and promoting their transition to adulthood. These differences are due in part to the federal and state legislative initiatives that were established in the education, rehabilitation, employment, and developmental disabilities service systems. In contrast, no comparable federal and state mandates exist in the system of health care. The legislative mandates in education, rehabilitation, and employment are presented and discussed as well as the federal legislation on rights and protections for individuals with intellectual disabilities and developmental disabilities. Consequently, health care transition (HCT) planning involves application of a framework of care that is characteristically different than the planning efforts undertaken for adolescents and emerging adults (AEA) with special health care needs (SHCN)/disabilities and for typically developing AEA. The best practice HCT recommendations are discussed in the context of this intellectual disabilities and developmental disabilities framework of care.

Conclusions

Health care transition planning for adolescents and emerging adults with intellectual disabilities and developmental disabilities involves additional and distinctly clinical and programmatic models of care.

Practice Implications

Health care transition planning guidance for adolescents and emerging adults with intellectual disabilities and developmental disabilities are provided based upon best practice recommendations.

这篇文章的目的是为读者提供洞察和加强理解卫生保健过渡规划过程的青少年和新兴成人智力残疾和发育障碍。在推进他们的护理向成人提供者转移和促进他们向成年过渡方面，需要处理明显不同的规划考虑。这些差异部分是由于在教育、康复、就业和发育性残疾服务系统中建立的联邦和州立法倡议。相比之下，在医疗保健系统中没有类似的联邦和州的规定。介绍和讨论了教育、康复和就业方面的立法授权，以及关于智力残疾和发育残疾个人权利和保护的联邦立法。因此，保健过渡(HCT)规划涉及到一种保健框架的应用，这种框架与为有特殊保健需要(SHCN)/残疾的青少年和新成年(AEA)以及典型发展中的新成年(AEA)所做的规划工作具有明显的不同。在本智力残疾和发育性残疾护理框架的背景下，讨论了HCT的最佳实践建议。结论:智力残疾和发育性残疾青少年和初显期成人的卫生保健过渡规划涉及额外的、独特的临床和规划护理模式。实践影响根据最佳实践建议，为患有智力残疾和发育性残疾的青少年和初成人提供保健过渡规划指导。

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引用次数: 0

Certified Child Life Specialist role in implementation of individualized coping plans for children receiving botulinum toxin injections 认证儿童生活专家在为接受肉毒杆菌毒素注射的儿童实施个性化应对计划方面的作用

IF 1.3 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing

Pub Date : 2023-06-24 DOI: 10.1111/jspn.12413

Brittany Mikuluk MEd, CCLS, Parishma Guttoo MBBS, MPH, Avery Anderson BSN, RN, Micah Skeens PhD, RN, CPNP

Purpose

The purpose of this paper is to describe the implementation of evidence-based, individualized coping plans and to compare the rates of child anxiety, child cooperation, and parent anxiety before and after implementation of these coping plans for children receiving recurring BoNT-A injections emphasizing the role of Certified Child Life Specialists (CCLSs) within the interdisciplinary team approach.

Design and Methods

A retrospective chart review was conducted for children receiving BoNT-A injections at a Physical Medicine clinic pre- and post-implementation of the coping plan. Descriptive statistics were used to evaluate care plan implementation, child cooperation, child anxiety, and parent anxiety.

Results

Post-implementation of coping care plans, children experienced improved cooperation during BoNT-A injections. Parental anxiety decreased once coping plans were implemented. Documentation improved after the implementation of coping plans specific to areas involving cooperation, child's anxiety and distress, and parental anxiety and distress. It was also noted that there was an increase in child anxiety assessments within documentation.

Practice Implications

CCLS were able to utilize their expertise to collaboratively create individualized coping care plans to increase child's cooperation and decrease parental anxiety during BoNT-A injections.

本文的目的是描述以证据为基础的个性化应对计划的实施情况，并比较接受BoNT-A注射的儿童在实施这些应对计划前后的儿童焦虑、儿童合作和父母焦虑率，强调认证儿童生活专家(CCLSs)在跨学科团队方法中的作用。设计与方法回顾性分析在某物理医学诊所接受BoNT-A注射的儿童在应对计划实施前后的情况。采用描述性统计评估护理计划实施、儿童合作、儿童焦虑和家长焦虑。结果实施应对护理方案后，患儿在注射BoNT-A时的配合情况有所改善。一旦实施应对计划，父母的焦虑就会减少。在具体涉及合作、儿童焦虑和痛苦以及父母焦虑和痛苦的领域的应对计划实施后，文件得到改善。还注意到，文件中对儿童焦虑的评估有所增加。实践意义CCLS能够利用他们的专业知识，共同制定个性化的应对护理计划，以提高儿童的合作，减少父母在BoNT-A注射期间的焦虑。

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引用次数: 0

Incidence and factors associated with delirium in critically ill patients under 5 years old 5岁以下危重患者谵妄的发生率及相关因素分析

IF 1.3 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing

Pub Date : 2023-06-23 DOI: 10.1111/jspn.12412

Ángela M. Henao-Castaño RN, MSN, Claudia Lorena Motta-Robayo RN, MSN, Ingrid Tatiana Rojas-Ruiz RN, MSN

Purpose

To determine the incidence and factors related to the presence of Delirium in children under 5 years of age hospitalized in the pediatric intensive care unit (PICU).

Design and Methods

Prospective observational study, through a convenience sampling. Fifty-two patients hospitalized in the PICU between 6 months and 5 years of age were included. The Preschool Confusion Assessment Method for the intensive care units (PSCAM-ICU) instrument was applied in its Spanish version. A bivariate analysis was performed to identify possible related factors.

Results

The incidence of delirium in the pediatric population under 5 years of age was 71.1%, with mainly hypoactive typology. Those who presented the event were characterized because they were mainly female, with an average age of 31 months, with lower weight compared with those who did not have delirium. Possible risk factors for delirium were found to be longer stays in the PICU and mechanical ventilation, higher levels of carbon dioxide pressure, lower levels of oxygen pressure, having orotracheal intubation, and medication with sedatives and analgesics.

Practice Implications

The high incidence of delirium in the pediatric population is notorious, mainly for younger girls and lower-weight children. The factors that showed to be potential risk factors were like those found in the literature. These factors can be incorporated by the care staff in PICUs, to prevent or identify delirium promptly and thus mitigate its impact.

目的了解5岁以下儿童重症监护病房(PICU)谵妄的发生率及相关因素。设计与方法前瞻性观察研究，采用方便抽样。纳入52例6个月至5岁间PICU住院患者。采用西班牙语版《重症监护病房学龄前混淆评估方法》(PSCAM-ICU)量表。进行双变量分析以确定可能的相关因素。结果5岁以下儿童谵妄发生率为71.1%，以低活动型为主。出现谵妄的患者主要是女性，平均年龄为31个月，与没有出现谵妄的患者相比，体重较轻。谵妄的可能危险因素包括在PICU和机械通气中停留时间较长，二氧化碳压力水平较高，氧压水平较低，经气管插管，服用镇静剂和止痛药。谵妄在儿科人群中的高发是臭名昭著的，主要是年轻女孩和体重较轻的儿童。潜在的风险因素和文献中发现的一样。picu的护理人员可将这些因素纳入其中，以及时预防或识别谵妄，从而减轻其影响。

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引用次数: 0

Transition of care in adolescents with chronic disease: A concept analysis 青少年慢性病护理的转变:概念分析

IF 1.3 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing

Pub Date : 2023-06-22 DOI: 10.1111/jspn.12414

Abby Seydel RN, BSN

Purpose

The aim of this concept analysis was to define the concept of transitional care as it applied to adolescents with chronic health conditions as they transfer from pediatric to adult care.

Design and Methods

Walker and Avant's eight step method was used to guide this concept analysis. An electronic search of the literature using CINAHL, PubMed, and MEDLINE was conducted in March of 2022. Articles were included if they were peer-reviewed articles published in English between 2016 and 2022 and aided in the development of the concept.

Results

A total of 14 articles met inclusion criteria within the search. These articles were used to identify the defining attributes of transitional care as it applied to adolescents with chronic disease. These attributes were empowerment, a comprehensive process, and transfer completion. The antecedents identified were aging, readiness, and support. For an individual to begin the transition process all of these must be present. Consequences include growth, independence, and improved quality of life and health outcomes. Model, borderline, related, and contrary cases were presented to exemplify the concept.

Practice Implications

Adolescents and young adults with chronic disease require unique care as they transition to adulthood. Defining the concept of transitional care as it relates to this population provided a foundation of knowledge that has implications for nursing practice. This conceptual structure provided a foundation of knowledge for theory development and encouraged widespread use of transition programs. Future research should explore the long-term outcomes of specific interventions used during transitional care.

目的本概念分析的目的是定义过渡护理的概念，因为它适用于青少年慢性健康状况，因为他们从儿科转移到成人护理。设计与方法采用Walker和Avant的八步法进行概念分析。于2022年3月，使用CINAHL、PubMed和MEDLINE对文献进行了电子检索。如果文章是2016年至2022年间发表的同行评审的英文文章，并有助于这一概念的发展，就会被纳入其中。结果共有14篇文章符合纳入标准。这些文章被用来确定过渡性护理的定义属性，因为它适用于青少年慢性疾病。这些属性是授权、综合过程和转移完成。确定的前因是衰老、准备就绪和支持。对于一个开始过渡过程的人来说，所有这些都必须存在。结果包括成长、独立、改善生活质量和健康结果。模型，边界，相关和相反的情况下，提出了举例说明的概念。实践意义患有慢性疾病的青少年和青壮年在过渡到成年期时需要独特的护理。定义过渡护理的概念，因为它涉及到这一人群提供了知识的基础，对护理实践的影响。这种概念结构为理论发展提供了知识基础，并鼓励了过渡程序的广泛使用。未来的研究应探索在过渡护理期间使用的特定干预措施的长期结果。

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引用次数: 0

Validity of simplified self-report methods versus standard use method for pain assessment in preschool-aged children 简化自我报告方法与标准使用方法在学龄前儿童疼痛评估中的有效性

IF 1.3 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing

Pub Date : 2023-06-05 DOI: 10.1111/jspn.12411

Petra Kasparova MSc, Jane Greaves

Purpose

Children experience painful invasive procedures very intensely. The aim of health professionals is to help children minimize this traumatic experience. The Simplified Faces Pain Scale (S-FPS) and Simplified Concrete Ordinal Pain Scale (S-COS) tools offer children the possibility of self-assessing their pain. This can then be the basis for tailoring pain relief to the child's individual need. The aim of this study is to present the validation procedure of the S-FPC, S-COS methods.

Design and Methods

135 children aged 3−6 years assessed their pain using the self-reported S-FPS and S-COS methods at three consecutive times, and their results were compared with the commonly used Face, Legs, Activity, Cry, Consolability assessment scale. Intra-class correlations (ICC) were used to assess inter-rater agreement. Convergent validity was verified using Spearman's correlation coefficient.

Results

This study demonstrated good validity for both the S FPS and S-COS assessment tools. The ICC coefficient showed good inter-rater correlation. Spearman's correlation coefficient showed a strong correlation between the scales.

Practice Implications

It is not possible to clearly select a best method of pain assessment in preschool children. To choose the most appropriate method, it is necessary to take into account the child's cognitive development and preferences.

目的:儿童非常强烈地经历痛苦的侵入性手术。卫生专业人员的目的是帮助儿童尽量减少这种创伤经历。简化面部疼痛量表(S-FPS)和简化具体顺序疼痛量表(S-COS)工具为儿童提供了自我评估疼痛的可能性。这就可以成为根据孩子的个人需要定制疼痛缓解的基础。本研究的目的是提出S-FPC、S-COS方法的验证程序。设计与方法135名3 ~ 6岁儿童连续3次采用自我报告S-FPS和S-COS方法评估疼痛，并将其结果与常用的Face, Legs, Activity, Cry, Consolability量表进行比较。使用类内相关性(ICC)来评估评分者之间的一致性。采用Spearman相关系数验证收敛效度。结果S- FPS和S- cos评估工具均具有良好的效度。ICC系数表现出良好的等级间相关性。Spearman相关系数显示量表之间有很强的相关性。实践意义是不可能明确选择一个最好的方法来评估学龄前儿童的疼痛。要选择最合适的方法，必须考虑到孩子的认知发展和喜好。

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引用次数: 0

Psychometric properties of the European Portuguese version of the Pediatric Quality of Life Inventory™ family impact module 欧洲葡萄牙语版儿科生活质量量表™家庭影响模块的心理测量特性

IF 1.3 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing

Pub Date : 2023-04-08 DOI: 10.1111/jspn.12406

Lígia Lima MSc, PhD, Sara Lemos RN, MSc, PhD, Maria Do Céu Barbieri-Figueiredo RN, MSc, PhD, Teresa Martins RN, MSd, PhD, Luísa Andrade RN, MSd, PhD

Purpose

This study aims to assess the psychometric properties of the European Portuguese version of the Pediatric Quality of Life Inventory™ Family Impact Module in parents of children/adolescents with chronic health conditions.

Design and Methods

The European Portuguese version of the Pediatric Quality of Life Inventory™ Family Impact Module was administered to 237 parents of children/adolescents with chronic disease and/or chronic disorder. Participants were recruited from the day hospital and/or outpatient services of four hospitals in Northern Portugal, the majority being mothers (87.3%) aged between 31 and 50 years (86.9%). The questionnaire was administered online through the REDCap platform. The hierarchical factor model of the Pediatric Quality of Life Inventory™ Family Impact Module proposed by Varni and colleagues was tested.

Results

Confirmatory Factor Analysis indicated good model fit, with the following indices (χ²/gL = 2.19; comparative fit index [CFI] = 0.90; root mean square error of approximation [RMSEA] = 0.07 immune cell [IC] 90% = 0.06−0.07). Internal consistency values were high (parent quality of life subtotal, α = .96; family functioning subtotal, α = .92; total score, α = .96).

Practice Implications

The European Portuguese version of the PedsQL™ FIM is a reliable and valid measurement tool for nurses to assess the impact of the child/adolescent chronic conditions on family's quality of life and to develop interventions to improve their well-being.

目的本研究旨在评估欧洲葡萄牙语版儿科生活质量量表™家庭影响模块在患有慢性健康状况的儿童/青少年父母中的心理测量特性。设计和方法对237名患有慢性疾病和/或慢性障碍的儿童/青少年的父母实施欧洲葡萄牙语版儿科生活质量量表™家庭影响模块。参与者是从葡萄牙北部四家医院的日间医院和/或门诊部门招募的，大多数是31至50岁(86.9%)的母亲(87.3%)。调查问卷通过REDCap平台进行在线管理。对Varni等提出的《儿科生活质量量表™家庭影响模块》的分层因子模型进行检验。结果验证性因子分析表明模型拟合良好，各指标χ2/gL = 2.19;比较拟合指数[CFI] = 0.90;近似均方根误差[RMSEA] = 0.07免疫细胞[IC] 90% = 0.06−0.07)。内部一致性值较高(父母生活质量小计，α = 0.96;家庭功能小计，α = 0.92;总分，α = 0.96)。欧洲葡萄牙语版的PedsQL™FIM是护士评估儿童/青少年慢性病对家庭生活质量的影响并制定干预措施以改善其福祉的可靠有效的测量工具。

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