Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献

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Mediating role of maternal burnout in the relationship between marital satisfaction and maternal attachment 母亲倦怠在婚姻满意度与母亲依恋关系中的中介作用
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2026-03-01 Epub Date: 2026-01-29 DOI: 10.1016/j.pedn.2026.01.031
Büşra Yolcu , Yağmur Toprak , Rabia Yılmaz Ulusoy , Öznur Tiryaki
{"title":"Mediating role of maternal burnout in the relationship between marital satisfaction and maternal attachment","authors":"Büşra Yolcu ,&nbsp;Yağmur Toprak ,&nbsp;Rabia Yılmaz Ulusoy ,&nbsp;Öznur Tiryaki","doi":"10.1016/j.pedn.2026.01.031","DOIUrl":"10.1016/j.pedn.2026.01.031","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the relationships among marital satisfaction, maternal attachment, and maternal burnout, and to evaluate the mediating role of maternal burnout in the relationship between marital satisfaction and maternal attachment.</div></div><div><h3>Method</h3><div>Data were collected from 301 mothers with infants aged 0–12 months. Information was obtained using a Mother and Infant Descriptive Information Form, the Maternal Burnout Scale, the Marital Satisfaction Scale, and the Maternal Attachment Inventory. Data were analyzed using SPSS software. Scale reliability was assessed with Cronbach's alpha, relationships between variables were examined using Pearson correlation analysis, and path analysis was conducted for model testing. Statistical significance was set at <em>p</em> ≤ 0.05.</div></div><div><h3>Results</h3><div>Maternal burnout and marital satisfaction were at moderate levels, while maternal attachment was high. The path model showed good fit indices, and maternal burnout played a significant mediating role in the relationship between marital satisfaction and maternal attachment. Marital duration, child's gender, number of children, and child's age were variables influencing the model. Marital satisfaction was negatively correlated with maternal burnout and positively correlated with maternal attachment. Maternal burnout and maternal attachment were also significantly negatively correlated.</div></div><div><h3>Conclusion</h3><div>Increased marital satisfaction was associated with lower maternal burnout, which in turn positively affected the mother–infant bond. Supporting couple relationships and addressing mothers' psychosocial needs may improve maternal and infant health during early parenting.</div></div><div><h3>Implications to practice</h3><div>Integrating psychosocial and relational screening into postpartum care and involving partners in interventions may help reduce maternal burnout and strengthen mother–infant attachment.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 306-313"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The hospital patient journey experience from adolescents' perspective: a multimethod study 青少年视角下的医院病患旅程体验:多方法研究。
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2026-03-01 Epub Date: 2026-02-09 DOI: 10.1016/j.pedn.2026.01.045
Stefano Maiandi , Raffaella Gualandi , Anna De Benedictis , Noemi Gulotta , Giada Zottarel , Roberta Giacchero , Chiara Cibra , Dhurata Ivziku , Daniela Tartaglini
{"title":"The hospital patient journey experience from adolescents' perspective: a multimethod study","authors":"Stefano Maiandi ,&nbsp;Raffaella Gualandi ,&nbsp;Anna De Benedictis ,&nbsp;Noemi Gulotta ,&nbsp;Giada Zottarel ,&nbsp;Roberta Giacchero ,&nbsp;Chiara Cibra ,&nbsp;Dhurata Ivziku ,&nbsp;Daniela Tartaglini","doi":"10.1016/j.pedn.2026.01.045","DOIUrl":"10.1016/j.pedn.2026.01.045","url":null,"abstract":"<div><h3>Introduction</h3><div>The patient's perspective is considered a key element in the design of quality healthcare services and a driver of organizational improvement. The experience along the hospital journey may vary by patient age—particularly for adolescents—for whom the literature remains limited. This study aims to investigate whether the experience captured from the adolescent perspective has different or novel attributes compared with adults, identifying and exploring the variables that characterize adolescents' experiences during hospitalization.</div></div><div><h3>Methods</h3><div>A two-phase, multi-method qualitative study was conducted. In phase one, adolescents were shadowed from admission through discharge to identify the most salient aspects and emotions experienced along the hospital journey. In phase two, semi-structured interviews were conducted to describe adolescents' hospitalization experience.</div></div><div><h3>Results</h3><div>Six patients and six parents hospitalized for appendicitis participated in phase one. The adolescent hospital journey unfolds in four main phases—admission, surgery, postoperative phase, and discharge—with 11 subsequent steps. During the journey, adolescents encountered on average three professional profiles (nurses, physicians, support staff), with a daily mean of 14.4 interactions. In total, four adolescents, four parents, four physicians, and four nurses were interviewed. Boredom emerged as a distinctive feature of adolescents' hospitalization experience.</div></div><div><h3>Conclusions</h3><div>The analysis of adolescents' hospitalization experiences highlights new factors that should be considered essential and distinctive components of the patient experience.</div></div><div><h3>Implications to practice</h3><div>The findings highlight the need for adolescent-specific communication and relational strategies to address emotional distress during hospitalization. Simple organizational interventions may improve adolescents' hospital experiences and support more patient-centered pediatric care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 451-459"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effects of therapeutic play on alleviating preoperative anxiety in preschool children with congenital heart disease: A cluster-randomized controlled trial 治疗性游戏对减轻学龄前先心病患儿术前焦虑的影响:一项聚类随机对照试验
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2026-03-01 Epub Date: 2026-01-19 DOI: 10.1016/j.pedn.2026.01.006
Haiying Xing , Tong Zheng , Yan Ma , Qian Zhang , Yafei Liu , Xiangyu Wang , Mengran Li , Conghui Guo , Shiyu Wang , Xiaoye He , Tingting Li , Xiaoxue Zhang , Xuyang Fan
{"title":"The effects of therapeutic play on alleviating preoperative anxiety in preschool children with congenital heart disease: A cluster-randomized controlled trial","authors":"Haiying Xing ,&nbsp;Tong Zheng ,&nbsp;Yan Ma ,&nbsp;Qian Zhang ,&nbsp;Yafei Liu ,&nbsp;Xiangyu Wang ,&nbsp;Mengran Li ,&nbsp;Conghui Guo ,&nbsp;Shiyu Wang ,&nbsp;Xiaoye He ,&nbsp;Tingting Li ,&nbsp;Xiaoxue Zhang ,&nbsp;Xuyang Fan","doi":"10.1016/j.pedn.2026.01.006","DOIUrl":"10.1016/j.pedn.2026.01.006","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to examine the effects of preoperative therapeutic play on alleviating preoperative anxiety in preschool children with congenital heart disease.</div></div><div><h3>Design and methods</h3><div>This cluster-randomized controlled trial was conducted between October 2022 and April 2023. A total of 82 preschool children aged 3–5 years with congenital heart disease were recruited from two pediatric cardiac wards in China. Children in the intervention group (<em>n</em> = 40) received a preoperative therapeutic play intervention, while those in the control group (<em>n</em> = 40) received routine preoperative care. Anxiety was evaluated using the mYPAS-SF before and after the intervention at five assessment points (baseline, T1, T2, T3, and T4). Cooperation during anesthesia induction was assessed at T4 using the Induction Compliance Checklist (ICC). Data were analyzed using independent-samples t, chi-squared, Mann–Whitney U, and Kruskal–Wallis H tests. A <em>p</em>-value &lt;0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The anxiety levels of the children in the intervention and control groups were similar at baseline (<em>p</em> &gt; 0.05). After the intervention, the incidence of anxiety did not differ significantly between the two groups at any of the four assessment points (T1–T4) (<em>p</em> &gt; 0.05). However, the mYPAS-SF scores were significantly higher in the control group than in the intervention group at T4 (<em>p</em> &lt; 0.05). A significant difference was also observed in the ICC scores: the median (P<sub>25</sub>, P<sub>75</sub>) was 1 (1,3) in the control group and 0 (0,2) in the intervention group (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Preoperative therapeutic play reduced anxiety levels in preschool children with congenital heart disease during anesthesia induction and improved their compliance with the procedure.</div></div><div><h3>Practice implications</h3><div>Bedside nurse-led therapeutic play reduced preoperative anxiety and improved anesthesia compliance in children with CHD. The use of wearable devices offers a practical method for monitoring preoperative heart rate in preschool children.</div></div><div><h3>Registration</h3><div><span><span>chictr.org.cn</span><svg><path></path></svg></span> (ChiCTR2200062267). Registration date: July 31, 2022.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 201-208"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the efficacy of local application of bee products in the care of diaper dermatitis in infants: A randomized controlled trial 评价局部应用蜂产品治疗婴儿尿布皮炎的疗效:一项随机对照试验
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2026-03-01 Epub Date: 2026-01-23 DOI: 10.1016/j.pedn.2026.01.014
Bahar Aksoy PhD , Ilknur Kahriman PhD , Orhan Değer PhD , Ali Timuçin Atayoğlu PhD
{"title":"Evaluation of the efficacy of local application of bee products in the care of diaper dermatitis in infants: A randomized controlled trial","authors":"Bahar Aksoy PhD ,&nbsp;Ilknur Kahriman PhD ,&nbsp;Orhan Değer PhD ,&nbsp;Ali Timuçin Atayoğlu PhD","doi":"10.1016/j.pedn.2026.01.014","DOIUrl":"10.1016/j.pedn.2026.01.014","url":null,"abstract":"<div><h3>Background and purpose</h3><div>This randomized controlled trial compared the effects of a barrier cream containing propolis, beeswax, queen bee larvae, and vegetable oil (barrier cream 1) with those of zinc oxide (barrier cream 2) and olive oil on the healing of mild diaper dermatitis (DD).</div></div><div><h3>Methods</h3><div>A single-blind, parallel-group, pretest-posttest, repeated-measures randomized controlled trial was conducted. The study included infants aged 1–6 months diagnosed with mild DD, who were recruited from three family health centers and a pediatric outpatient clinic in a public hospital in a district of the Mediterranean Region of Türkiye. Data were analysed using descriptive statistics, one-way analysis of variance, chi-square, Bonferroni correction, and generalized estimating equations with multiple logistic regression.</div></div><div><h3>Results</h3><div>The mean DD severity score on days 1, 2, and 3 was lower in the barrier cream 1 group than in the barrier cream 2 and olive oil groups. The mean DD severity score on day 2 of the babies in the barrier cream 1 group was significantly lower than in the other groups (<em>p</em> = .012). Compared to olive oil, barrier cream 1 was 2.54 times (<em>p</em> = .004) more effective, and barrier cream 2 was 1.43 times more effective (<em>p</em> = .192) in improving DD.</div></div><div><h3>Conclusions</h3><div>Barrier cream 1, a formulation containing propolis, beeswax, queen bee larvae, and vegetable oil, demonstrated superior effectiveness in treating mild DD in infants compared to barrier cream 2 and olive oil.</div></div><div><h3>Practice implications</h3><div>Interventions aligned with the ABCDE model positively influenced healing outcomes and enhanced parental satisfaction.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 260-269"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hypothyroidism associated with anti-epileptic medications: Two case reports 甲状腺功能减退与抗癫痫药物:两例报告。
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2026-03-01 Epub Date: 2026-02-06 DOI: 10.1016/j.pedn.2026.01.037
Ashley Dingmann RN, CPN
{"title":"Hypothyroidism associated with anti-epileptic medications: Two case reports","authors":"Ashley Dingmann RN, CPN","doi":"10.1016/j.pedn.2026.01.037","DOIUrl":"10.1016/j.pedn.2026.01.037","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 493-495"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge, attitudes and practices toward discharge preparation among parents of newborns hospitalized in the NICU: A multi-center cross-sectional study NICU新生儿家长出院准备的知识、态度和实践:一项多中心横断面研究
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2026-03-01 Epub Date: 2026-01-28 DOI: 10.1016/j.pedn.2026.01.020
Miao Tang , Xueli Cheng , Ya Pan , Li Wu , Hui Yang , Jungeng Chen , Yanrong Wang , Linjialiang Zhang , Yuefeng Li , Jing Feng , Cheng Chen , Jingbo Jiang
{"title":"Knowledge, attitudes and practices toward discharge preparation among parents of newborns hospitalized in the NICU: A multi-center cross-sectional study","authors":"Miao Tang ,&nbsp;Xueli Cheng ,&nbsp;Ya Pan ,&nbsp;Li Wu ,&nbsp;Hui Yang ,&nbsp;Jungeng Chen ,&nbsp;Yanrong Wang ,&nbsp;Linjialiang Zhang ,&nbsp;Yuefeng Li ,&nbsp;Jing Feng ,&nbsp;Cheng Chen ,&nbsp;Jingbo Jiang","doi":"10.1016/j.pedn.2026.01.020","DOIUrl":"10.1016/j.pedn.2026.01.020","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to assess the knowledge, attitudes, and practices (KAP) of parents regarding the discharge preparation of newborns hospitalized in neonatal intensive care units (NICUs).</div></div><div><h3>Methods</h3><div>This multi-center cross-sectional study was conducted between October 2023 and February 2024 across six NICUs in Shenzhen. Data were collected using a structured, expert-developed questionnaire with verified reliability and internal consistency.</div></div><div><h3>Results</h3><div>A total of 549 valid questionnaires were included in the final analysis. Among the respondents, 340 (61.93%) were male. The mean scores for knowledge, attitude, and practice were 20.74 ± 7.29 (possible range: 0–40), 42.64 ± 3.66 (range: 10–50), and 44.86 ± 6.71 (range: 11–55), respectively. Multivariate linear regression identified that being female, urban residence, having one or two children, and prior caregiving experience were significantly associated with higher knowledge scores. Knowledge (β = 0.147, <em>P</em> &lt; 0.001) and various forms of caregiving support were positively associated with attitudes, while longer distance to hospital was associated with lower attitude scores. Knowledge (β = 0.304, <em>P</em> &lt; 0.001), attitude (β = 0.801, P &lt; 0.001), and prior caregiving experience were independently associated with practice. Path analysis confirmed that knowledge had direct effects on both attitude (β = 0.314, <em>P</em> = 0.013) and practice (β = 0.348, <em>P</em> = 0.010), and also an indirect effect on practice mediated by attitude (β = 0.138, <em>P</em> = 0.011).</div></div><div><h3>Conclusion</h3><div>While parents demonstrated positive attitudes and proactive practices, a significant gap in knowledge persists regarding NICU discharge preparation. Tailored educational strategies are necessary to enhance parental readiness and promote safer transitions from hospital to home care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 270-278"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Indicators of safe and equitable hospital-based care for culturally and linguistically diverse children and families: A scoping review 为文化和语言不同的儿童和家庭提供安全和公平的医院护理的指标:范围审查
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2026-03-01 Epub Date: 2026-01-23 DOI: 10.1016/j.pedn.2026.01.021
Helen J. Nelson , Richard Akubuiro , Hayley Harrison , Girish Swaminathan , Matthew Holmes , Sharyn K. Burns
{"title":"Indicators of safe and equitable hospital-based care for culturally and linguistically diverse children and families: A scoping review","authors":"Helen J. Nelson ,&nbsp;Richard Akubuiro ,&nbsp;Hayley Harrison ,&nbsp;Girish Swaminathan ,&nbsp;Matthew Holmes ,&nbsp;Sharyn K. Burns","doi":"10.1016/j.pedn.2026.01.021","DOIUrl":"10.1016/j.pedn.2026.01.021","url":null,"abstract":"<div><h3>Background</h3><div>Equitable access to health care is supported as families experience cultural safety, reducing inherent power imbalances. Current measures of cultural safety focus on First Nations Peoples; no framework or measure has been identified for families of multicultural background who access children's health services.</div></div><div><h3>Aim</h3><div>To identify how culturally safe care is assessed, measured, and monitored for families of multicultural background who access children's hospital services.</div></div><div><h3>Method</h3><div>This scoping review followed Joanna Briggs Institute Manual for Evidence Synthesis. The search included terms for: ‘population’ of multicultural families of children aged birth to 17 years; ‘concept’ of experience of cultural safety; and ‘context’ of hospital-based care. Databases included PubMed, Cochrane, Epistemonikos, Cumulative Index to Nursing and Allied Health Literature, MedLine, PsychINFO, Scopus, Proquest, and secondary search of references from included studies. Data were evaluated using thematic analysis, and narrative discussion aligned with the World Health Organization Framework for improving the quality of paediatric care.</div></div><div><h3>Results</h3><div>Seven manuscripts were included, and four themes identified: ‘Resources’, ‘Effective communication’, ‘Shared decision making’, and ‘Feeling supported’. Central to experience of multicultural safety is respectful verbal and nonverbal communication, supported through self-reflection by staff, allocation of extra time for families to seek clarity, and availability of interpreters.</div></div><div><h3>Implications</h3><div>Most important to families was an experience of being respected as nurses and care providers listened carefully and showed interest in family culture. We will translate findings by partnering with families to develop a tool to measure experience of multicultural safety in hospital-based care for children and families.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 250-259"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cigarette smoking prevalence and its risk factors, including social anxiety and depression, among adolescents in Turkey: A school-based cross-sectional study1 土耳其青少年吸烟率及其危险因素,包括社交焦虑和抑郁:一项基于学校的横断面研究
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 10.1016/j.pedn.2026.01.018
Elif Ezgi Kaçmaz , Yasemin Gümüş Şekerci
{"title":"Cigarette smoking prevalence and its risk factors, including social anxiety and depression, among adolescents in Turkey: A school-based cross-sectional study1","authors":"Elif Ezgi Kaçmaz ,&nbsp;Yasemin Gümüş Şekerci","doi":"10.1016/j.pedn.2026.01.018","DOIUrl":"10.1016/j.pedn.2026.01.018","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to determine the prevalence of smoking and levels of social anxiety and depression among adolescents and examine the risk factors that influence smoking.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted in Turkey in 2025 with 3636 adolescents aged 13–19 years. Data were collected using a Personal Information Form, the Social Anxiety Scale for Adolescents, and the Basic Depression Scale. Descriptive statistics, independent-samples <em>t</em>-tests, chi-square tests, and logistic regression analyses were used for the data analysis.</div></div><div><h3>Results</h3><div>The prevalence of smoking in this study was 9.5%. Sex, grade level, having family members or friends who smoke, social anxiety, and depression were identified as significant smoking risk factors. Specifically, having peers who smoke increased the likelihood of adolescent smoking by 9.627 times, whereas having family members who smoke increased this likelihood by 1.412 times. Additionally, each one-unit increase in social anxiety score was associated with a 1.6% increase in the likelihood of smoking, whereas each one-unit increase in depression score was associated with a 5.2% increase.</div></div><div><h3>Conclusion</h3><div>The findings revealed that depression and social anxiety are critical psychological variables that must be considered when understanding cigarette smoking.</div></div><div><h3>Practical implications</h3><div>School nurses can develop comprehensive approaches to reduce peer influence and strengthen psychosocial support systems in anti-smoking programs for adolescents. Additionally, they can facilitate the expansion of school-based mental health screenings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 219-226"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Motivations for self-care in caregivers of children with autism spectrum disorder: A phenomenological study 自闭症谱系障碍儿童照顾者自我照顾动机:一项现象学研究。
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.1016/j.pedn.2026.01.038
Mohamed Ali Zoromba , Heba Emad El-Gazar
{"title":"Motivations for self-care in caregivers of children with autism spectrum disorder: A phenomenological study","authors":"Mohamed Ali Zoromba ,&nbsp;Heba Emad El-Gazar","doi":"10.1016/j.pedn.2026.01.038","DOIUrl":"10.1016/j.pedn.2026.01.038","url":null,"abstract":"<div><h3>Background</h3><div>The rising prevalence of Autism Spectrum Disorder (ASD) places increasing demands on family caregivers. While the barriers to self-care are well-documented, the motivations that drive caregivers to prioritize their own health remain underexplored. This gap is particularly evident in culturally distinct settings like Saudi Arabia, where societal norms and religious beliefs shape caregiving dynamics.</div></div><div><h3>Aim</h3><div>This study aimed to explore the motivations for self-care among Saudi mothers of children with ASD.</div></div><div><h3>Methods</h3><div>A descriptive phenomenological design, grounded in Husserl's philosophy, was employed to investigate the lived experiences of 12 Saudi mothers. Participants were recruited via criterion-based purposive sampling. Data were collected via semi-structured, in-depth interviews conducted and analyzed using Colaizzi's method to distill thematic insights. Rigor was ensured through bracketing, interpretive member checking, and investigator triangulation.</div></div><div><h3>Results</h3><div>Four key categories emerged: (1) <em>Personal Values and Beliefs</em>, highlighting intrinsic maternal duty and spirituality as a primary sustainer; (2) <em>Social Support</em>, emphasizing family and professional encouragement; (3) <em>Barriers to Self-Care</em>, identifying time constraints and guilt rooted in cultural expectations; and (4) <em>Perceived Impact on Caregiving</em>, linking self-care to enhanced resilience and child well-being. Spirituality and collectivist support systems uniquely influenced motivations, while cultural norms posed distinct challenges.</div></div><div><h3>Conclusion</h3><div>Motivation for self-care among Saudi mothers is not driven by a desire for personal indulgence, but by a pragmatic and spiritual imperative to maintain caregiving capacity. Findings advocate for culturally tailored interventions, such as “Self-Care Prescriptions,” that leverage spirituality and family networks to overcome barriers and enhance caregiver well-being.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 392-399"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of a health literacy education program on the health literacy of parents of children with disabilities in special education and rehabilitation centers 健康素养教育方案对特殊教育和康复中心残疾儿童家长健康素养的影响。
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.1016/j.pedn.2026.01.039
Ozcan Aygun , Meryem Demir , Yakup Göçer , Hülya Çiftçi , Seda Adak
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