Child Health Nursing Research最新文献

{"title":"Factors affecting the health-related quality of life of children with cerebral palsy in Indonesia: a cross-sectional study.","authors":"Ade Febrina Lestari, Mei Neni Sitaresmi, Retno Sutomo, Firda Ridhayani","doi":"10.4094/chnr.2023.027","DOIUrl":"10.4094/chnr.2023.027","url":null,"abstract":"<p><strong>Purpose: </strong>Children with cerebral palsy (CP) and their parents experience various problems that can affect their quality of life. This study examined factors affecting the quality of life of children with CP.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in Yogyakarta, Indonesia, from January to August 2019. The participants were consecutively recruited children with CP aged 2 to 18 years and their parents. Ninety-eight children with CP and their parents, specifically their mothers, were recruited. Children's health-related quality of life (HRQoL) was measured using the Pediatrics Quality of Life Cerebral Palsy. Parental HRQoL and stress were measured using the WHOQOL-BREF and Parenting Stress Index (PSI).</p><p><strong>Results: </strong>Functional level V was the most common category for both Gross Motor Function Classification System (GMFCS) and Bimanual Fine Motor Function (BFMF) (35% and 28%, respectively). Children's mean HRQoL was medium (49.81±20.35). The mean total PSI score was high (94.93±17.02), and 64% of parents experienced severe stress. Bivariate analysis showed that GMFCS, BFMF, number of comorbidities, presence of pain, and parental stress were significantly correlated with the total score for children's HRQoL (p<.05). Multiple linear regression analysis (p<.05) demonstrated that more severe GMFCS and parental stress were associated with lower mean HRQoL scores in children.</p><p><strong>Conclusion: </strong>Factors including the level of GMFCS and parental stress affected the HRQoL of children with CP. Parental stress management should be included in the comprehensive management of these children.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"30 1","pages":"7-16"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10834306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare coaching program for youth with type 1 diabetes in South Korea: a pilot study.","authors":"Dae Eun Lee, Haejung Lee, Chong Kun Cheon, Ju Young Yoon","doi":"10.4094/chnr.2023.048","DOIUrl":"10.4094/chnr.2023.048","url":null,"abstract":"<p><strong>Purpose: </strong>This pilot study aimed to assess the feasibility, preliminary efficacy, and effects of a mobile app healthcare coaching program developed based on self-regulation theory among youths with type 1 diabetes.</p><p><strong>Methods: </strong>A mixed-method design was utilized. Participants were randomly assigned into intervention (n=23, 12-week coaching program) or control groups (n=16, usual care). Pre- and post-intervention assessments included self-efficacy, diabetes management behavior, and health outcomes (quality of life, depression, and HbA1c). Quantitative data were analyzed with SPSS/WIN ver. 26.0. The narrative information from the participants in the healthcare coaching program underwent content analyzed.</p><p><strong>Results: </strong>The intervention group had significantly lower depression scores (t=2.57, p=.014) than the control group. No significant differences were observed in self-efficacy, diabetes management behavior, and health outcomes between the two groups. The average frequency of health behavior monitoring per week among the participants was 1.86±1.60. The qualitative findings indicated that participants perceived improved diabetes self-management with the intervention; however, challenges during vacations, dietary control difficulties, and a lack of disease awareness were identified.</p><p><strong>Conclusion: </strong>The healthcare coaching program improved psychological aspects for youth with type 1 diabetes. Further research is needed to develop and implement mobile app interventions aimed at enhancing compliance with diabetes management in pediatric and adolescent populations.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"30 1","pages":"17-30"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10834303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a chatbot for school violence prevention among elementary school students in South Korea: a methodological study.","authors":"Kyung-Ah Kang, Shin-Jeong Kim, Byoung-Doo Oh, Yu-Hyeon Kim","doi":"10.4094/chnr.2023.054","DOIUrl":"10.4094/chnr.2023.054","url":null,"abstract":"<p><strong>Purpose: </strong>This study develops a chatbot for school violence prevention (C-SVP) among elementary school students.</p><p><strong>Methods: </strong>Among the analysis, design, development, implementation, and evaluation (ADDIE) models, ADD phases were applied to develop a C-SVP. Students' learning needs were identified by constructing content with a design that attracted their attention. Subsequently, a formative evaluation was conducted on the developed C-SVP to test its applicability by ten elementary school students targeting the 5th and 6th grades.</p><p><strong>Results: </strong>The chatbot was designed using KakaoTalk and named \"School Guardian Angel.\" The formative evaluation revealed that the developed C-SVP was easily accessible and useful for elementary school students.</p><p><strong>Conclusion: </strong>The developed C-SVP is expected to be effective in preventing violence among elementary school students. However, further research involving children of various age groups is required.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"30 1","pages":"45-53"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10834304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Participation in and perceptions of antibiotic stewardship behaviors among nurses at a children's hospital in South Korea: a descriptive study.","authors":"Jihee Lim, Kyung-Sook Bang","doi":"10.4094/chnr.2023.055","DOIUrl":"10.4094/chnr.2023.055","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated participation in and perceptions of antibiotic stewardship among nurses at a children's hospital.</p><p><strong>Methods: </strong>This descriptive study included 125 nurses working in the inpatient ward, intensive care unit and emergency room of a single tertiary children's hospital. The study measured 14 factors influencing antibiotic stewardship behaviors using the theoretical domains framework. Each factor was analyzed by categorizing it into components (capability, opportunity, and motivation) that have been proposed as influencing factors in the COM-B model of behavior. One-way analysis of variance and Pearson correlation coefficients were used to explore differences in antibiotic stewardship behaviors and influencing factors according to general characteristics and the correlation between antibiotic stewardship behaviors and COM-B components.</p><p><strong>Results: </strong>No statistically significant difference in antibiotic stewardship behaviors was found based on the experience of antibiotic stewardship education or the nursing department. However, significant differences were observed in the perception levels of factors related to antibiotic stewardship behaviors according to the experience of antibiotic stewardship education in skill (physical) (p=.042), knowledge (p=.027), intentions (p=.028), and social influences (p=.010). Additionally, significant differences were observed in perception levels according to the sub-components of the COM-B model, specifically physical capability (p=.042), psychological capability (p=.027), and social opportunity (p=.010).</p><p><strong>Conclusion: </strong>To expand nurses' involvement and roles in antibiotic stewardship, nurses should acknowledge the significance of appropriate antibiotic use, aiming to enhance the quality of medical care and ensure patient safety. In pursuit of this objective, tailored education aligning with the specific needs and practices of nurses is essential.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"30 1","pages":"54-66"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10834308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Journal statistics in 2023 and catalysts for the future transformation of Child Health Nursing Research.","authors":"Yunsoo Kim","doi":"10.4094/chnr.2024.002","DOIUrl":"10.4094/chnr.2024.002","url":null,"abstract":"","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"30 1","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10834302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between adverse childhood experiences and self-harm among South Korean children and adolescents: a cross-sectional study.","authors":"Scott Seung W Choi, Jeong-Kyu Sakong, Hyo Ju Woo, Sang-Kyu Lee, Boung Chul Lee, Hyung-Jun Yoon, Jong-Chul Yang, Min Sohn","doi":"10.4094/chnr.2023.29.4.271","DOIUrl":"10.4094/chnr.2023.29.4.271","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescent self-harm is a public health problem. Research suggests a link between adverse childhood experiences (ACEs) and self-destructive behaviors. Few studies, however, have examined the effects of ACEs on self-harm among Asian adolescents. This study explored the association between lifetime ACEs and a history of self-harm among Korean children and adolescents in elementary, middle, and high schools.</p><p><strong>Methods: </strong>A cross-sectional, retrospective medical record review was conducted on a dataset of a national psychiatrist advisory service for school counselors who participated in the Wee Doctor Service from January 1 to December 31, 2020. The data were analyzed using multiple logistic regression to predict self-harm.</p><p><strong>Results: </strong>Student cases (n=171) were referred to psychiatrists by school counselors for remote consultation. Multiple logistic regression analyses revealed that the odds of self-harm were higher among high school students (adjusted odds ratio [aOR]=4.97; 95% confidence interval [CI]=1.94-12.76), those with two or more ACEs (aOR=3.27; 95% CI=1.43-7.47), and those with depression (aOR=3.06; 95% CI=1.32-7.10).</p><p><strong>Conclusion: </strong>The study's findings provide compelling evidence that exposure to ACEs can increase vulnerability to self-harm among Korean students. Students with a history of ACEs and depression, as well as high school students, require increased attention during counseling. School counselors can benefit from incorporating screening assessment tools that include questions related to ACEs and depression. Establishing a systematic referral system to connect students with experts can enhance the likelihood of identifying self-harm tendencies and offering the essential support to prevent self-harm.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"271-279"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical consideration of the use of generative artificial intelligence, including ChatGPT in writing a nursing article.","authors":"Sun Huh","doi":"10.4094/chnr.2023.29.4.249","DOIUrl":"10.4094/chnr.2023.29.4.249","url":null,"abstract":"","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"249-251"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing students' rights in clinical practice in South Korea: a hybrid concept-analysis study.","authors":"Sunghee Park, Mi-Young Choi","doi":"10.4094/chnr.2023.29.4.260","DOIUrl":"10.4094/chnr.2023.29.4.260","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to derive a conceptual definition and attributes for nursing students' rights in clinical practice in South Korea.</p><p><strong>Methods: </strong>This concept-analysis study was conducted at a nursing school in South Korea. The participants were recruited using purposive sampling. The inclusion criteria were being a fourth-year nursing student and having two or more semesters of practical experience. The hybrid model used in this study had three stages. First, 12 studies were reviewed during the theoretical stage. Second, 10 in-depth interviews were conducted during the fieldwork stage. Third, in the analytical stage, the concept of nursing students' rights related to clinical practice was defined and the attributes were derived.</p><p><strong>Results: </strong>The analysis established five attributes of nursing students' rights: the right to learn, the right to be protected from infections and accidents, the right to be cared for and supported, the right to be respected, and the right to be recognized as a member of a nursing team. A key theme that emerged from this study was having the right to learn in a safe and supportive environment.</p><p><strong>Conclusion: </strong>It is necessary to develop a measurement tool based on the above five attributes and to verify its effectiveness.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"260-270"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight status in survivors of childhood acute lymphocytic leukemia in South Korea: a retrospective descriptive study.","authors":"Yeongseon Kim, Kyung-Sook Bang","doi":"10.4094/chnr.2023.29.4.280","DOIUrl":"10.4094/chnr.2023.29.4.280","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated weight status in survivors of childhood acute lymphocytic leukemia (ALL) and identified related factors.</p><p><strong>Methods: </strong>A retrospective review of the electronic medical records of survivors of childhood ALL (n=230) was conducted. We analyzed the survivors' characteristics, including sex, age, weight status at diagnosis, central nervous system involvement, risk classification, length of treatment, radiation therapy, and hematopoietic stem cell transplantation. Analysis of variance and the chi-squared test were applied to investigate influencing factors.</p><p><strong>Results: </strong>The weight status distribution was as follows: 23 individuals (10.0%) were classified as underweight, 151 individuals (65.7%) were healthy weight, and 56 individuals (24.3%) were overweight/obese. Age at diagnosis (F=10.03, p<.001), weight status at diagnosis (x2=43.41, p<.001), and risk classification (F=10.98, p=0.027) showed significant differences among the weight status groups. Survivors who were older at diagnosis and those in the very high-risk category had a higher likelihood of experiencing underweight status during their survivorship, while survivors who were overweight/obese at diagnosis were more likely to remain overweight/obese at the time of survival.</p><p><strong>Conclusion: </strong>Considering the potential health implications related to an unhealthy weight status in survivors of ALL, it is imperative to undertake early identification and implement interventions for at-risk individuals.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"280-289"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness of using chatbots and factors influencing usage intention among nursing students in South Korea: a descriptive study.","authors":"So Ra Kang, Shin-Jeong Kim, Kyung-Ah Kang","doi":"10.4094/chnr.2023.29.4.290","DOIUrl":"10.4094/chnr.2023.29.4.290","url":null,"abstract":"<p><strong>Purpose: </strong>Artificial intelligence (AI) has had a profound impact on humanity; in particular, chatbots have been designed for interactivity and applied to many aspects of daily life. Chatbots are also regarded as an innovative modality in nursing education. This study aimed to identify nursing students' awareness of using chatbots and factors influencing their usage intention.</p><p><strong>Methods: </strong>This study, which employed a descriptive design using a self-reported questionnaire, was conducted at three university nursing schools located in Seoul, South Korea. The participants were 289 junior and senior nursing students. Data were collected using self-reported questionnaires, both online via a Naver Form and offline.</p><p><strong>Results: </strong>The total mean score of awareness of using chatbots was 3.49±0.61 points out of 5. The mean scores of the four dimensions of awareness of using chatbots were 3.37±0.60 for perceived value, 3.66±0.73 for perceived usefulness, 3.83±0.73 for perceived ease of use, and 3.36±0.87 for intention to use. Significant differences were observed in awareness of using chatbots according to satisfaction with nursing (p<.001), effectiveness of using various methods for nursing education (p<.001), and interest in chatbots (p<.001). The correlations among the four dimensions ranged from .52 to .80. In a hierarchical regression analysis, perceived value (β=.45) accounted for 60.2% of variance in intention to use.</p><p><strong>Conclusion: </strong>The results suggest that chatbots have the potential to be used in nursing education. Further research is needed to clarify the effectiveness of using chatbots in nursing education.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"290-299"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}