Child Health Nursing Research最新文献

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Child Health Nursing Research in 2026: 3 decades of growth, poised for a global leap. 2026年的儿童保健护理研究:30年的增长,准备实现全球飞跃。
Child Health Nursing Research Pub Date : 2026-10-01 Epub Date: 2026-10-31 DOI: 10.4094/chnr.2026.063
YeoJin Im
{"title":"Child Health Nursing Research in 2026: 3 decades of growth, poised for a global leap.","authors":"YeoJin Im","doi":"10.4094/chnr.2026.063","DOIUrl":"https://doi.org/10.4094/chnr.2026.063","url":null,"abstract":"<p><p>Child Health Nursing Research (CHNR), the official journal of the Korean Academy of Child Health Nursing, has published continuously since 1995. This editorial reviews its history, current standing, and strategy for international indexing. CHNR adopted its present title in 2013, moved to English-only publication in 2020, and is indexed in CINAHL, Scopus, DOAJ, and PubMed Central. Its Scopus CiteScore rose every year, from 0.9 in 2021 to 2.5 in 2025, and SCImago placed it in the second quartile in both of its subject categories in 2025. Volume 32 (2026) comprises 42 articles, up from 28 in 2025; 24% involved authors from outside Korea. Building on these gains, CHNR aims for inclusion in the Web of Science Core Collection and, ultimately, MEDLINE. Four strategies will guide this effort: broadening author diversity, strengthening the international editorial board, publishing work that is read and cited, and upholding publication ethics. The 2026 revision of the Instructions for Authors supports these goals. Editors, reviewers, and authors share responsibility for the journal's next leap.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 4","pages":"355-359"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149300850","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
Predictive value of birth weight and age for preliminary community-level stratification of undernutrition risk among children under 5: a cross-sectional study in rural Indonesia. 出生体重和年龄对5岁以下儿童营养不良风险初步社区水平分层的预测价值:印度尼西亚农村地区的一项横断面研究
Child Health Nursing Research Pub Date : 2026-10-01 Epub Date: 2026-10-31 DOI: 10.4094/chnr.2026.022
Yani Maidelwita, Rini Rahmayanti, Sri Suciana, Rika Sarfika, Tukimin Bin Sansuwito
{"title":"Predictive value of birth weight and age for preliminary community-level stratification of undernutrition risk among children under 5: a cross-sectional study in rural Indonesia.","authors":"Yani Maidelwita, Rini Rahmayanti, Sri Suciana, Rika Sarfika, Tukimin Bin Sansuwito","doi":"10.4094/chnr.2026.022","DOIUrl":"https://doi.org/10.4094/chnr.2026.022","url":null,"abstract":"<p><strong>Purpose: </strong>We evaluated the predictive value of low birth weight (LBW), child age, and maternal education for stunting, wasting, and underweight among children aged 0-59 months.</p><p><strong>Methods: </strong>We analyzed cross-sectional surveillance data from 394 children in Pesisir Selatan District, West Sumatra, Indonesia, and classified nutritional status according to the 2006 World Health Organization Child Growth Standards. For each outcome, we fitted a parsimonious logistic model (LBW, age, maternal education, and sex) and an expanded model incorporating 8 additional variables (9 regression coefficients). We assessed discrimination using the area under the receiver operating characteristic curve (AUROC) and calibration using the Hosmer-Lemeshow test and calibration slope.</p><p><strong>Results: </strong>The prevalence of stunting, wasting, and underweight was 14.5%, 10.7%, and 17.3%, respectively. LBW was the strongest predictor in the parsimonious model for stunting (adjusted odds ratio [AOR], 4.85; 95% confidence interval [CI], 2.53-9.29), wasting (AOR, 2.88; 95% CI, 1.38-6.02), and underweight (AOR, 4.34; 95% CI, 2.30-8.19; p≤.005). A lack of formal maternal education was independently associated with stunting and underweight. The optimism-corrected AUROCs were .706, .631, and .751, with calibration slopes of .88, .75, and .90, respectively. Adding variables in the expanded model did not improve fit (likelihood-ratio p>.05) and increased optimism.</p><p><strong>Conclusion: </strong>The parsimonious model showed modest discrimination for stunting and underweight. Discrimination for wasting was inadequate. A predictive contribution from the added variables could not be demonstrated with the available number of events. These preliminary findings require external validation before community-level application.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 4","pages":"464-479"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149300839","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
Association between general self-efficacy and social media addiction among young adult nursing students in Indonesia: a cross-sectional study. 印度尼西亚年轻成年护理学生一般自我效能感与社交媒体成瘾的关系:一项横断面研究。
Child Health Nursing Research Pub Date : 2026-10-01 Epub Date: 2026-10-31 DOI: 10.4094/chnr.2025.023
Sugeng Mashudi, Lukman Handoko, Nurul Syameera Aduka
{"title":"Association between general self-efficacy and social media addiction among young adult nursing students in Indonesia: a cross-sectional study.","authors":"Sugeng Mashudi, Lukman Handoko, Nurul Syameera Aduka","doi":"10.4094/chnr.2025.023","DOIUrl":"https://doi.org/10.4094/chnr.2025.023","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the association between general self-efficacy and social media addiction among young adult undergraduate nursing students in Indonesia.</p><p><strong>Methods: </strong>This cross-sectional study included 120 Indonesian undergraduate nursing students aged 21-23 years. Social media addiction and self-efficacy were assessed using the Bergen Social Media Addiction Scale and the General Self-Efficacy Scale, respectively. Data were analyzed using hierarchical multiple linear regression.</p><p><strong>Results: </strong>The mean social media addiction score was 19.11 (standard deviation=2.11), and the mean self-efficacy score was 24.60 (standard deviation=4.20). Self-efficacy showed a weak but statistically significant negative correlation with social media addiction (r=-.21, p=.022). Sociodemographic predictors entered in Step 1 of the hierarchical regression analysis explained 7.3% of the variance in social media addiction (R2=.073). Sex was a significant predictor (β=-0.19, p=.038), with male students reporting lower scores than female reference group. The final model explained 10.8% of the variance in social media addiction (R2=.108; F(5, 114)=2.77, p=.021).</p><p><strong>Conclusion: </strong>Higher self-efficacy was weakly associated with lower social media addiction. Given the limited variance explained and the omission of other well-established correlates of social media addiction, these findings do not support general self-efficacy as a standalone protective mechanism.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 4","pages":"480-489"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149300879","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
Effects of mothers' perceptions of nurses' communication ability on perceived quality of nursing care: mediation by the mother-nurse partnership in a cross-sectional study in South Korea. 母亲对护士沟通能力的感知对护理感知质量的影响:韩国一项横断面研究中母亲-护士伙伴关系的中介作用
Child Health Nursing Research Pub Date : 2026-10-01 Epub Date: 2026-10-31 DOI: 10.4094/chnr.2026.013
Hyejin Wi, Hyeon Ok Kim, Ju-Hee Nho, Eun Jee Lee
{"title":"Effects of mothers' perceptions of nurses' communication ability on perceived quality of nursing care: mediation by the mother-nurse partnership in a cross-sectional study in South Korea.","authors":"Hyejin Wi, Hyeon Ok Kim, Ju-Hee Nho, Eun Jee Lee","doi":"10.4094/chnr.2026.013","DOIUrl":"https://doi.org/10.4094/chnr.2026.013","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the mediating role of the mother-nurse partnership in the relationship between mothers' perceptions of nurses' communication ability and perceived quality of nursing care.</p><p><strong>Methods: </strong>Between August and November 2024, a questionnaire survey was administered to mothers whose preschool-aged children were hospitalized for 2-7 days at a tertiary hospital in South Korea. The data were summarized using descriptive statistics and analyzed using correlation analysis and the PROCESS macro.</p><p><strong>Results: </strong>Mean scores for mothers' perceptions of nurses' communication ability, the mother-nurse partnership, and perceived quality of nursing care were 4.17, 4.23, and 8.97, respectively. The mother-nurse partnership mediated this relationship. Kinesics, proxemics, and paralanguage had indirect effects on perceived quality of nursing care through the mother-nurse partnership, and proxemics also had a direct effect.</p><p><strong>Conclusion: </strong>The findings indicate a mediating role for the mother-nurse partnership in the relationship between mothers' perceptions of nurses' communication ability and perceived quality of nursing care. They also highlight the importance of nurses' nonverbal communication, particularly kinesics, proxemics, and paralanguage, within this mediating pathway.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 4","pages":"440-452"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149300811","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
Prevalence of and risk factors associated with growth and developmental delays among children in urban and suburban primary care settings in Indonesia: a cross-sectional study. 印度尼西亚城市和郊区初级保健机构儿童生长和发育迟缓的患病率及相关风险因素:一项横断面研究。
Child Health Nursing Research Pub Date : 2026-10-01 Epub Date: 2026-10-31 DOI: 10.4094/chnr.2025.055
Martira Maddeppungeng, Merlyn Meta Astari, Sri Ramadany, Shelly Salmah, Ainan Raena Nas, Zakiah
{"title":"Prevalence of and risk factors associated with growth and developmental delays among children in urban and suburban primary care settings in Indonesia: a cross-sectional study.","authors":"Martira Maddeppungeng, Merlyn Meta Astari, Sri Ramadany, Shelly Salmah, Ainan Raena Nas, Zakiah","doi":"10.4094/chnr.2025.055","DOIUrl":"https://doi.org/10.4094/chnr.2025.055","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to estimate the prevalence of growth and developmental delays and identify associated risk factors among children living in urban and suburban areas.</p><p><strong>Methods: </strong>This analytical cross-sectional study included 247 children aged 3-24 months from 2 health center catchment areas, 1 urban and 1 suburban. Anthropometric measurements and growth-monitoring records from January-December 2024 were collected. Development was screened using the Denver Developmental Screening Test II during field visits from January-March 2025. Interviews assessed demographics, parental education and occupation, breastfeeding, prenatal, perinatal, and postnatal histories, and digital media exposure. Bivariate analyses (chi-square or Fisher's exact test) and multivariable logistic regression were performed using IBM SPSS ver. 29.0.</p><p><strong>Results: </strong>Short stature prevalence was 18.6% in the urban area and 26.6% in the suburban area. Suspected developmental delays were identified in 11.4% and 24.3% of children, respectively. Development status was associated with maternal education (p=.006), screen time exposure (p=.047), vaginal delivery (p=.039), and postnatal history (p=.034). multivariable analysis showed that higher maternal education (adjusted odds ratio, 0.22; 95% confidence interval, 0.08-0.56) and delivery method (0.46; 0.23-0.89) were associated with lower odds of suspected developmental delays. Longer screen time (1.92; 1.09-3.37) and postnatal complications (2.37; 1.09-5.15) were associated with higher odds.</p><p><strong>Conclusion: </strong>Frequent growth monitoring was associated with better nutritional status and weight gain in both areas and increased body length in the suburban area. Lower odds of developmental delays were associated with maternal education and delivery method, whereas higher odds were associated with screen time duration and postnatal complications.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 4","pages":"417-426"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149300817","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
Effects of nursing work environment, professional autonomy, and organizational commitment on retention intention among pediatric inpatient unit nurses in South Korea: a descriptive cross-sectional study. 护理工作环境、专业自主和组织承诺对韩国儿科住院护士保留意愿的影响:一项描述性横断面研究。
Child Health Nursing Research Pub Date : 2026-10-01 Epub Date: 2026-10-31 DOI: 10.4094/chnr.2026.019
Heejin Han, Hyewon Shin
{"title":"Effects of nursing work environment, professional autonomy, and organizational commitment on retention intention among pediatric inpatient unit nurses in South Korea: a descriptive cross-sectional study.","authors":"Heejin Han, Hyewon Shin","doi":"10.4094/chnr.2026.019","DOIUrl":"https://doi.org/10.4094/chnr.2026.019","url":null,"abstract":"<p><strong>Purpose: </strong>Nurse retention remains a critical workforce challenge; however, evidence on retention intention among pediatric nurses remains limited. This study examined the levels of nursing work environment, professional autonomy, and organizational commitment among pediatric inpatient unit nurses and assessed their effects on retention intention.</p><p><strong>Methods: </strong>This descriptive cross-sectional study included 50 pediatric nurses from a tertiary hospital in South Korea. Data were collected through an online survey between November 2025 and January 2026. Nursing work environment, professional autonomy, organizational commitment, and retention intention were measured using validated instruments. Data were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and bootstrap multiple linear regression in IBM SPSS ver. 29.0.</p><p><strong>Results: </strong>The mean scores were 2.24±0.48 for nursing work environment, 3.64±0.44 for professional autonomy, 2.91±0.64 for organizational commitment, and 5.03±1.49 for retention intention. Organizational commitment showed a moderate positive correlation with retention intention. The regression model including organizational commitment explained 37% of the variance in retention intention (adjusted R2=.37). Organizational commitment was the strongest predictor, followed by educational level; nurses with master's degrees had lower retention intention than those with bachelor's degrees.</p><p><strong>Conclusion: </strong>Organizational commitment was the strongest predictor of retention intention among pediatric inpatient unit nurses. Organizational strategies that strengthen commitment may help improve pediatric nurse retention. In addition, a clinical ladder system for highly educated and experienced nurses, together with policies reflecting the distinctive demands of pediatric care, may be needed to support a sustainable nursing workforce.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 4","pages":"405-416"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149300882","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
Predictors of family quality of life among Omani families of children with sickle cell disease: maternal stress and family structure in a cross-sectional study. 阿曼镰状细胞病儿童家庭生活质量的预测因素:横断面研究中的母亲压力和家庭结构
Child Health Nursing Research Pub Date : 2026-10-01 Epub Date: 2026-10-31 DOI: 10.4094/chnr.2026.007
Wafa Al Jabri
{"title":"Predictors of family quality of life among Omani families of children with sickle cell disease: maternal stress and family structure in a cross-sectional study.","authors":"Wafa Al Jabri","doi":"10.4094/chnr.2026.007","DOIUrl":"https://doi.org/10.4094/chnr.2026.007","url":null,"abstract":"<p><strong>Purpose: </strong>Children with chronic health conditions such as sickle cell disease (SCD) often have a reduced quality of life, with consequences for their families. This study examined predictors of family quality of life (FQOL) among Omani families of children with SCD.</p><p><strong>Methods: </strong>In this cross-sectional study, a convenience sample of 103 mothers completed validated measures of maternal perceived stress and FQOL. Multiple regression analyses examined the effects of individual- and family-level factors on FQOL, with family income and family structure entered as categorical variables.</p><p><strong>Results: </strong>Maternal perceived stress (β=-.46, p<.001) and family structure (β=-.212, p=.023) significantly predicted FQOL. FQOL was higher in nuclear families (mean=3.63, standard deviation=0.39) than in other family types (extended, single-parent, and polygamous) (mean=3.34, standard deviation=0.47; t(101)=-3.50, p=.001). The overall regression model explained 30.9% of the variance in family quality of life (R²=.309).</p><p><strong>Conclusion: </strong>Maternal perceived stress and family composition both were significantly associated with FQOL. These findings support the need for culturally responsive, family-centered interventions and can inform clinical and policy strategies to improve family functioning and overall well-being among families of children with SCD.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 4","pages":"453-463"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149300877","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
Caregiver self-monitoring strategies in early childhood health care interventions: a scoping review. 幼儿保健干预中照顾者自我监测策略:范围综述
Child Health Nursing Research Pub Date : 2026-10-01 Epub Date: 2026-10-31 DOI: 10.4094/chnr.2026.012
Chakkrich Pidjadee, Kim Lam Soh, Hasni Idayu Saidi, Tassanee Attharos, Kim Geok Soh, Kanjana Siricharoenwong
{"title":"Caregiver self-monitoring strategies in early childhood health care interventions: a scoping review.","authors":"Chakkrich Pidjadee, Kim Lam Soh, Hasni Idayu Saidi, Tassanee Attharos, Kim Geok Soh, Kanjana Siricharoenwong","doi":"10.4094/chnr.2026.012","DOIUrl":"https://doi.org/10.4094/chnr.2026.012","url":null,"abstract":"<p><strong>Purpose: </strong>This study mapped and described evidence on self-monitoring strategies used by caregivers in early childhood health care interventions, focusing on their characteristics, purposes, supporting materials, implementation approaches, and reported challenges.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with the JBI Manual for Evidence Synthesis. Six databases-MEDLINE, CINAHL, PsycINFO, Scopus, the Cochrane Library, and the WHO Global Index Medicus-were searched with no date limits through April 23, 2026. Two reviewers independently screened studies and extracted data. The data were analyzed descriptively and synthesized narratively, distinguishing self-monitoring from proxy monitoring.</p><p><strong>Results: </strong>Thirty-seven studies met the inclusion criteria. Most used randomized controlled trial designs (62.2%). Target populations included parents, preschool teachers, and childcare workers. Interventions primarily addressed health promotion (75.7%) and chronic disease management (24.3%). Supporting skill practice and reinforcement was the most common purpose of caregiver self-monitoring (29.7%), whereas monitoring symptoms and treatment adherence was the most common purpose of caregiver proxy monitoring (24.3%). Self-monitoring recording tools, such as checklists, diaries, and logbooks, were the most frequently used tools for recording self-monitoring activities. Implementation typically involved caregiver training, application of self-monitoring tools, and review with feedback. Reported challenges included reliance on self-reported data, technical difficulties, and caregiver burden.</p><p><strong>Conclusion: </strong>Caregiver self-monitoring and proxy monitoring are distinct but complementary strategies in early childhood health care interventions, supporting both health promotion and chronic disease management. Future studies should integrate self-monitoring by developing user-friendly tools, reducing caregiver burden, and testing hybrid parent-teacher or childcare-worker delivery models to improve sustainability and longterm child health outcomes.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 4","pages":"360-382"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149300832","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
Effects of a quick response code-based caregiver video education program on peripheral intravenous catheter maintenance-related outcomes in hospitalized children in South Korea: a single-center quasi-experimental study. 基于快速反应代码的护理人员视频教育项目对韩国住院儿童外周静脉导管维持相关结果的影响:一项单中心准实验研究
Child Health Nursing Research Pub Date : 2026-10-01 Epub Date: 2026-10-31 DOI: 10.4094/chnr.2026.021
Yongju Been, Yun Mi Kim
{"title":"Effects of a quick response code-based caregiver video education program on peripheral intravenous catheter maintenance-related outcomes in hospitalized children in South Korea: a single-center quasi-experimental study.","authors":"Yongju Been, Yun Mi Kim","doi":"10.4094/chnr.2026.021","DOIUrl":"https://doi.org/10.4094/chnr.2026.021","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated the effects of quick response (QR) code-based video education on caregivers' knowledge and attitudes regarding peripheral intravenous catheter (PIVC) maintenance in hospitalized children and on PIVC-related outcomes.</p><p><strong>Methods: </strong>This quasi-experimental study used a nonequivalent control-group design. Participants were 62 caregivers of children aged ≤72 months receiving PIVC therapy in a pediatric ward in Jeonju, South Korea (31 caregivers per group). The groups were recruited sequentially, with a 2-week interval. The control group, recruited from October 17 to 31, 2025, received standard verbal and leaflet-based education. The experimental group, recruited from November 14 to 20, 2025, received the QR code-based video program plus standard education. Knowledge and attitudes were assessed at baseline and 1 and 3 days post-insertion. PIVC dwell time, flushing and dressing-change frequencies, and complications were obtained from observational records. Data were analyzed using repeated-measures analysis of variance, the Mann-Whitney U test, and the chi-square test.</p><p><strong>Results: </strong>Knowledge showed a significant group-by-time interaction (p<.001). Attitudes changed significantly over time (p<.001), but the interaction and between-group difference were nonsignificant (p=.780 and p=.433, respectively). Dwell-time distributions differed significantly between groups (p=.033). The experimental group showed lower frequencies of flushing (p=.003), dressing changes (p<.001), and lower incidence of complications (16.1% vs. 45.2%; p=.013; odds ratio, 0.23; 95% confidence interval, 0.07-0.77).</p><p><strong>Conclusion: </strong>QR code-based video education improved caregivers' knowledge and was associated with favorable short-term PIVC maintenance and clinical outcomes.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 4","pages":"427-439"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149300857","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
Caregivers' experiences of PM2.5 prevention for preschool children in Thailand: a qualitative study with focus group interviews. 泰国学龄前儿童照顾者PM2.5预防经验:焦点小组访谈的质性研究
Child Health Nursing Research Pub Date : 2026-10-01 Epub Date: 2026-10-31 DOI: 10.4094/chnr.2025.047
Kesinee Imman, Jutamas Ponmark, Surachai Wongcharee, Saksit Imman
{"title":"Caregivers' experiences of PM2.5 prevention for preschool children in Thailand: a qualitative study with focus group interviews.","authors":"Kesinee Imman, Jutamas Ponmark, Surachai Wongcharee, Saksit Imman","doi":"10.4094/chnr.2025.047","DOIUrl":"https://doi.org/10.4094/chnr.2025.047","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored caregivers' lived experiences and everyday practices related to preventing exposure to particulate matter ≤2.5 μm (PM2.5) among preschool children in a rural community in northern Thailand. Recurring haze and limited local resources create distinct challenges in this setting, making it important to understand how caregivers perceive air-quality risks and manage children's exposure in daily life.</p><p><strong>Methods: </strong>This qualitative descriptive study used focus group interview supplemented by in-depth interviews. Twenty primary caregivers of preschool-aged children (14 females and 6 males) participated. Data were collected with a semi-structured interview guide and analyzed using qualitative content analysis based on the approach described by Graneheim and Lundman.</p><p><strong>Results: </strong>Three major themes emerged from the analysis: (1) barriers in environmental awareness and responsibility, reflecting tensions between pervasive local pollution sources and caregivers' sense of helplessness; (2) individual efforts for disease prevention, describing caregivers' limited resources and reliance on visible symptoms rather than proactive prevention; and (3) building empathy and social support, indicating a shift from individual coping toward collective efforts to pursue education and structural change.</p><p><strong>Conclusion: </strong>Reliance on reactive coping strategies highlights the limitations of individual- level prevention when infrastructure gaps remain. Effective interventions should therefore combine caregiver health literacy with advocacy for improved waste management policies. These findings underscore the need to move beyond placing responsibility primarily on families and toward strengthening community-level structural support for sustainable child protection.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 4","pages":"396-404"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149300887","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
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