Pediatria Medica e Chirurgica最新文献_第7页

Comparison of mother's therapeutic touch and voice stimulus in reduce pain in premature infants undergoing invasive procedures. 母亲治疗性触摸和声音刺激在减轻有创手术早产儿疼痛中的比较。

Pediatria Medica e Chirurgica Pub Date : 2021-05-20 DOI: 10.4081/pmc.2021.259

Defi Efendi, Nining Caswini, Reisy Tane, Maria Dyah Kurniasari, Huda Mega Hasanul, Raudha Ilmi Farid

{"title":"Comparison of mother's therapeutic touch and voice stimulus in reduce pain in premature infants undergoing invasive procedures.","authors":"Defi Efendi, Nining Caswini, Reisy Tane, Maria Dyah Kurniasari, Huda Mega Hasanul, Raudha Ilmi Farid","doi":"10.4081/pmc.2021.259","DOIUrl":"https://doi.org/10.4081/pmc.2021.259","url":null,"abstract":"Invasive procedures commonly cause recurring pain in preterm infants. Noninvasive pain management is an essential part of nursing intervention in the Neonatal Intensive Care Unit (NICU). The study's aim is to identify the impact of touch therapy on pain in premature infants undergoing invasive treatments. The method was a quasi- experiment with 63 premature infants. The premature infants were classified into four groups: i) Mother's touch Therapy (MTT), ii) Mother's Voice Stimulus (MVS), iii) a combination of MTT and MVS, and iv) routine care. The observed infants' pain scores were determined through a multiple regression model using the Generalized Estimating Equation (GEE) method. The GEE test showed that the combination of touch and sound therapy significantly reduced pain in premature infants undergoing invasive measures (p<0.05). A combined application of MTT and MVS is the most effective in reducing pain scores in infants undergoing invasive procedures and thus, can used safely as part of nursing intervention in the NICU.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"43 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9470089","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

The impact of multiple insertions on peripheral intravenous access in low-birth-weight infants in perinatology. 围产期低出生体重儿多次静脉注射对周围静脉通路的影响。

Pediatria Medica e Chirurgica Pub Date : 2021-05-20 DOI: 10.4081/pmc.2021.266

Rose Nirwana Handayani, Defi Efendi

{"title":"The impact of multiple insertions on peripheral intravenous access in low-birth-weight infants in perinatology.","authors":"Rose Nirwana Handayani, Defi Efendi","doi":"10.4081/pmc.2021.266","DOIUrl":"https://doi.org/10.4081/pmc.2021.266","url":null,"abstract":"Low-Birth-Weight (LBW) infants have very small veins, and there is a risk of needing multiple insertions to establish peripheral intravenous access. This study aimed to examine the impacts of multiple insertions during peripheral intravenous access in LBW infants. This cross-sectional study involved 216 respondents. Data were analyzed with the Spearman correlation. The results showed a significant relationship (p<α) between multiple insertions to establish peripheral intravenous access to LBW infants with increased pain, heart rate, respiratory rate, duration of crying, delayed treatment, duration of insertion, and high cost of care (p<0.001; r=0.358-0.836). Meanwhile, multiple insertions might decrease oxygen saturation and body temperature (p<0.001; r=0.358). In this study, multiple insertions were correlated with several negative impacts on the physiological function and discomfort of LBW infants. The study also highlights the effect on time of treatment precision and cost effectiveness. Recommendation: It is necessary to develop preventive measures to reduce the impact of multiple insertions to establish peripheral intravenous access in LBW infants.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"43 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9462952","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

Sensitivity and specificity test of alarm malnutrition for hospital-acquired malnutrition among pediatric patients. 报警营养不良对儿科患者医院获得性营养不良的敏感性和特异性试验。

Pediatria Medica e Chirurgica Pub Date : 2021-05-20 DOI: 10.4081/pmc.2021.267

Yuni Maria Olviani Ndede, Dessie Wanda, Efa Apriyanti

引用次数: 0

The effect of storytelling on fear in school-age children during hospitalization. 讲故事对住院期间学龄儿童恐惧的影响。

Pediatria Medica e Chirurgica Pub Date : 2021-05-20 DOI: 10.4081/pmc.2021.269

Martina Mutiara Dewi, Nani Nurhaeni, Happy Hayati

{"title":"The effect of storytelling on fear in school-age children during hospitalization.","authors":"Martina Mutiara Dewi, Nani Nurhaeni, Happy Hayati","doi":"10.4081/pmc.2021.269","DOIUrl":"https://doi.org/10.4081/pmc.2021.269","url":null,"abstract":"Hospitalization places children in conditions that may nurture fears of new surroundings, strangers, and unknown actions. Storytelling can be administered as a distraction from the fears that a child experiences during treatment. This study aims to determine the effectiveness of storytelling against fear due to hospitalization in school-age children admitted to the hospital. This study used a quantitative approach with a pre-experimental design and the method used was nonequivalent control group pretest-posttest design. Subjects in this study consisted of two groups namely the intervention and the control groups. The total number of respondents was n=32 and located at the Maternity and Children Hospital in Indonesia. Bivariate analysis showed that storytelling intervention had a significant relationship with the fear of hospitalization among the hospitalized school-age children (p-value=0.001< 0.05). Also, there was a significant difference between the fear score in the intervention and the control groups (p-value=0.001<). Therefore, applying storytelling in the nursing intervention of pediatric patients in hospitals can be recommended to minimize the fear in children.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"43 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9462955","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

Pediatria Medica e Chirurgica Pub Date : 2021-05-20 DOI: 10.4081/pmc.2021.261

Erlis Kurniasari, Nur Agustini

{"title":"Factors related to anxiety before surgery in children in urological operating rooms.","authors":"Erlis Kurniasari, Nur Agustini","doi":"10.4081/pmc.2021.261","DOIUrl":"https://doi.org/10.4081/pmc.2021.261","url":null,"abstract":"This study aimed to determine the factors associated with preoperative anxiety in school-age children and adolescents at one of top hospital in the capital city of Indonesia. This study used analytical cross-sectional study. The selection of respondents used proportional stratified random sampling with a total of 86 respondents consisting of 43 school age children and 43 adolescents. Data analysis employed was the Chi-Square and Independent TTest. The results showed that anxiety was being experienced by 54.7% of respondents. In this study, it was found that there was a significant relationship (p<α) among children anxiety before surgery and age, family presence, previous operating experience and patient waiting time. Meanwhile, there was no significant relationship between gender and anxiety level before surgery in children. The results of this study can be used as the basis and reference for the hospital in making policies regarding efforts to manage anxiety before surgery in children. Accordingly, nurses could make appropriate nursing care interventions in preoperative patients to overcome preoperative anxiety experienced by schoolage children and adolescents.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"43 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9462956","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

Factors that impact the accuracy with which nurses place preterm infants with respiratory distress syndrome in the prone position. 影响护士将呼吸窘迫综合征早产儿俯卧位准确性的因素。

Pediatria Medica e Chirurgica Pub Date : 2021-05-20 DOI: 10.4081/pmc.2021.268

Nur Fitri, Defi Efendi

{"title":"Factors that impact the accuracy with which nurses place preterm infants with respiratory distress syndrome in the prone position.","authors":"Nur Fitri, Defi Efendi","doi":"10.4081/pmc.2021.268","DOIUrl":"https://doi.org/10.4081/pmc.2021.268","url":null,"abstract":"Prone positioning is an important treatment procedure for preterm infants with Respiratory Distress Syndrome (RDS). However, the accuracy with which preterm infants in the Neonatal Intensive Care Unit (NICU) are placed in the prone position is impacted by several factors. The current study aimed to identify these factors. One hundred and twenty-eight nurses were included in this cross-sectional study. Direct observations of the research subjects were used to collect the research data. The participants completed a research questionnaire that included their demographic data and three others to obtain information on their clinical experience, knowledge of positioning, caring behaviors, and efficacy. Independent factors likely to affect preterm infant positioning were evaluated using multivariate logistic regression. The alpha level was set at 5%. Knowledge (p=0.002) and caring behavior (p=0.009) significantly influenced the accuracy with which nurses placed preterm infants with RDS in the prone position. Nursing efficacy, infant's bodyweight, gestational age, the institution, and DNR decisions did not significantly impact accuracy. NICU nursing staff require interventions to increase their knowledge of the accurate positioning of preterm infants with RDS.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"43 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9462958","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

Blow pinwheels improve oxygen saturation of preschool children with post pneumonia in outpatient pediatric departement. 吹风车改善门诊儿科肺炎后学龄前儿童血氧饱和度。

Pediatria Medica e Chirurgica Pub Date : 2021-05-20 DOI: 10.4081/pmc.2021.263

Nurti Yunika Kristina Gea, Nani Nurhaeni, Allenidekania Allenidekania

{"title":"Blow pinwheels improve oxygen saturation of preschool children with post pneumonia in outpatient pediatric departement.","authors":"Nurti Yunika Kristina Gea, Nani Nurhaeni, Allenidekania Allenidekania","doi":"10.4081/pmc.2021.263","DOIUrl":"https://doi.org/10.4081/pmc.2021.263","url":null,"abstract":"This study aimed to recognize the Pursed Lips Breathing (PLB) modification effect by blowing pinwheel to the oxygen saturation of preschool children with post pneumonia. Also, to analyze the oxygen saturation value of the preschool children with pneumonia on the intervention group and the control group and to recognize the differences. This study design was quasi experimental pre-posttest with control group design. The participants were 30 preschool children with post pneumonia (15 children were in the intervention group, 15 were in the control group) and were chosen by consecutive sampling. This study showed significant differences on oxygen saturation between the intervention group and control group (p=0.018<0.05). Blowing pinwheel affected the oxygen saturation of the preschool age with pneumonia on the intervention group but none on the control group. The results of this study can be used as the basis and reference for the hospital in making policies, as founded that blowing pinwheel affected the oxygen saturation escalation of the preschool children with pneumonia after several exercises. This activity was recommended to be implemented at the hospital as the treatment for the outpatient children with pneumonia and to be carried on at home for the preschool children who were able to perform independently. The recommendation for the further study was to use a true experiment with a larger sample and was not limited to PLB but also to measure the ability to blow.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"43 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9470084","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

Evidence-based nursing intervention to reduce skin integrity impairment in children with diaper dermatitis: A systematic review. 循证护理干预减少尿布性皮炎患儿皮肤完整性损害的系统综述。

Pediatria Medica e Chirurgica Pub Date : 2021-05-20 DOI: 10.4081/pmc.2021.265

Prihatini Dini Novitasari, Dessie Wanda

{"title":"Evidence-based nursing intervention to reduce skin integrity impairment in children with diaper dermatitis: A systematic review.","authors":"Prihatini Dini Novitasari, Dessie Wanda","doi":"10.4081/pmc.2021.265","DOIUrl":"https://doi.org/10.4081/pmc.2021.265","url":null,"abstract":"Diaper dermatitis often occurs in children. In Indonesia, the guidelines for managing this health problem are issued by each hospital in Indonesia, but there are no guidelines for formal prevention and management released by the Indonesian Health Ministry. This study aimed to propose the Air, Barrier, Cleansing, Diapering, Education (ABCDE) approach as an evidence-based independent nursing intervention to prevent and treat impaired skin integrity, particularly diaper dermatitis, in children by nurses. This systematic review was derived from multiple databases using the following keywords: \"child,\" \"diaper dermatitis,\" \"diaper-free time,\" \"air,\" \"barrier,\" \"cleansing,\" \"diaper,\" and \"education.\" From these keywords, 393 articles were collected and then filtered using inclusion and exclusion criteria to obtain the final articles to be analyzed. Thirty-one articles passed the criteria. The study found that the ABCDE approach was effective in preventing and treating diaper dermatitis in children. Its indicators of the approach were preventing or decreasing inflammation, repairing damage to the skin, and preventing reoccurrence. Based on the review and analysis of multiple aspects in Indonesia, the authors proposed a modification of the sequence to CBAD-E to implement the approach in Indonesian children. The intervention of the ABCDE approach matches Indonesian children's situation, and therefore it can be implemented in Indonesia. Accordingly, this recommendation may be useful and feasible to be implemented by nurses in preventing and treating diaper dermatitis in children, thus decreasing its prevalence.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"43 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9462954","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

Pulling out a broken catheter using interventional radiology in a preterm. Neonatal intensive care. 使用介入放射学在早产中拔出破裂的导管。新生儿重症监护。

Pediatria Medica e Chirurgica Pub Date : 2021-05-14 DOI: 10.4081/pmc.2021.255

Ismael JosÃ Dorta Luis, Paloma GonzÃ Lez Carretero, Carmen Luz Marrero Pã Rez, Ignacio HernÃ Ndez Cabezudo, Antonio Lã Pez Figueroa, Andrea GonzÃ Lez Palau

引用次数: 0

Transanal irrigation (TAI) in the paediatric population: Literature review and consensus of an Italian multicentre working group. 经肛门冲洗(TAI)在儿科人群:文献综述和意大利多中心工作组的共识。

Pediatria Medica e Chirurgica Pub Date : 2021-05-07 DOI: 10.4081/pmc.2021.250

Enrica Caponcelli, Milena Meroni, Giulia Brisighelli, Claudia Rendeli, Emanuele Ausili, Piergiorgio Gamba, Antonio Marte, Barbara Daniela Iacobelli, Laura Lombardi, Ernesto Leva, Paola Midrio

{"title":"Transanal irrigation (TAI) in the paediatric population: Literature review and consensus of an Italian multicentre working group.","authors":"Enrica Caponcelli, Milena Meroni, Giulia Brisighelli, Claudia Rendeli, Emanuele Ausili, Piergiorgio Gamba, Antonio Marte, Barbara Daniela Iacobelli, Laura Lombardi, Ernesto Leva, Paola Midrio","doi":"10.4081/pmc.2021.250","DOIUrl":"https://doi.org/10.4081/pmc.2021.250","url":null,"abstract":"Constipation and fecal incontinence in pediatric patients are conditions due to either functional or organic bowel dysfunction and may represent a challenging situation both for parents, pediatricians, and pediatric surgeons. Different treatments have been proposed throughout the past decades with partial and alternant results and, among all proposed techniques, in the adult population the Transanal Irrigation (TAI) has become popular. However, little is known about its efficacy in children. Therefore, a group of Italian pediatric surgeons from different centers, all experts in bowel management, performed a literature review and discussed the best-practice for the use of TAI in the pediatric population. This article suggests some tips, such as the careful patients' selection, a structured training with expert in pediatric colorectal diseases, and a continuous follow-up, that are considered crucial for the full success of treatment.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38890233","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