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Volume 29(1); January 2023

Editorials

The environment and children's health
Kyung-Sook Bang
Child Health Nurs Res 2023;29(1):1-4.   Published online January 31, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.1.1

Citations

Citations to this article as recorded by  
  • Celebration of the 30th anniversary of the Korean Academy of Child Health Nursing
    Hyun Young Koo
    Child Health Nursing Research.2024; 30(1): 1.     CrossRef
  • Transgenerational impacts of early life adversity: from health determinants, implications to epigenetic consequences
    Cyrielle Holuka, Nathalie Grova, Eleftheria G. Charalambous, Jeanne Le Cléac`H, Jonathan D. Turner, Archibold Mposhi
    Neuroscience & Biobehavioral Reviews.2024; 164: 105785.     CrossRef
  • 3,324 View
  • 168 Download
  • 2 Crossref
Journal statistics in 2022 and future development directions of Child Health Nursing Research
Yunsoo Kim
Child Health Nurs Res 2023;29(1):5-6.   Published online January 31, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.1.5
  • 2,574 View
  • 108 Download

Review Articles

Family-centered interventions for children and adolescents with type 1 diabetes mellitus: an integrative review
Aloysia Ispriantari, Rismia Agustina, Kennedy Diema Konlan, Hyejung Lee
Child Health Nurs Res 2023;29(1):7-23.   Published online January 31, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.1.7
Purpose
The purpose of this study was to investigate the effect of family-centered interventions on improving health outcomes in children and adolescents with type 1 diabetes mellitus (T1DM).
Methods
A literature search was conducted according to the PRISMA guidelines, using six electronic databases: EMBASE, CINAHL, Medline, CENTRAL, Scopus, and Web of Science. The inclusion criteria encompassed studies with populations of children and adolescents (age <18 years) and at least one parent/caregiver, or only parents/caregivers if the children were very young, and studies that investigated the health outcomes of children and parents/caregivers diagnosed with T1DM.
Results
From 2,746 published studies, only nine studies met the inclusion criteria. The key interventions were non-technology-based interventions (n=4), technology-based interventions (n=2), and combined technology- and non-technologybased interventions (n=3). The interventions had effects on glycated hemoglobin, adherence to diabetes management, diabetes self-management behaviors, and parentchild teamwork in diabetes management. Other essential effects were children's quality of life, children's problem-solving skills, parents' quality of life, and parents' coping and depression.
Conclusion
Family-centered interventions can effectively improve health outcomes in children and adolescents with T1DM. In the future, family-centered interventions integrated with other approaches, theories, and models should be developed to achieve the best possible outcomes.

Citations

Citations to this article as recorded by  
  • Family therapy and systemic interventions for child‐focussed problems: The evidence base
    Alan Carr
    Journal of Family Therapy.2025;[Epub]     CrossRef
  • A Family Peer Advocate Model to Address Disparities in Access to Care for Minority Autistic Children with Co-Occurring Attention-Deficit/Hyperactivity Disorder
    Pilar Trelles, Behrang Mahjani, Emma Wilkinson, Nicholas Buonagura, Lauren Donnelly, Jennifer Foss Feig, Danielle Halpern, Mary McKay, Paige Siper, Joseph D Buxbaum, Alexander Kolevzon
    Journal of Developmental and Physical Disabilities.2025; 37(2): 217.     CrossRef
  • Pre-Type 1 Diabetes in Adolescents and Teens: Screening, Nutritional Interventions, Beta-Cell Preservation, and Psychosocial Impacts
    Brody Sundheim, Krish Hirani, Mateo Blaschke, Joana R. N. Lemos, Rahul Mittal
    Journal of Clinical Medicine.2025; 14(2): 383.     CrossRef
  • Integrating Theory With a User-Centered Design Approach to Maximize mHealth Acceptability and Usability
    A. Susana Ramírez, Guadalupe Xochitl Ayala, Mary Murillo, Debora C. Glik, Alma D. Guerrero
    Health Education & Behavior.2025;[Epub]     CrossRef
  • Pediatric Non-Alcoholic Fatty Liver Disease (NAFLD): Trends, Mortality, and Socioeconomic Disparities in the U.S., 1998–2020
    Paul Wasuwanich, Joshua M. So, Mustafa Sadek, Chaowapong Jarasvaraparn, Songyos Rajborirug, Ruben E. Quiros-Tejeira, Wikrom Karnsakul
    Children.2025; 12(1): 71.     CrossRef
  • Impact of family environment on mental disorders and quality of life in children with type 1 diabetes mellitus: a cross-sectional study and intervention policy analysis
    Jing Liu, Jinhong Li, Lichang Li, Kun Zeng
    Frontiers in Pediatrics.2025;[Epub]     CrossRef
  • Psychosocial Care for Youth with Type 1 Diabetes
    Jenna B. Shapiro, Kimberly P. Garza, Marissa A. Feldman, Madeleine C. Suhs, Julia Ellis, Amanda Terry, Kelsey R. Howard, Jill Weissberg-Benchell
    Endocrinology and Metabolism Clinics of North Amer.2024; 53(1): 107.     CrossRef
  • Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial
    Deborah Ellis, April Idalski Carcone, Thomas Templin, Meredyth Evans, Jill Weissberg-Benchell, Colleen Buggs-Saxton, Claudia Boucher-Berry, Jennifer L Miller, Tina Drossos, M Bassem Dekelbab
    JMIR Diabetes.2024; 9: e55165.     CrossRef
  • Adolescents and type 1 diabetes: A grounded theory on adolescents' experiences of adaptation to type 1 diabetes
    Lobna Harazneh, Malakeh Z. Malak, Ahmad Ayed
    Journal of Pediatric Nursing.2024; 76: e159.     CrossRef
  • Self-care activities in pediatric patients with type 1 diabetes mellitus
    Mirjana Smudja, Tatjana Milenković, Ivana Minaković, Vera Zdravković, Jovan Javorac, Dragana Milutinović, Myriam M. Altamirano-Bustamante
    PLOS ONE.2024; 19(3): e0300055.     CrossRef
  • Educational needs of school health teachers caring for students with type 1 diabetes: An analysis using the Borich needs assessment and the locus for focus models
    Heewon Seok, Ju-Yeon Uhm
    The Journal of Korean Academic Society of Nursing .2024; 30(4): 347.     CrossRef
  • 6,567 View
  • 325 Download
  • 11 Crossref
A systematic review and meta-analysis of studies on extended reality-based pediatric nursing simulation program development
Eun Joo Kim, Ji Young Lim, Geun Myun Kim
Child Health Nurs Res 2023;29(1):24-36.   Published online January 31, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.1.24
Purpose
This systematic literature review and meta-analysis explored extended reality (XR)-based pediatric nursing simulation programs and analyzed their effectiveness.
Methods
A literature search was conducted between May 1 and 30, 2022 in the following electronic databases: MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and CINAHL. The search period was from 2000 to 2022. In total, 6,095 articles were reviewed according to the inclusion and exclusion criteria, and 14 articles were selected for the final content analysis and 10 for the meta-analysis. Data analysis was performed using descriptive statistics and the Comprehensive Meta- Analysis program.
Results
XR-based pediatric nursing simulation programs have increased since 2019. Studies using virtual reality with manikins or high-fidelity simulators were the most common, with six studies. The total effect size was statistically significant at 0.84 (95% confidence interval=0.50-1.19, z=4.82, p<.001).
Conclusion
Based on the findings, we suggest developing standardized guidelines for the operation of virtual pediatric nursing simulation education and practice. Simultaneously, the application of more sophisticated research designs for effect measurement and the combined applications of various virtual simulation methods are needed to validate the most effective simulation methodology.

Citations

Citations to this article as recorded by  
  • Identifying Research Priorities in Digital Education for Health Care: Umbrella Review and Modified Delphi Method Study
    Alison Potter, Chris Munsch, Elaine Watson, Emily Hopkins, Sofia Kitromili, Iain Cameron O'Neill, Judy Larbie, Essi Niittymaki, Catriona Ramsay, Joshua Burke, Neil Ralph
    Journal of Medical Internet Research.2025; 27: e66157.     CrossRef
  • Augmenting pediatric nursing clinical education with low-cost simulations
    Valerie C. Martinez, Desiree A. Díaz, Mindi Anderson, Samantha Stephenson, Syretta Spears
    Journal of Pediatric Nursing.2025; 81: 136.     CrossRef
  • Child Nursing Simulation Scenario Content Analysis: A Directed Qualitative Content Analysis
    Eun Joo Kim, Kyung Mi Cho, Sung Sook Song
    Clinical Simulation in Nursing.2024; 87: 101488.     CrossRef
  • Development of neonatal Apgar scoring training program utilizing contactless hand tracking in immersive virtual reality
    Sun-Yi Yang, Yun-Hee Oh
    Nurse Education Today.2024; 140: 106294.     CrossRef
  • Enhancing Nursing Simulation Education: A Case for Extended Reality Innovation
    Shanna Fealy, Pauletta Irwin, Zeynep Tacgin, Zi Siang See, Donovan Jones
    Virtual Worlds.2023; 2(3): 218.     CrossRef
  • 4,614 View
  • 169 Download
  • 5 Crossref
Original Articles
Psychometric validation of the Child Healthy Lifestyle Profile in South Korea: a cross-sectional study
Kyung-Ah Kang, Shin-Jeong Kim
Child Health Nurs Res 2023;29(1):37-50.   Published online January 31, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.1.37
Purpose
This study aimed to validate the Child Healthy Lifestyle Profile as an instrument for screening healthy behaviors in school-aged children in South Korea.
Methods
Self-reported questionnaires were administered to 454 students, comprising elementary-school students (n=221) and child cancer survivors (n=233). Reliability and validity were assessed using Cronbach's ⍺, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).
Results
Cronbach's ⍺, as a reliability test, was 0.87. Varimax rotation yielded nine factors with eigenvalues greater than 1 in the EFA, which explained 61.0% of the total variance. In the CFA, both convergent and discriminant validities were acceptable. Therefore, the Child Healthy Lifestyle Profile was validated as an assessment tool for Korean school-aged children.
Conclusion
Based on the results of this study, the Child Healthy Lifestyle Profile was identified as a reliable and valid instrument for assessing healthy lifestyles in elementary-school children in South Korea.

Citations

Citations to this article as recorded by  
  • Effectiveness of a healthy lifestyle program based on a mobile serious game for childhood cancer survivors: A quasi-randomized trial
    Kyung-ah Kang, Han-ho Kim, Shin-jeong Kim, In-hye Song, Min-jin Lee, Su-yong Lee, Sae-rom Han, Ki-hyuk Lee, So-won Kim, Hye-rin Nam, Mi-na Park, Hye-min Lee, Hee-jin Yoon
    Journal of Pediatric Nursing.2024; 77: 35.     CrossRef
  • 3,664 View
  • 104 Download
  • 1 Crossref
Correlation between the actual sleep time 24 hours prior to an examination and the time to achieve chloral hydrate sedation in pediatric patients in South Korea: a prospective cohort study
Mijung Park, Ji Um, So Hyun Kim, Jiseon Yoon, Yeonjae Lee, Jiyeong Kwon, Seonhee Baek, Dong Yeon Kim
Child Health Nurs Res 2023;29(1):51-59.   Published online January 31, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.1.51
Purpose
This study investigated correlations between the actual sleep time 24 hours prior to an examination and the time to achieve chloral hydrate sedation in pediatric patients.
Methods
With parental consent, 84 children who were placed under moderate or deep sedation with chloral hydrate for examinations from November 19, 2020 to July 9, 2022 were recruited.
Results
Patients' average age was 19.9 months. Pediatric neurology patients and those who underwent electroencephalography took significantly longer to achieve sedation with chloral hydrate. There was a negative correlation between the time to achieve sedation and actual sleep time within 24 hours prior to the examination. Positive correlations were found between the actual sleep time 24 hours prior to the examination and the second dose per weight, as well as between the sedation recovery time and awake hours before the examination.
Conclusion
Sleep restriction is not an effective adjuvant therapy for chloral hydrate sedation in children, and sedation effects vary according to pediatric patients' characteristics. Therefore, it would be possible to reduce the unnecessary efforts of caregivers who restrict children's sleep for examinations. It is more important to educate parents about safe sedation than about sleep restriction.

Citations

Citations to this article as recorded by  
  • Risk factors for chloral hydrate sedation failure in pediatric patients: a retrospective analysis
    Young-Eun Jang, Jung-Bin Park, Pyoyoon Kang, Sang-Hwan Ji, Eun-Hee Kim, Ji-Hyun Lee, Hee-Soo Kim, Jin-Tae Kim
    Korean Journal of Anesthesiology.2024; 77(5): 526.     CrossRef
  • 3,657 View
  • 162 Download
  • 1 Crossref
Purpose
This study aimed to identify factors affecting the mental health status of children from multicultural families in South Korea.
Methods
This study was based on Dahlgren and Whitehead's (1991) rainbow model as a conceptual framework and used data from the second phase of the multicultural adolescents panel study conducted by the National Youth Policy Institute. Multiple logistic regression analysis was performed using SPSS version 26.0, with p<.05 considered to indicate statistical significance.
Results
In the final model, stress (odds ratio [OR]=0.53, p<.001), life satisfaction (OR=2.09, p=.004), self-esteem (OR=1.73, p=.032), and peer support (OR=1.46, p=.019) affected the mental health status of children from multicultural families. The living and working conditions and general socioeconomic, cultural, and environmental conditions did not significantly influence the mental health status of children from multicultural families in the final model.
Conclusion
As components of Dahlgren and Whitehead's model, individual hereditary and lifestyle factors, as well as social and community networks, affected the mental health status of children from multicultural families. Therefore, in order to improve the mental health of children from multicultural families, efforts are needed to alleviate their stress, increase life satisfaction and self-esteem, and strengthen their social support.

Citations

Citations to this article as recorded by  
  • Beyond Borders: Exploring the Clinical Journeys of Multicultural Nursing Students
    Lee Jiyoung
    Asian Nursing Research.2025;[Epub]     CrossRef
  • Factors Affecting the Life Satisfaction of School-Aged Children with Vietnamese Immigrant Mothers in Korea
    Yoon-Hee Cho, Joohyun Lee
    Healthcare.2023; 11(17): 2465.     CrossRef
  • 4,310 View
  • 144 Download
  • 2 Crossref
Purpose
North Korean refugee women struggle with the double burden of adaptation and parenting as mothers in a new environment. This study aimed to identify the knowledge, confidence, and educational needs regarding newborn care among North Korean refugees, and to determine differences between these variables according to participants' characteristics.
Methods
Data were collected from September to October 2022, and 150 North Korean refugee women recruited using convenience sampling participated in the study. Descriptive statistics, the t-test, analysis of variance, and Pearson correlation analysis were used for data analysis.
Results
The mean scores were as follows: parenting knowledge, 14.97 out of 25; infection prevention knowledge and confidence, 20.09 out of 33 and 51.37 out of 80, respectively; and educational needs, 245.86 out of 310. Significant differences were observed in newborn care, knowledge, and confidence according to maternal age, educational level, family structure, and pregnancy history. Significant positive correlations were observed between the participants' newborn care knowledge, confidence, and educational needs.
Conclusion
Personalized educational programs should be implemented to enhance North Korean refugee women's confidence in newborn care, focusing on areas with low knowledge levels and high educational needs and enabling women to achieve healthy pregnancy and childbirth, and to parent well.

Citations

Citations to this article as recorded by  
  • Knowledge of atopic dermatitis and food allergies, as well as health information literacy, among North Korean refugee mothers: a descriptive survey study
    In-Sook Lee, Jeong-Hee Jeon
    Child Health Nursing Research.2023; 29(4): 300.     CrossRef
  • 3,204 View
  • 118 Download
  • 1 Crossref
Health-related quality of life in children with epilepsy: a concept analysis
Sinyoung Choi, Kyung-Sook Bang
Child Health Nurs Res 2023;29(1):84-95.   Published online January 31, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.1.84
Purpose
This study aimed to conduct a concept analysis of health-related quality of life in children with epilepsy to promote conceptual clarification and facilitate mutual understanding of the concept.
Methods
Walker and Avant's concept analysis method was adopted.
Results
Health-related quality of life in children with epilepsy consists of six attributes: health status, inner strength, close relationships, resource-rich community, social acceptance, and changeability. According to the ecological system paradigm, these attributes are structured into five dimensions: organism, microsystem, macrosystem, exosystem, and chronosystem. These dimensions provide a comprehensive approach to the relationship between children with epilepsy and their environment. Epilepsy and interactions with multilevel ecological systems that are directly and indirectly related to children with epilepsy precede the concept, followed by positive and negative affective responses.
Conclusion
The findings of this study may support effective communication in various practice settings, thereby contributing to the health and well-being of children with epilepsy, as well as the development and expansion of interventions to improve their health-related quality of life.
  • 4,156 View
  • 204 Download
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