Pediatria Medica e Chirurgica最新文献_第3页

The impact of parental psychological distress on child behavior issues in hospitalized children. 父母心理困扰对住院儿童行为问题的影响。

Pediatria Medica e Chirurgica Pub Date : 2023-06-12 DOI: 10.4081/pmc.2023.311

Ayu Widya Lestari, Chia-Kuei Lee, Happy Hayati

{"title":"The impact of parental psychological distress on child behavior issues in hospitalized children.","authors":"Ayu Widya Lestari, Chia-Kuei Lee, Happy Hayati","doi":"10.4081/pmc.2023.311","DOIUrl":"https://doi.org/10.4081/pmc.2023.311","url":null,"abstract":"Child hospitalization has a negative impact on both children and parents' psychological well-being. Although prior studies in the general context demonstrated a favorable link between parental psychological distress and child behavior problems, research in the hospital situation was restricted. The purpose of this study was to see if parental psychological distress has an effect on child behavior problems in hospitalized children in Indonesia. This cross-sectional study included 156 parents who were recruited from four pediatric wards using a convenience sampling method between August 17 and December 25, 2020. The Hospital Anxiety and Depression Scale and the Child Behavior Checklist 1.5-5 and 6-18 were utilized. Parental anxiety was found to be a significant predictor of increased total behavior issue, internalizing behavior, externalizing behavior, anxious/ depressed, somatic complaints, and violent conduct in hospitalized children. Parental depression, on the other hand, was not related with any of the child behavior issue syndrome measures. The findings imply that identifying and treating parent anxiety early on is critical for preventing or reducing child behavior problems during hospitalization.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9626824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ureteropelvic junction obstruction in children by polar vessels: histological examination result. 极性血管阻塞儿童输尿管-骨盆交界处：组织学检查结果。

Pediatria Medica e Chirurgica Pub Date : 2023-05-30 DOI: 10.4081/pmc.2023.308

Eugenia Piro, Fabiola Colombini, Marta Brugnoni, Daniele Perilli, Laura Caterina Abati, Veronica Zocca, Lucia Vallieri, Antonio D'Alessio

{"title":"Ureteropelvic junction obstruction in children by polar vessels: histological examination result.","authors":"Eugenia Piro, Fabiola Colombini, Marta Brugnoni, Daniele Perilli, Laura Caterina Abati, Veronica Zocca, Lucia Vallieri, Antonio D'Alessio","doi":"10.4081/pmc.2023.308","DOIUrl":"10.4081/pmc.2023.308","url":null,"abstract":"In children, ureteropelvic junction obstruction (UPJO) is mostly caused by intrinsic factors (IUPJO) such as abnormal amounts of muscle and collagen deposition; extrinsic UPJO are rare and often due to crossing vessels (CVs). What is not clear is whether there is also intrinsic UPJ pathology in patients with CV. The aim of our study was to compare the histology of the two types of obstruction and to determine whether these histologic features are distinguishable enough to enable to identify the cause of obstruction based on histologic appearance alone. We retrospectively reviewed pathology reports of 38 children with UPJO that underwent surgery in our hospital from 2008 to 2022. The intrinsic and extrinsic groups consisted of 18 and 20 patients, respectively. After ematoxylin-eosin and Gomori's trichrome staining the specimens were scored for fibrosis and muscular hypertrophy in histhopatology, and CD117 antibody were used to detect interstitial Cajal-like cells. In our study, histological analyses revealed no differences between the CV and IUPJO specimens in terms of presence and degree of fibrosis and muscular hypertrophy; likewise, for presence of interstitial Cajal-like cells.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9552744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation between FLACC scale score and analgesic requirement in children undergoing Minimally Invasive Surgery. 微创手术患儿FLACC评分与镇痛需求的相关性研究。

Pediatria Medica e Chirurgica Pub Date : 2023-05-22 DOI: 10.4081/pmc.2023.288

Assunta Turco, Mariapina Cerulo, Fulvia Del Conte, Vincenzo Coppola, Giovanni Severino, Maria Escolino, Ciro Esposito

{"title":"Correlation between FLACC scale score and analgesic requirement in children undergoing Minimally Invasive Surgery.","authors":"Assunta Turco, Mariapina Cerulo, Fulvia Del Conte, Vincenzo Coppola, Giovanni Severino, Maria Escolino, Ciro Esposito","doi":"10.4081/pmc.2023.288","DOIUrl":"https://doi.org/10.4081/pmc.2023.288","url":null,"abstract":"Postoperative pain presents several challenges in pediatric Minimally Invasive Surgery. The Faces, Legs, Activity, Cry, and Consolability (FLACC) scale is a valid scale for pediatric postoperative pain. The aim of our study was to assess postoperative pain using FLACC scale and to analyze the correlation between FLACC scale score and analgesic requirement in children underwent Minimally Invasive Surgery. We retrospectively analyzed data of 153 children aged 2 months-3 years who underwent Minimally Invasive Surgery in our unit from January 2019 and December 2019. Postoperative pain assessment was established using FLACC scale. In each patient were analyzed the correlation between FLACC score and analgesic requirement. Pain evaluation was assigned immediately after surgery and at 15 and 60 minutes. 36.6% of patients (56 children) were asleep so considered pain free; 21.6% of patients (33 children) had a FLACC score more than 7 so they required analgesics and the pain assessment 15 and 60 minutes after was significantly lower. 41.8% of patients (64 children) had a postoperative FLACC score less than 3, so they didn't require any analgesic treatment. On the basis of our results, we recommend FLACC scale for postoperative pain assessment in children underwent MIS aged 2 months-3 years. FLACC scale is an effective and precise scale in detection of postoperative analgesic requirement in children and it could be extended in different age groups with further research.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9510528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transumbilical laparoscopic-assisted appendectomy versus laparoscopic appendectomy in children: a single center experience. 经脐腹腔镜辅助阑尾切除术与儿童腹腔镜阑尾切除术:单中心经验。

Pediatria Medica e Chirurgica Pub Date : 2023-04-27 DOI: 10.4081/pmc.2023.306

Edoardo Bindi, Fabiano Nino, Francesco Pierangeli, Michele Ilari, Taisia Bollettini, Elisa Chiarella, Francesca Mariscoli, Gianluca Gentilucci, Alba Cruccetti, Giovanni Cobellis

{"title":"Transumbilical laparoscopic-assisted appendectomy versus laparoscopic appendectomy in children: a single center experience.","authors":"Edoardo Bindi, Fabiano Nino, Francesco Pierangeli, Michele Ilari, Taisia Bollettini, Elisa Chiarella, Francesca Mariscoli, Gianluca Gentilucci, Alba Cruccetti, Giovanni Cobellis","doi":"10.4081/pmc.2023.306","DOIUrl":"https://doi.org/10.4081/pmc.2023.306","url":null,"abstract":"Laparoscopic Appendectomy (LPSA) is the first choice for appendectomy in pediatric surgery. Trans-Umbilical Laparoscopic Assisted Appendicectomy (TULAA) is another used technique. We compared both these procedures used for the treatment of acute appendicitis. The study was conducted between January 2019 to December 2020. Patients were divided into two groups: LPSA and TULAA groups. The collected data were: operative time, number of conversions, time of canalization and hospital stay. A total of 181 patients were included: 73 were kept in the LPSA and 108 in the TULAA group. Mean operative time was 70.9 minutes (range 45-130 min) for LPS and 56.4 (30-145 min) for TULAA group (p <0.0001). Complications rate showed no statistically significant difference between both the two groups. However, conversions showed a statistically significant difference (p=0.04). Both techniques showed similar results. TULAA technique takes a significantly shorter operating time. The selection between LPSA and TULAA techniques depends on the experience of the surgeon's work and the personal laparoscopic learning curve. In our experience LPSA was a useful technique to improve the laparoscopic skill of the pediatric surgery residents.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9727303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

52º Congresso Nazionale della Società Italiana di Chirurgia Pediatrica | Ancona, 20-22 ottobre 2022 意大利儿科外科学会第52届全国代表大会|安科纳，2022年10月20日至22日

Pediatria Medica e Chirurgica Pub Date : 2023-03-29 DOI: 10.4081/pmc.2023.319

The Editors

引用次数: 0

Effectiveness of web-based play therapy intervention in supporting the development of children with attention deficit/hyperactivity disorder. 基于网络的游戏治疗干预在支持注意缺陷/多动障碍儿童发展中的有效性。

Pediatria Medica e Chirurgica Pub Date : 2023-03-28 DOI: 10.4081/pmc.2023.316

Lina Budiyarti, Nur Agustini, Happy Hayati, Ria Utami Panjaitan, Nuraini Hakim

{"title":"Effectiveness of web-based play therapy intervention in supporting the development of children with attention deficit/hyperactivity disorder.","authors":"Lina Budiyarti, Nur Agustini, Happy Hayati, Ria Utami Panjaitan, Nuraini Hakim","doi":"10.4081/pmc.2023.316","DOIUrl":"https://doi.org/10.4081/pmc.2023.316","url":null,"abstract":"The high prevalence of children with Attention Deficit/ Hyperactivity Disorder (ADHD) in Indonesia has become a concern for nursing because ADHD might emerge as neurological developmental problems if not treated early through appropriate intervention. This study aims to determine the effectiveness of web-based play therapy on the emotional, behavioural and social development of school-age children with ADHD. This study employs a quasi-experimental non-equivalent control group design with purposive sampling technique, and 126 children with ADHD (patients at a psychiatric hospital in Indonesia) as participants. The results show that play therapy is an effective intervention for the emotional, behavioural and social development of school-age children with ADHD (p = 0.048, p = 0.030, p = 0.030; α= 0.05). This study is recommended as a reference for optimising nursing care for children with ADHD using information technology in the form of web-based play therapy designed in line with the fundamentals of intervention for children with ADHD, using attractive features and flexible access.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"45 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9252794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Effectiveness of pop-it therapeutic play on children's anxiety during inhalation therapy in children's wards. 流行音乐治疗游戏对儿童病房吸入治疗中儿童焦虑的影响。

Pediatria Medica e Chirurgica Pub Date : 2023-03-28 DOI: 10.4081/pmc.2023.315

Olivia Bawaeda, Dessie Wanda, Zesi Aprillia

{"title":"Effectiveness of pop-it therapeutic play on children's anxiety during inhalation therapy in children's wards.","authors":"Olivia Bawaeda, Dessie Wanda, Zesi Aprillia","doi":"10.4081/pmc.2023.315","DOIUrl":"https://doi.org/10.4081/pmc.2023.315","url":null,"abstract":"Hospitalized children receive anxiety-triggering medical procedures, such as inhalation therapy. One non-pharmacological intervention that can be provided to reduce children's anxiety is pop-it therapeutic play. This study aimed to measure the effectiveness of pop-it therapeutic play on children's levels of anxiety during inhalation therapy in children's wards. This study used a randomized control trial involving 66 children aged 1-12 years who received inhalation therapy and were treated in the children's ward from three hospitals in North Sulawesi. The respondents were divided into intervention and control groups, with 33 respondents for each group. The samples were selected using simple random sampling. Anxiety level was assessed using the Visual Facial Anxiety Scale. The findings showed that playing pop-it effectively reduced children's anxiety levels during inhalation therapy, with a p value of 0.000 (α < 0.05). Therefore, playing pop-it is the right solution for children who receive inhalation therapy and is recommended as an alternative toy in hospitals. This finding can be applied in children who receive inhalation therapy because it is easy to do, efficient and effective controlling the children's anxiety.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"45 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9252796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of the infant's acute pain assessment using developed conductance skin electric instrument compared to the behavioural and faces pain scale in painful injected vaccine. 使用发达的电导皮肤电仪评估婴儿急性疼痛与疼痛注射疫苗中行为和面部疼痛量表的比较分析。

Pediatria Medica e Chirurgica Pub Date : 2023-03-28 DOI: 10.4081/pmc.2023.312

Arie Kusumaningrum, Yeni Rustina, Tomy Abuzairi, Nurhadi Ibrahim, Nurdina Widanti, Gita Rindang Lestari

{"title":"Analysis of the infant's acute pain assessment using developed conductance skin electric instrument compared to the behavioural and faces pain scale in painful injected vaccine.","authors":"Arie Kusumaningrum, Yeni Rustina, Tomy Abuzairi, Nurhadi Ibrahim, Nurdina Widanti, Gita Rindang Lestari","doi":"10.4081/pmc.2023.312","DOIUrl":"https://doi.org/10.4081/pmc.2023.312","url":null,"abstract":"This study compared the scale of infant pain during vaccinated injection using conductance skin electric (Skin Conductance), the Wong-Baker Faces Scale (WBFS) instrument, and Face Leg Activity Cry and Consolability (FLACC) instruments. It was observational cohort study with pre-experimental design using vaccinated injection as pain stimuli. This study investigated 121 infants (59 boys, 62 girls), age/PNA 4.37 ± 2.97 months, and current body weight 6522 ± 1378.65 grams). Most infants had adequate birth weight 71 (89.9%) about 2985.74 ± 405.83 kg and mature infants as 67 (84.4%), about 38,52 ± 2,09 weeks. Pain measurement of all three instruments was do simultaneously using a developed Skin Conductance (SC) apparatus and video recording (to assess behaviour and face). WBFS, FLACC and SC have the same significance in measuring infants' pain scale during vaccination injection. Statistical analysis showed a significant difference in the three pain measurement instruments between before and during injection with a p value of <0.001. So that SC can be recommended for pain measurement.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"45 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9199997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The effectiveness of mental health nursing promotive and preventive model on protective factors, risk factors and adolescents' mental health. 心理健康护理促进预防模式对保护因素、危险因素及青少年心理健康的影响

Pediatria Medica e Chirurgica Pub Date : 2023-03-28 DOI: 10.4081/pmc.2023.317

Ni Made Dian Sulistiowati, Budi Anna Keliat, Raden Irawati Ismail, Besral Besral, I Ketut Dian Lanang Triana

{"title":"The effectiveness of mental health nursing promotive and preventive model on protective factors, risk factors and adolescents' mental health.","authors":"Ni Made Dian Sulistiowati, Budi Anna Keliat, Raden Irawati Ismail, Besral Besral, I Ketut Dian Lanang Triana","doi":"10.4081/pmc.2023.317","DOIUrl":"https://doi.org/10.4081/pmc.2023.317","url":null,"abstract":"Adolescents are at risk in experiencing mental health problems if the risk factors owned are more than the protective factors. This study aims to identify the effectiveness of Mental Health nursing promotive and preventive models on protective factors, risk factors and Adolescents' Mental Health. This research was with quasi-experiment, design employed randomization control group pre and post-test design conducted on 240 adolescents, which was divided into both groups equally. The study found that protective factors (self-esteem, family relationship, and prosocial ability) has increased after intervention model by 10.2%; 4.4%; 15.7%, respectively, risk factors (bullying behavior, anxiety, emotional problems, behavioral problems, and peer problems) has decreased after the intervention model by 9.8%; 26.1%; 25.9%; 17.5%; 22.4%, respectively. The model also increased the adolescents' mental health after intervention model by 14.9%. The mental health nursing promotive and preventive model is effective to increase the mental health of adolescents by 21.3%. Mental health nursing' promotive and preventive model could be used as basic needs to implement early detection regarding mental health of adolescents in the UKS scope and involving teachers' role, as well as parents in maintaining mental health.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"45 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9552667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Children's feelings in isolation rooms during COVID-19 hospitalization. 新冠肺炎住院期间儿童在隔离室的感受

Pediatria Medica e Chirurgica Pub Date : 2023-03-28 DOI: 10.4081/pmc.2023.313

Tri Arianingsih, Dessie Wanda, Nur Agustini

{"title":"Children's feelings in isolation rooms during COVID-19 hospitalization.","authors":"Tri Arianingsih, Dessie Wanda, Nur Agustini","doi":"10.4081/pmc.2023.313","DOIUrl":"https://doi.org/10.4081/pmc.2023.313","url":null,"abstract":"The treatment given to children who have been confirmed positive for COVID-19 and are showing symptoms involves isolation, which consequently is an unpleasant experience for pediatric patients. In isolation rooms, children reported a \"rollercoaster\" of feelings due to being separated from their families and familiar surroundings. This study examines children's emotions while being hospitalized in isolation rooms due to COVID-19. The study follows a descriptive qualitative design. Online interviews were carried out and involved 10 children who had been confirmed positive for COVID-19 and were hospitalized in two big cities in Sumatra. Four themes emerged from the data: i) children's emotional conditions after finding out they had positive COVID-19 test results; ii) boredom and inconvenience during isolation; iii) support from the children's peer; and iv) happy responses to receiving negative swab results and being allowed to go home. These themes describe the children's adaptation process to isolation based on the feelings they expressed during the interviews. This study suggests that, in order to improve their facilities, hospitals should support children's activities during isolation and nurses should improve their therapeutic communication with pediatric patients.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"45 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9252795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0