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

{"title":"The effect of watching videos with virtual reality glasses on pain and fear in children who undergoing suturing in the emergency department: A randomized controlled trial","authors":"Zuhal Artuvan RN, MScN, PhD ,&nbsp;Hacer Cetin RN, MScN, PhD ,&nbsp;Ayse Sonay Turkmen RN, MScN, PhD","doi":"10.1016/j.pedn.2025.02.017","DOIUrl":"10.1016/j.pedn.2025.02.017","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was conducted to examine the effects of watching videos with virtual reality glasses on pain and fear in children aged 7–12 who applied to the emergency room for suturing.</div></div><div><h3>Design and methods</h3><div>This study randomized controlled design was conducted in the emergency department of a public hospital between October 2022 and November 2024. 84 children aged 7–12 years were assigned to two different groups using block randomization method. The child, parent, and researcher assessed pain using the Wong-Baker FACES Pain Rating Scale, and fear using the Children's Fear Scale. The study data were analyzed using the Chi-square and independent Sample <em>t</em>-tests.</div></div><div><h3>Results</h3><div>The groups were similar in clinical and demographic characteristics. The pain and fear scores of the group watching the video with the virtual reality glasses during and after the procedure were lower than those of the control group. Children who watched the video with virtual reality glasses had lower pain scores during the procedure (<em>n</em> = 37; 2.54 ± 2.09<em>, p</em> <em>&lt;</em> <em>0.001)</em>, after the procedure (1.35 ± 1.57; <em>p</em> <em>&lt;</em> <em>0.001</em>), and fear scores during the procedure (1,68 ± 1.40; p <em>&lt;</em> <em>0.001</em>), after procedure (0.59 ± 1.07<em>; p</em> <em>&lt;</em> <em>0.001</em>) than the control group.</div></div><div><h3>Conclusion</h3><div>This study found that watching videos with virtual reality glasses was effective in reducing pain and fear in children aged 7–12 who undergoing sutures.</div></div><div><h3>Practice implications</h3><div>The cost-effective, easily accessible and effective (reducing pain and fear) video viewing technique with virtual reality glasses during the suturing procedure can be used safely in children between the ages of 7 and 12.</div><div><strong>Clinical Trials ID:</strong> <span><span>NCT05543876</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 31-37"},"PeriodicalIF":2.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519649","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}

{"title":"Play-based training program for overcoming hospital fear in children","authors":"Musa Özsavran ,&nbsp;Aleyna Baz ,&nbsp;Cihangir Karakaya","doi":"10.1016/j.pedn.2025.02.016","DOIUrl":"10.1016/j.pedn.2025.02.016","url":null,"abstract":"<div><h3>Purpose</h3><div>Whether or not they have had medical procedures in hospitals before, children experience fear of medical procedures performed in hospitals or in general. These children need to be given information about the medical procedures or general procedures performed in the hospital in an effective way through different methods. One of these methods is play. This study aims to determine the effect of play-based training program on the fear of medical procedures in healthy children aged 7–12 years.</div></div><div><h3>Design and methods</h3><div>The research was conducted in an intervention with the control group. The study was conducted with 120 children who met the inclusion criteria in two different primary and secondary schools in Türkiye. Training was given to 60 children in the intervention group for four weeks. Data were collected from both groups using the Medical Procedures Fear Scale at three different stages: pre-training, post-training, and follow-up. Analyses were performed using the SPSS 25 program.</div></div><div><h3>Results</h3><div>It was observed that the control group's post-test and follow-up test medical procedure fear score was greater than that of the intervention group (<em>p</em> &lt; 0.05). Intervention group's post-test and follow-up test medical procedure fear score was more significant than the pre-test (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Play-based hospital fear overcoming training is a method that reduces the fear of medical procedures in healthy children aged 7–12 years. It may benefit children if these training practices are carried out in schools with the co-operation of healthcare professionals.</div></div><div><h3>Practical implications</h3><div>Play-based training programs can be implemented in various healthcare settings to reduce children's fear of medical procedures and improve their overall well-being through collaboration among healthcare professionals and community organizations.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 21-30"},"PeriodicalIF":2.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511387","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}

{"title":"Effectiveness of social robots in improving psychological well-being of hospitalised children: A systematic review and meta-analysis","authors":"Xin Yi Or ,&nbsp;Yu Xuan Ng ,&nbsp;Yong Shian Goh","doi":"10.1016/j.pedn.2025.01.032","DOIUrl":"10.1016/j.pedn.2025.01.032","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the effectiveness of social robots in reducing pain, stress, and anxiety among hospitalised children.</div></div><div><h3>Background</h3><div>Children are often subjected to painful medical procedures during hospitalisation, resulting in pain, stress and anxiety. This can have significant implications for a child's psychological and overall well-being. Therefore, it is essential to alleviate these emotions among hospitalised children.</div></div><div><h3>Methods</h3><div>The review included studies involving hospitalised children ages 1–12 who underwent any medical procedure and received interventions involving social robots. Six databases were searched for articles published on the review topic. The search timeline was from January 2013 to January 2024. The included studies need to assess the effectiveness of the robots in improving primary outcomes such as pain, stress, distress, or anxiety levels. A meta-analysis of these variables was conducted.</div></div><div><h3>Results</h3><div>The meta-analysis of 313 participants found that social robots had a standardised mean difference (SMD) of −0.10 (95 % CI: −0.41 to 0.22, <em>P</em> = 0.54) in reducing pain, indicating no significant effect. For stress and distress, with a total of 309 participants, the SMD was −0.33 (95 % CI: −0.62 to −0.03, <em>P</em> = 0.003), and for anxiety, including 335 participants, the SMD was −0.42 (95 % CI: −0.73 to −0.10, <em>P</em> = 0.09). These findings suggest that while social robots are not effective in reducing pain, however, they are effective in lowering stress and anxiety levels in hospitalised children undergoing painful medical procedures.</div></div><div><h3>Conclusion</h3><div>This review highlights the efficacy of social robots when introduced to hospitalised children who are undergoing painful medical procedures. Nurses could consider integrating social robots into patient care protocols, which would yield advantages for anxious young children and their parents, as social robots help improving the child's psychological and overall well-being during medical procedures.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 11-20"},"PeriodicalIF":2.1,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428038","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}

{"title":"Influence of culture and spiritual tradition on support for families of children dying in intensive care units","authors":"Sung-Jin Jeanie Ju MPP, MACCS ,&nbsp;Janie Ito M.Div., BCC ,&nbsp;Aubree Lin MSN, RN ,&nbsp;Dagmar Grefe PhD, ACPE CE ,&nbsp;Jennifer Baird PhD, MPH, MSW, RN ,&nbsp;Rebecca Ortiz La Banca Barber PhD, RN","doi":"10.1016/j.pedn.2024.12.012","DOIUrl":"10.1016/j.pedn.2024.12.012","url":null,"abstract":"<div><h3>Purpose</h3><div>Parents utilize spirituality as a means of coping during and after a child's death. Complexity of grief associated with loss of a child suggests the paramount importance of providing appropriate support for parents while experiencing their child's critical illness or end of life. This qualitative study focused on how parental culture and spiritual traditions influenced spiritual needs and coping during and after their child's death.</div></div><div><h3>Results</h3><div>Findings indicated three themes that illustrate the end-of-life and bereavement process: 1) Coping during hospitalization and the end-of-life stage; 2) coping during the bereavement stage; and 3) advice for parents and staff.</div></div><div><h3>Conclusions</h3><div>Results of this study confirm that in order to provide optimal family centered care, hospitals must provide support for parents that is culturally and spiritually sensitive to respond to their needs.</div></div><div><h3>Implications to practice</h3><div>To integrate the results into practice, hospital-wide education for staff on the importance of cultural and spiritual sensitivity is recommended. Additionally, collaboration with spiritual care teams, especially for patients and families facing complex diagnoses or advance care planning, will enhance the provision of culturally and spiritually sensitive care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 165-174"},"PeriodicalIF":2.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378240","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}

{"title":"The influence of parental perceptions of vulnerability on quality of life in pediatric cancer patients aged 5-7 years.","authors":"Merve Azak, Büşra Ekinci, Sümeyyenur Barış, Suzan Yildiz","doi":"10.1016/j.pedn.2025.01.031","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.01.031","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the relationship between parental perceptions of child vulnerability and quality of life (QOL) in children aged 5-7 years diagnosed with cancer. Specifically, it investigates how parental perceptions influence children's QOL and provides insights into psychosocial support strategies for families facing this challenge.</p><p><strong>Design and methods: </strong>This descriptive and correlational study involved children aged 5 to 7 years diagnosed with cancer, along with their parents. A total of 117 children and their parents participated. Data were collected using the Sociodemographic and Clinical Characteristics Form, the Child Vulnerability Scale (CVS), and the Pediatric Quality of Life Inventory (PedsQL). Both the parent and child forms of the PedsQL were used. Statistical analyses included t-tests, correlation, and regression analyses.</p><p><strong>Results: </strong>The results indicate that a significant proportion of parents (69.2 %) perceive their children as vulnerable, negatively affecting their children's QOL. The Child Vulnerability Scale showed a negative correlation with several QOL subdimensions, including pain, nausea, procedural anxiety, worry, cognitive problems, and communication. Parental perceptions of vulnerability were associated with lower QOL scores on both the parent and child forms of the PedsQL. Notably, child perceptions of vulnerability explained only 22.2 % of the variance in QOL.</p><p><strong>Conclusions: </strong>This study highlights the critical role of parental perceptions in shaping the QOL of children with cancer. Managing and supporting parents' perceptions is essential to improving children's QOL and the effectiveness of healthcare services.</p><p><strong>Practice implications: </strong>This study has significant implications for nursing practice, emphasizing the importance of guiding and supporting parents to optimize their children's QOL. Furthermore, it sheds light on the tendency of parents of chronically ill children to perceive them as vulnerable, providing valuable insights for more sensitive and effective care. However, the study's limitations suggest the need for more extensive research with larger and more diverse sample groups, which could significantly advance nursing practice.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374735","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}

{"title":"“I need everybody to understand that he's a whole child”: A mixed-methods study exploring caregivers' experiences with their children with medical complexities","authors":"Emily J. Jensen ,&nbsp;Sarah N. Douglas ,&nbsp;Sarah Khan ,&nbsp;Katharine Bullock","doi":"10.1016/j.pedn.2025.01.025","DOIUrl":"10.1016/j.pedn.2025.01.025","url":null,"abstract":"<div><h3>Purpose</h3><div>Children with medical complexities (CMC) access medical care at high rates and rely heavily on caregivers for daily care. Little research has explored the medical care experiences of caregivers of CMC to understand the holistic impact on the caregiver and their children. The goal of this study was to understand the experiences and challenges faced by CMC and their caregivers, explore the impact of COVID-19 on this population, and highlight the suggestions caregivers have to improve medical care for their children.</div></div><div><h3>Design and methods</h3><div>We conducted an explanatory sequential mixed method study utilizing surveys (<em>n</em> = 149) and in-depth interviews (<em>n</em> = 26) with a subset of survey participants. Descriptive and inferential quantitative analysis strategies as well as qualitative thematic and content analysis techniques were used to analyze the survey and interview data.</div></div><div><h3>Results</h3><div>Our findings included insights such as the frequent need to access medical care/specialists, the demand and emotional process of caring for CMC, the risk of pediatric medical trauma and stress, the unique impact of COVID-19 on this population, challenges navigating medical insurance, and the impact of the medical provider and system qualities on overall experiences. We also had findings related to the personal challenges associated with caregiving for CMC, caregiver coping and advocacy, and suggestions for improving care for CMC.</div></div><div><h3>Conclusions</h3><div>These findings suggest a need for improved practices and policies to support CMC and their families.</div></div><div><h3>Practice implications</h3><div>This study identifies opportunities for healthcare professionals to learn from the experiences of caregivers of CMC.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143216946","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}

{"title":"The acceptability, feasibility and adoption of a co-designed electronic post-injury psychosocial screening tool for carers of children admitted to hospital following injury","authors":"Ms Tanesha A. Dimanopoulos BPsych ,&nbsp;Ms Kate Trenoweth RN ,&nbsp;Dr Alexandra C. De Young BPsycSc(Hons), PhD ,&nbsp;Professor Roy Kimble MD, FRACS, FRCSP, MBChB ,&nbsp;Associate Professor Bronwyn R. Griffin RN, PhD","doi":"10.1016/j.pedn.2025.01.027","DOIUrl":"10.1016/j.pedn.2025.01.027","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the feasibility, acceptability and adoption of a co-designed electronic post-injury psychosocial screening tool for carers of paediatric trauma patients.</div></div><div><h3>Design and methods</h3><div>A mixed methods approach with a parallel convergent design was used. The study occurred at a tertiary paediatric hospital in Australia, with data collected between April 2023 and February 2024. Data were collected through electronic surveys, semi-structured interviews, and the psychosocial screening tool. Participants included caregivers of hospitalised children and clinicians from the hospital's trauma service.</div></div><div><h3>Results</h3><div>Although both caregivers and clinicians found the tool feasible and acceptable, adoption rates were lower than expected. Key barriers included the tool's timing, which conflicted with caregivers' focus on physical recovery and emotional challenges discussing trauma. Clinicians viewed the tool as research-focused, limiting engagement. Logistical barriers, such as lack of clinician support and timing, further reduced adoption.</div></div><div><h3>Conclusion</h3><div>The tool showed potential for improving psychosocial support post-injury, but adoption was hindered by timing, emotional challenges and clinician engagement.</div></div><div><h3>Practice implications</h3><div>Clinicians must prioritise the acceptability, feasibility and adoption of tools when implementing caregiver support interventions for children with traumatic injuries. Future research should focus on overcoming implementation barriers and optimising psychosocial screening tools. Subsequent versions should align with caregivers' recovery timelines, embrace trauma-informed principles, promote clinician buy-in and be culturally tailored. Enhanced integration into clinical workflows and greater clinician engagement will boost adoption and effectiveness.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 155-164"},"PeriodicalIF":2.1,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of diabetes education given to children with type 1 diabetes mellitus with digital games and video animation on quality of life","authors":"Gamze Tınmaz ,&nbsp;Sebahat Altundağ","doi":"10.1016/j.pedn.2025.01.023","DOIUrl":"10.1016/j.pedn.2025.01.023","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of the study was to examine the effects of diabetes education given to children with Type 1 Diabetes Mellitus with digital game and video animation on quality of life and metabolic control.</div></div><div><h3>Design and methods</h3><div>The study was an experimental single-blind, randomized controlled design. It was conducted with a total of 55 children with Type 1 Diabetes Mellitus, consisting of a study (<em>n</em> = 27) and a control group (<em>n</em> = 28). Data were collected by the “Introductory Information Form”, “Pediatric Quality of Life 3.0 Diabetes Mellitus Module (PedsQL 3.0)” and “Metabolic Control Parameters Monitoring Form”. Data were analyzed with Mann Whitney U, Chi square, Friedman and Bonferroni Dunn tests.</div></div><div><h3>Results</h3><div>The descriptive characteristics of children with type 1 diabetes mellitus were homogeneous. The total mean quality of life scores of children with Type 1 Diabetes Mellitus in the study group were significantly higher than those in the control group (<em>p</em> &lt; 0,05). The average HbA1c scores of the children in the study group decreased (<em>p</em> &lt; 0,05), while the average HbA1c scores of the control group increased (p &lt; 0,05).</div></div><div><h3>Conclusions</h3><div>Digital game and video animation based education was found to be effective in improving the quality of life of children with Type 1 Diabetes Mellitus and reducing HbA1c.</div></div><div><h3>Practice implications</h3><div>Providing diabetes education to children with Type 1 Diabetes Mellitus with digital games and video animations can facilitate diabetes management.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 142-154"},"PeriodicalIF":2.1,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097884","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}

{"title":"Pre-service education for registered nurses on mandatory reporting of child maltreatment: An integrative review","authors":"Sarah Stenson RN, MN(CFHN), PhD ,&nbsp;Alison Hutton RN, PhD ,&nbsp;Angela Fenton B.E. (hon), MECE, PhD ,&nbsp;Julian Grant RN, PhD","doi":"10.1016/j.pedn.2025.01.024","DOIUrl":"10.1016/j.pedn.2025.01.024","url":null,"abstract":"<div><h3>Problem</h3><div>The aim of this review is to examine the international literature about pre-service education for registered nurses and identify how it prepares them for their role as mandatory reporters of child maltreatment, to be applied to an Australian context.</div></div><div><h3>Methods</h3><div>All peer-reviewed papers about nurses' pre-service education on legally mandated reporting of child maltreatment written in English were eligible. Papers based on nurses working in various settings were included, from both Australian and international sources between 1994 to present. Literature search was performed between June–July 2021, and repeated in July 2023. 18 papers that met the eligibility criteria were included. They included 7 quantitative studies, 3 qualitative studies, 2 mixed-method studies, 5 literature reviews and 1 peer-reviewed discussion paper.</div></div><div><h3>Results</h3><div>The resultant papers came from Australia (<em>n</em> = 3), USA (n = 3), Taiwan (n = 3), India (<em>n</em> = 1), Brazil (n = 1), The Philippines (n = 1), Iran (n = 1), Hong Kong (n = 1), Saudi Arabia (n = 1), Korea (n = 1), UK (n = 1), and The Netherlands (n = 1). Publication dates ranged from 2005 to 2020. Key themes identified were insufficiencies in education leading to barriers to nursing making mandatory reports.</div></div><div><h3>Conclusions</h3><div>To remove barriers to making mandatory reports, nurses' education on mandatory reporting of child maltreatment should challenge nurses' attitudes and perceptions, be structured and use evidence-based pedagogy, and be delivered preservice.</div></div><div><h3>Implications</h3><div>Structured and pedagogically sound preservice education for nurses about mandatory reporting of child maltreatment is recommended. Education should offer opportunities for nurses to challenge their attitudes and preconceptions about child maltreatment.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 126-135"},"PeriodicalIF":2.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the causal factors of the nursing diagnosis of ineffective breathing pattern in children with congenital heart disease","authors":"Nayana Maria Gomes de Souza ,&nbsp;Viviane Martins da Silva ,&nbsp;Marcos Venícios de Oliveira Lopes ,&nbsp;Lívia Maia Pascoal ,&nbsp;Lívia Zulmyra Cintra de Andrade ,&nbsp;Beatriz Amorim Beltrão","doi":"10.1016/j.pedn.2025.01.022","DOIUrl":"10.1016/j.pedn.2025.01.022","url":null,"abstract":"<div><h3>Purpose</h3><div>To analyze the causal factors of the nursing diagnosis of ineffective breathing pattern (IBP) in children with congenital heart disease.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study carried out in a tertiary hospital located in northeastern Brazil. Our sample was composed of 340 children with congenital heart disease. The latent class model with adjusted random effects determined the IBP. Univariate logistic regression analysis was performed for each IBP nursing diagnosis causal factor.</div></div><div><h3>Results</h3><div>The analysis of etiological factors for the nursing diagnosis of IBP in children with congenital heart disease revealed a high prevalence of all causal factors investigated. The causal factors with the greatest impact on the occurrence of IBP were body position that inhibits pulmonary expansion; physical effort; pain; age less than two years; increased resistance to air passages; and reduced pulmonary compliance.</div></div><div><h3>Conclusions</h3><div>The occurrence of causal factors, body position that inhibits pulmonary expansion, physical effort, pain and age less than two years increases the chance of IBP nursing diagnosis in children with congenital heart disease.</div></div><div><h3>Implications to practice</h3><div>The results obtained in this investigation can guide pediatric nurses in making diagnostic decisions, as identifying the causal factors that trigger or potentiate IBP in children with congenital heart disease allows nurses to intervene early, facilitating the maintenance of breathing patterns.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 108-117"},"PeriodicalIF":2.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075975","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}