BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current statu...BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current status of family rearing,parental stress,and behavioral and emotional problems of preschool children and to analyze the mediating effect of the current status of family rearing on parental stress and behavioral/emo-tional problems.METHODS We use convenience sampling to select 258 preschool children in the physical examination center of our hospital from October 2021 to September 2023.The children and their parents were evaluated using a questionnaire survey.Pearson's correlation was used to analyze the correlation between child behavioral and emotional problems and parental stress and family rearing,and the structural equation model was constructed to test the mediating effect.RESULTS The score for behavioral/emotional problems of 258 preschool children was(27.54±3.63),the score for parental stress was(87.64±11.34),and the score for parental family rearing was(31.54±5.24).There was a positive correlation between the behavioral and emotional problems of the children and the“hostile/mandatory”parenting style;meanwhile,showed a negative correlation with the“support/participation”parenting style(all P<0.05).The intermediary effect value between the family upbringing of parents in parental stress and children's behavior problems was 29.89%.CONCLUSION Parental family upbringing has a mediating effect between parental stress and behavioral and emotional problems of children.Despite paying attention to the behavioral and emotional problems of preschool-age children,clinical medical staff should provide correct and reasonable parenting advice to their parents to promote the mental health of preschool-age children.展开更多
Objective:To statistically analyze the prevalence of dental caries among preschool children and explore the application effect of behavioral intervention.Methods:The study period was from May 2024 to May 2025.Preschoo...Objective:To statistically analyze the prevalence of dental caries among preschool children and explore the application effect of behavioral intervention.Methods:The study period was from May 2024 to May 2025.Preschool children with dental caries(n=114)admitted during this period were selected as the research subjects.They were divided into observation and control groups based on their admission number,with 57 cases in each group.Intervention indicators were compared between the groups.Results:Among all the children,the prevalence of dental caries at different age stages of preschool age(3–6 years old)showed that the caries rate increased with age,and there were significant differences in caries rates among different age groups(P<0.05).The total treatment compliance rate in the observation group was higher than that in the control group(P<0.05),and the new caries rate in the observation group was lower than that in the control group(P<0.05).After intervention,all indicators of the SESS in the observation group were better than those in the control group(P<0.05).Conclusion:The caries rate among preschool children is relatively high and increases with age.Active behavioral intervention facilitates better cooperation with clinical treatment among children with caries,significantly enhances self-efficacy,and significantly reduces the caries rate.展开更多
As an important result of the development of digital science and technology,artificial intelligence(AI)technology has penetrated all aspects of preschool education,bringing unprecedented changes to children’s learnin...As an important result of the development of digital science and technology,artificial intelligence(AI)technology has penetrated all aspects of preschool education,bringing unprecedented changes to children’s learning and development.Based on the current situation of preschool education,the article analyzes the characteristics of the application of AI equipment in children’s preschool education,and points out that the value of its application is mainly manifested in enriching the form of play in preschool education,improving the acceptance of students,enhancing the pertinence of preschool education based on big data prediction,and enriching the means of education for special children.Under the background of the rapid development of AI technology,the article puts forward countermeasures for the development of children’s education in the era of AI,adheres to the bottom-line principle of protecting children,and forms a good AI application scenario based on children’s needs.To further cultivate children’s AI literacy and strengthen the depth of AI application in preschool education,this article helps the users of preschool education to apply AI more effectively and achieve quality improvement of preschool education.展开更多
This study constructed a moderated mediation model to examine how the social support received by teachers is associated with their work pay fairness perception in relation to their job satisfaction and job performance...This study constructed a moderated mediation model to examine how the social support received by teachers is associated with their work pay fairness perception in relation to their job satisfaction and job performance.Data were collected from 2411 preschool teachers in China(female=98.01%;mean age=29.12 years,SD=6.28 years).These data were analyzed using structural equation modelling,bootstrapping and latent moderate structural equations.The results indicated that teachers’perception of pay fairness is directly associated with self-rated job performance.Additionally,pay fairness perceptions have an indirect effect on higher job performance through job satisfaction.The social support that teachers perceive moderates the relationship between pay fairness perception and job satisfaction:the more social support teachers receive,the weaker the impact of pay fairness perception on job satisfaction.Thesefindings suggest that teachers’perception of pay fairness is related to their sense of quality of work life,as indicated by their job satisfaction and performance.展开更多
This paper employs the SWOT-QSPM(Strength,Weakness,Opportunity,Threat-Quantitative Strategic Planning Matrix)analytical framework to conduct a strategic study on the preschool teacher education program,taking the pres...This paper employs the SWOT-QSPM(Strength,Weakness,Opportunity,Threat-Quantitative Strategic Planning Matrix)analytical framework to conduct a strategic study on the preschool teacher education program,taking the preschool teacher major of Zengcheng Vocational and Technical School in Guangzhou City as an example.Through in-depth interviews and qualitative and quantitative analysis methods,the current external opportunities and threats,internal strengths,and weaknesses faced by the major are assessed.Alternative strategies are proposed,and then the QSPM method is used to quantitatively evaluate these alternative strategies.It is concluded that a differentiation strategy should be adopted as the competitive strategy for the preschool teacher education program.The research findings have significant reference value for the development and planning of similar preschool teacher majors in higher vocational colleges.The practical significance lies in the fact that the research conclusions can be directly applied by education providers.The innovative significance lies in providing career planning references for current preschool teacher major students and their parents through strategic analysis.展开更多
BACKGROUND Intellectual disability(ID),affecting 1%-3%of children globally,presents significant challenges for parents that often translate into occupational stress.While studies document elevated parenting stress lev...BACKGROUND Intellectual disability(ID),affecting 1%-3%of children globally,presents significant challenges for parents that often translate into occupational stress.While studies document elevated parenting stress levels(33.57 vs 26.46 in controls),job-related impacts remain poorly understood.This study employs propensity score matching(PSM)to rigorously analyze work stress determinants among parents of preschool-aged children with ID,controlling for socioeconomic and behavioral confounders.The research bridges a critical gap by examining how workplace demands intersect with special caregiving responsibilities,aiming to identify modifiable risk factors for targeted interventions.Findings will inform evidence-based workplace accommodations and support policies,offering novel insights into the occupational consequences of parenting a child with ID through advanced causal inference methods.This work holds important implications for hazard ratio(HR)policies and social support systems serving this vulnerable population.AIM To explore the factors affecting the job stress of parents of preschool children with mental retardation(MR),based on the PSM.METHODS One hundred and twenty-five children aged 3-6 years who were treated in our hospital from December 2022 to December 2024 were included in the questionnaire survey.Five cases were excluded due to incomplete data,and 120 cases completed the study.The questionnaire was filled out by the parents of the children,and 100 parents of normal children were selected to be included in the control group.After the baseline difference was balanced by PSM 1:1 matching,the general information,scores of parental stress in each dimension and parental stress level of the two groups were compared and analyzed.Single factor analysis was carried out on the factors affecting the parental stress of group;Pearson was used to analyze the correlation between the factors affecting parental stress in MR group.Logistic regression was used to analyze the factors affecting the job stress of parents in MR group.RESULTS After matching,there were 97 cases in both groups.The differences of parents'working status and family location in MR group were statistically significant,P<0.05.Parents in MR group were significantly higher than those in control group in every dimension and total score,of which 75.22%were at a high level,P<0.05.Univariate analysis shows that the older the parents are,the more unstable their work status is,the lower their education level is,the less their family income is,their location is in the countryside and the children have a genetic history,the higher their parental stress score is.Pearson correlation analysis showed that the total score of parental stress was related to supporting friends(r=-0.354),seeking social support,maintaining self-esteem and psychological stability(r=-0.146),coping style frequency(r=-0.476)and role size(r=-0.063).P<0.05.Using the binary Logistic regression model,it was found that whether the child had a genetic history(HR=1.667)was a risk factor affecting the parents'job stress of MR children,and friends'support(HR=0.539),seeking social support(HR=0.478),maintaining self-esteem and psychological stability(HR=0.625),and the frequency and role of coping styles(HR=0.794)were all its protective factors,P<0.05.CONCLUSION Parents'parental stress of most preschool children with MR is at a high level,in which children's genetic history is its risk factor,and friends'support,seeking social support,maintaining self-esteem and psychological stability,as well as the frequency and role of coping styles are its protective factors,which provides new intervention programs and measures to alleviate parents'parental stress of MR children.展开更多
From the perspective of the inheritance of intangible cultural heritage,this study explores practical strategies for integrating local opera singing styles into the cultivation of preschool music literacy.After litera...From the perspective of the inheritance of intangible cultural heritage,this study explores practical strategies for integrating local opera singing styles into the cultivation of preschool music literacy.After literature research,field investigation,and teaching practice,it analyzes the application value of the artistic features of local opera singing styles in preschool education and seeks effective methods for integrating them into music education in kindergartens.Research shows that local opera singing styles are rich in cultural connotations and artistic charm,and have unique advantages in cultivating children’s musical literacy.Therefore,integrating them into preschool music education is beneficial to children’s understanding of traditional culture,the development of musical abilities,and the cultivation of aesthetic tastes.This study proposes the following practical strategies:Select suitable opera segments for young children and design interesting teaching activities;use multimedia technology to create vivid and interesting learning scenarios;organize opera experience activities to bring children closer to traditional culture;and conduct teacher training to enhance their knowledge of opera and teaching abilities.This research result has certain theoretical and practical significance for promoting local operas into kindergartens,facilitating the inheritance of intangible cultural heritage,and innovating preschool music education.展开更多
Nowadays,with the continuous deepening of quality-oriented education in China and the increasing demands of parents,especially the implementation of the new curriculum design concept,tremendous changes have taken plac...Nowadays,with the continuous deepening of quality-oriented education in China and the increasing demands of parents,especially the implementation of the new curriculum design concept,tremendous changes have taken place in teaching methods,teaching contents,teaching means,and learning approaches,which pose new challenges to the professional growth of preschool teachers.At present,preschool teachers are not only required to have a sense of responsibility and love,but also to have rich professional knowledge and skills,as well as new creative thinking and research ability.Even if the preschool teachers who have performed very well in traditional education are now struggling to adapt to the actual needs of educational development,which requires preschool teachers to continuously develop in the direction of specialization.This article will focus on how to promote the professional growth and development of preschool teachers to analyze and elaborate.展开更多
Nature education program is an essential teaching content in kindergarten,which is not only conducive to enhancing children’s knowledge of the natural environment and awareness of protection but also cultivating thei...Nature education program is an essential teaching content in kindergarten,which is not only conducive to enhancing children’s knowledge of the natural environment and awareness of protection but also cultivating their exploratory ability.As the future practitioners of kindergarten education,preschool education majors in colleges and universities are now actively exploring the implementation strategies of kindergarten nature education programs and innovating the construction method of nature education programs,which not only directly affects the high quality of their future teaching work,but also helps to promote the cognitive development of young children and the enhancement of their practical skills.Based on this,this paper outlines the teaching strategies of a kindergarten nature education program from the perspective of letting young children get close to nature,discovering nature,and other aspects of preschool education majors in colleges and universities.展开更多
Purpose: To examine the associations among preschoolers fundamental motor skills, screen-time, physical activity(PA), and sedentary behavior(SB).Methods: Children ages 3à4 years were enrolled in a prospective obs...Purpose: To examine the associations among preschoolers fundamental motor skills, screen-time, physical activity(PA), and sedentary behavior(SB).Methods: Children ages 3à4 years were enrolled in a prospective observational trial of PA. Trained assessors conducted the Test of Gross Motor Development-3 rd edition(TGMD-3), and the Movement Assessment Battery for Children-2 nd edition, and parent-reported child screen-time and sociodemographic information. Children wore an accelerometer for 7 days to examine SB and total PA(TPA). TPA was further characterized as moderateto-vigorous PA(MVPA) or vigorous PA(VPA). Mixed linear models were calculated, controlling for age(for TGMD-3), sex, household income, and accelerometer wear time(for accelerometry models), with childcare center as a random effect. The primary analysis reported on the cross-sectional baseline data of 126 children with complete fundamental motor skill and screen-time data; a subanalysis included 88 children with complete accelerometry data.Results: Children were 3.4 § 0.5 years of age(54% girls; 46% white, 42% African American, 12% other). A total of 48% lived in households at or below the federal poverty level. Children engaged in 5.1 § 3.6 h/day of screen-time. Children's screen-time was inversely related to the Movement Assessment Battery for Children-2 nd edition, manual dexterity skills percentile(b(SE) = ?1.7(0.8), p = 0.049). In the accelerometry subsample,children engaged in 5.9 § 0.9 h/day of TPA of which 1.7 § 0.6 h/day was MVPA. Boys engaged in more MVPA and VPA and less SB compared with girls(all p < 0.05). A higher TGMD-3, total score(b(SE) = 0.4(0.2), p = 0.017) and locomotor score(b(SE) = 0.7(0.3), p = 0.018) were associated with more VPA but not with TPA or MVPA. Screen-time and television in the bedroom were not related to SB, TPA, MVPA, or VPA.Conclusion: Children's motor skills were positively related to VPA but inversely related to screen-time. Further inquiry into the implications of high exposure to screen-time in young children is needed.展开更多
AIM: To explore the distribution pattern of macular choroidal thickness(ChT) and its association with age as well as refractive status in Chinese preschoolers.METHODS: School-based, cross-sectional study. A total of 5...AIM: To explore the distribution pattern of macular choroidal thickness(ChT) and its association with age as well as refractive status in Chinese preschoolers.METHODS: School-based, cross-sectional study. A total of 550 healthy preschool children aged 3 to 6 years old from 6 kindergartens were enrolled. Comprehensive ocular examinations, including measurement of visual acuity, axial length, intraocular pressure and slit-lamp examination before cycloplegia, as well as refraction measurement and sweptsource optical coherence tomography(SS-OCT) examination after cycloplegia, were performed. The macular ChT in each sector of the ETDRS grid was measured by the builtin software of SS-OCT.RESULTS: The mean central ChT of the participants was 312±59 μm. The mean axial length and spherical equivalent refraction were 22.36±0.72 mm and 1.51±0.83 D, respectively. Axial length increased with age(P<0.001), while the spherical equivalent refraction was similar among different age groups. Similarly, no significant difference was observed in ChT in all sectors among different age groups(all P>0.05). The central ChT of 3-4, 5 and 6 years old children was 314±59 μm, 312±60 μm and 312±59 μm, respectively(P=0.920). No difference was observed in ChT in most of the sectors between genders. No statistical significant difference was observed among different refractive groups(all P>0.05), though the ChT of each sector seemed to be smaller in myopic children. Axial length and weight were the independent factors of central Ch T. Children with longer axial length(β=-21.184, P<0.001) and smaller weight(β=1.502, P=0.041) tended to have thinner choroid.CONCLUSION: In preschool children, the ChT remains relatively stable with age, while a negative association between ChT and axial length existed. This will be helpful to elucidate the characteristics of ChT during the early refractive development.展开更多
Objective To investigate the effect of yogurt supplementation on the growth of preschool children in Beijing suburbs. Methods Four hundred and two preschool children (217 males, 185 females), aged 3-5 years, whose hei...Objective To investigate the effect of yogurt supplementation on the growth of preschool children in Beijing suburbs. Methods Four hundred and two preschool children (217 males, 185 females), aged 3-5 years, whose height for age and/or weight for age were less than the reference level, were selected as subjects from 7 kindergartens in Beijing Fangshan District. The subjects were divided randomly into control group (CG, 201) and yogurt supplemented group (YG, 201). Each subject in YG was given one serving of yogurt (125 g) for 5 days a week from March to December in 2001, while nothing additional was provided to CG. All subjects kept their usual diet during the study. Anthropometry (body height and weight and upper-arm circumference) and the bone mineral density (BMD) of forearm were measured every 3 months. Disease status and dietary intake were also recorded and assessed. Results The intake of calcium, zinc, and vitamin B2 in YG was significantly higher than that in CG. The incidence and duration of upper-respiratory infection and diarrhea of children in YG were significantly less than those in CG. The height gain of children in YG was significantly higher than that in CG after yogurt was supplemented for 3, 6, and 9 months (P<0.05) (1.90±0.49 cm vs 1.77±0.54 cm, 3.83±0.57cm vs 3.64±0.66 cm and 5.43±0.69 cm vs 5.24±0.76 cm, respectively). The weight gain of children in YG was significantly higher than that in CG after yogurt was supplemented for 3, 6, and 9 months (P<0.05) (0.70±0.43 kg vs 0.49±0.35 kg, 0.98±0.62 kg vs 0.80±0.60 kg and 1.42±0.76 kg vs 1.20±0.67 kg, respectively). The BMD of children in YG was significantly higher than that in CG after yogurt was supplemented for 9 months (P<0.05) (0.415±0.058 g/cm2 vs 0.400±0.065 g/cm2). Conclusion Yogurt is beneficial to the improvement of calcium, zinc, and vitamin B2 intake, the decreasing of the incidence and duration of upper-respiratory infection and diarrhea, and the promotion of the health and the growth and development of preschool children.展开更多
BACKGROUND Parental behaviors are key in shaping children’s psychological and behavioral development,crucial for early identification and prevention of mental health issues,reducing psychological trauma in childhood....BACKGROUND Parental behaviors are key in shaping children’s psychological and behavioral development,crucial for early identification and prevention of mental health issues,reducing psychological trauma in childhood.AIM To investigate the relationship between parenting behaviors and behavioral and emotional issues in preschool children.METHODS From October 2017 to May 2018,7 kindergartens in Ma’anshan City were selected to conduct a parent self-filled questionnaire-Health Development Survey of Preschool Children.Children’s Strength and Difficulties Questionnaire(Parent Version)was applied to measures the children’s behavioral and emotional performance.Parenting behavior was evaluated using the Parental Behavior Inventory.Binomial logistic regression model was used to analyze the association between the detection rate of preschool children’s behavior and emotional problems and their parenting behaviors.RESULTS High level of parental support/participation was negatively correlated with conduct problems,abnormal hyperactivity,abnormal total difficulty scores and abnormal prosocial behavior problems.High level of maternal support/participation was negatively correlated with abnormal emotional symptoms and abnormal peer interaction in children.High level of parental hostility/coercion was positively correlated with abnormal emotional symptoms,abnormal conduct problems,abnormal hyperactivity,abnormal peer interaction,and abnormal total difficulty scores in children(all P<0.05).Moreover,paternal parenting behaviors had similarly effects on behavior and emotional problems of preschool children compared with maternal parenting behaviors(all P>0.05),after calculating ratio of odds ratio values.CONCLUSION Our study found that parenting behaviors are associated with behavioral and emotional issues in preschool children.Overall,the more supportive or involved the parents are,the fewer behavioral and emotional problems the children experience;conversely,the more hostile or controlling the parents are,the more behavioral and emotional problems the children face.Moreover,the impact of fathers’parenting behaviors on preschool children’s behavior and emotions is no less significant than that of mothers’parenting behaviors.展开更多
Objective To study the relationship between micronutrient supplementation and children growth. Methods A double-blind, placebo-controlled trial was conducted in 156 growth retarded preschool children. They were rand...Objective To study the relationship between micronutrient supplementation and children growth. Methods A double-blind, placebo-controlled trial was conducted in 156 growth retarded preschool children. They were randomly assigned to five groups: supplemental control (S-control, n=28), zinc supplementation(+Zn, 3.5mg Zn/day, n=34), zinc and calcium supplementation (+ZnCa, 3.5mg Zn+250mg Ca/day, n=37), zinc and calcium and vitamin A supplementation (+ZnCaVA, 3.5mgZn +250mgCa+200gVA/day, n=28), Calcium and vitamin A supplementation (+CaVA, 250mgCa + 200gVA/day, n=29). Another 34 children with normal height were selected as normal control (N-control). Supplementation continued for twelve months. Results The height gain in +Zn group (7.84cm per year) and +ZnCa group (7.70 cm per year) was significantly higher than that in S-control group (6.74 cm per year, P<0.05); The weight gain in +ZnCaVA group (2.55kg per year) and +CaVA group (2.57 kg per year) was also significantly higher than that in S-control group (2.19kg per year, P<0.05); The average days of illness in each supplementation group were lower than that in S-control (13 days per year compared with 23 days per year). No significant difference was observed on bone age. Conclusion Zinc and Zinc+Calcium supplementation can improve the height gain, and vitamin A can improve weight gain in growth retarded preschool children, but do not affect the maturity of bone. Micronutrient supplementation can lower the morbidity of these children.展开更多
Post-exposure prophylaxis（PEP） has proved to be the most important measure for rabies prevention and control. There is little information regarding adverse reactions to the Essen and 2-1-1 regimens in preschool chil...Post-exposure prophylaxis（PEP） has proved to be the most important measure for rabies prevention and control. There is little information regarding adverse reactions to the Essen and 2-1-1 regimens in preschool children（aged 0-6）. We reexamined the outcomes of 1,109 preschool children who were vaccinated using SPEEDA under the Essen regimen between January 2011 and December 2012 and 1,267 preschool children under the 2-1-1 regimen between January 2013 and December 2014. We find that, in preschool children, the febrile reaction after the first 2-dose injection in the 2-1-1 regimen was significantly higher than that induced by the first 1-dose in the Essen procedure. Thus, we recommend that the Essen regimen should still be used for rabies PEP in preschool children.展开更多
BACKGROUND Preschoolers become anxious when they are about to undergo anesthesia and surgery,warranting the development of more appropriate and effective interventions.AIM To explore the effect of static cartoons comb...BACKGROUND Preschoolers become anxious when they are about to undergo anesthesia and surgery,warranting the development of more appropriate and effective interventions.AIM To explore the effect of static cartoons combined with dynamic virtual environments on preoperative anxiety and anesthesia induction compliance in preschool-aged children undergoing surgery.METHODS One hundred and sixteen preschool-aged children were selected and assigned to the drug(n=37),intervention(n=40),and control(n=39)groups.All the children received routine preoperative checkups and nursing before being transferred to the preoperative preparation room on the day of the operation.The drug group received 0.5 mg/kg midazolam and the intervention group treatment consisting of static cartoons combined with dynamic virtual environments.The control group received no intervention.The modified Yale Preoperative Anxiety Scale was used to evaluate the children’s anxiety level on the day before surgery(T0),before leaving the preoperative preparation room(T1),when entering the operating room(T2),and at anesthesia induction(T3).Compliance during anesthesia induction(T3)was evaluated using the Induction Compliance Checklist(ICC).Changes in mean arterial pressure(MAP),heart rate(HR),and respiratory rate(RR)were also recorded at each time point.RESULTS The anxiety scores of the three groups increased variously at T1 and T2.At T3,both the drug and intervention groups had similar anxiety scores,both of which were lower than those in the control group.At T1 and T2,MAP,HR,and RR of the three groups increased.The drug and control groups had significantly higher MAP and RR than the intervention group at T2.At T3,the MAP,HR,and RR of the drug group decreased and were significantly lower than those in the control group but were comparable to those in the intervention group.Both the drug and intervention groups had similar ICC scores and duration of anesthesia induction(T3),both of which were higher than those of the control group.CONCLUSION Combining static cartoons with dynamic virtual environments as effective as medication,specifically midazolam,in reducing preoperative anxiety and fear in preschool-aged children.This approach also improve their compliance during anesthesia induction and helped maintain their stable vital signs.展开更多
Purpose:To evaluate the effect of interesting games on reducing preoperative anxiety and improving compliance with anaesthesia in children.Methods:Ninety preschool-aged children undergoing elective surgery were random...Purpose:To evaluate the effect of interesting games on reducing preoperative anxiety and improving compliance with anaesthesia in children.Methods:Ninety preschool-aged children undergoing elective surgery were randomly assigned to two groups.The children in the control group were admitted to a general preoperative room with one parent for 15e20 min,and were then taken into the anaesthesia room.During anaesthetic induction,the nurse attracted the children’s attention using an interesting game with encouragement and attention diversion.The children’s anxiety was assessed using the Modified Yale Preoperative Anxiety Scale(mYPAS)when they entered the operating room,while they were waiting to undergo s0urgery,and during anaesthetic induction.Moreover,the children’s compliance with anaesthetic induction was assessed using the Induction Compliance Checklist(ICC).Results:No statistically significant differences in the mYPAS scores were observed between the two groups upon entering the operating room(p>0.05).The mYPAS scores were significantly lower in the experimental group than in the control group while waiting for surgery and during anaesthetic induction(p<0.05),while there were no significant differences in the mYPAS scores upon entering the operating room.The children’s compliance with anaesthetic induction was significantly higher in the experimental group than in the control group(p<0.05).Conclusion:Engagement in an interesting game can reduce preschool-aged children’s preoperative anxiety and improve their compliance with anaesthetic induction.展开更多
AIM:To evaluate the effect of lens surgery on health-related quality of life(HRQoL)of preschool children with congenital ectopia lentis(CEL).METHODS:A prospective self-controlled study was conducted in Zhongshan Ophth...AIM:To evaluate the effect of lens surgery on health-related quality of life(HRQoL)of preschool children with congenital ectopia lentis(CEL).METHODS:A prospective self-controlled study was conducted in Zhongshan Ophthalmic Center.Children aged from 5 to 7y whom were diagnosed with CEL and underwent phacoemulsification with scleral-fixated posterior chamber intraocular lens implantation and their parents were enrolled in this study.All of them completed the child and proxy(parental)PedsQL™4.0 before and after the surgery.Their preoperative scores were compared to their postoperative ones.Subgroup analyses were performed based on gender and preoperative bilateral presenting visual acuity of the children.RESULTS:Thirty-two children with CEL successfully underwent surgery without any complications,among whom 8 had monocular surgery and 24 had binocular surgery.Preoperative and postoperative questionnaires were completed by 32 child-parent pairs.Surgical intervention could significantly improve the vision of affected children(P<0.001).The medians of physical,psychosocial and total health scores self-reported by the children were 68.75(62.50,81.25),65.00(60.00,80.00)and 67.39(60.87,78.26)preoperatively and were 93.75(87.50,100.00),90.00(83.33,96.67)and 89.13(85.32,95.65)postoperatively.The preoperative scores of the affected children were significantly lower in all scales than age-matched healthy children(P<0.001).All the postoperative scores were significantly higher than the preoperative scores in affected children and their parents(P<0.001).In the physical functioning evaluation,the preoperative score reported by parents of girls was higher than parents of boys(P=0.041),and the postoperative score of girls was higher than that of boys(P=0.036).CONCLUSION:CEL is associated with significantly worse quality of life in preschool children.Surgical intervention can significantly improve the HRQoL in affected children from both personal and family perspective.展开更多
In this editorial,I comment on the article“Association of preschool children behavior and emotional problems with the parenting behavior of both parents”which was published in the latest issue of“World Journal of C...In this editorial,I comment on the article“Association of preschool children behavior and emotional problems with the parenting behavior of both parents”which was published in the latest issue of“World Journal of Clinical Cases”that demonstrates the prevalence of behavioral disorders in preschool children.Therefore I am focused on parenting which is the most effective factor shown to affect the development and continuity of these behaviors.The management of child behavior problems is crucial.Children in early ages,especially preschoolers who are in the first 5 years of life,are influenced by dramatic changes in various aspects of development,such as social,emotional,and physical.Also,children experience many changes linked to different developmental tasks,such as discovering themselves,getting new friendships,and adapting to a new environment.In this period,parents have a critical role in supporting child development.If parents do not manage and overcome their child’s misbehavior,it could be transformed into psychosocial problems in adulthood.Parenting is the most powerful predictor in the social development of preschool children.Several studies have shown that to reduce the child’s emotional and behavioral problems,a warm relationship between parents and children is needed.In addition,recent studies have demonstrated significant relationships between family regulation factors and parenting,as well as with child behaviors.展开更多
基金Supported by the Shijiazhuang Science and Technology Research and Development Program,No.221460383.
文摘BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current status of family rearing,parental stress,and behavioral and emotional problems of preschool children and to analyze the mediating effect of the current status of family rearing on parental stress and behavioral/emo-tional problems.METHODS We use convenience sampling to select 258 preschool children in the physical examination center of our hospital from October 2021 to September 2023.The children and their parents were evaluated using a questionnaire survey.Pearson's correlation was used to analyze the correlation between child behavioral and emotional problems and parental stress and family rearing,and the structural equation model was constructed to test the mediating effect.RESULTS The score for behavioral/emotional problems of 258 preschool children was(27.54±3.63),the score for parental stress was(87.64±11.34),and the score for parental family rearing was(31.54±5.24).There was a positive correlation between the behavioral and emotional problems of the children and the“hostile/mandatory”parenting style;meanwhile,showed a negative correlation with the“support/participation”parenting style(all P<0.05).The intermediary effect value between the family upbringing of parents in parental stress and children's behavior problems was 29.89%.CONCLUSION Parental family upbringing has a mediating effect between parental stress and behavioral and emotional problems of children.Despite paying attention to the behavioral and emotional problems of preschool-age children,clinical medical staff should provide correct and reasonable parenting advice to their parents to promote the mental health of preschool-age children.
文摘Objective:To statistically analyze the prevalence of dental caries among preschool children and explore the application effect of behavioral intervention.Methods:The study period was from May 2024 to May 2025.Preschool children with dental caries(n=114)admitted during this period were selected as the research subjects.They were divided into observation and control groups based on their admission number,with 57 cases in each group.Intervention indicators were compared between the groups.Results:Among all the children,the prevalence of dental caries at different age stages of preschool age(3–6 years old)showed that the caries rate increased with age,and there were significant differences in caries rates among different age groups(P<0.05).The total treatment compliance rate in the observation group was higher than that in the control group(P<0.05),and the new caries rate in the observation group was lower than that in the control group(P<0.05).After intervention,all indicators of the SESS in the observation group were better than those in the control group(P<0.05).Conclusion:The caries rate among preschool children is relatively high and increases with age.Active behavioral intervention facilitates better cooperation with clinical treatment among children with caries,significantly enhances self-efficacy,and significantly reduces the caries rate.
文摘As an important result of the development of digital science and technology,artificial intelligence(AI)technology has penetrated all aspects of preschool education,bringing unprecedented changes to children’s learning and development.Based on the current situation of preschool education,the article analyzes the characteristics of the application of AI equipment in children’s preschool education,and points out that the value of its application is mainly manifested in enriching the form of play in preschool education,improving the acceptance of students,enhancing the pertinence of preschool education based on big data prediction,and enriching the means of education for special children.Under the background of the rapid development of AI technology,the article puts forward countermeasures for the development of children’s education in the era of AI,adheres to the bottom-line principle of protecting children,and forms a good AI application scenario based on children’s needs.To further cultivate children’s AI literacy and strengthen the depth of AI application in preschool education,this article helps the users of preschool education to apply AI more effectively and achieve quality improvement of preschool education.
基金funded by the National Social Science Fund of China,grant number CHA200267.
文摘This study constructed a moderated mediation model to examine how the social support received by teachers is associated with their work pay fairness perception in relation to their job satisfaction and job performance.Data were collected from 2411 preschool teachers in China(female=98.01%;mean age=29.12 years,SD=6.28 years).These data were analyzed using structural equation modelling,bootstrapping and latent moderate structural equations.The results indicated that teachers’perception of pay fairness is directly associated with self-rated job performance.Additionally,pay fairness perceptions have an indirect effect on higher job performance through job satisfaction.The social support that teachers perceive moderates the relationship between pay fairness perception and job satisfaction:the more social support teachers receive,the weaker the impact of pay fairness perception on job satisfaction.Thesefindings suggest that teachers’perception of pay fairness is related to their sense of quality of work life,as indicated by their job satisfaction and performance.
文摘This paper employs the SWOT-QSPM(Strength,Weakness,Opportunity,Threat-Quantitative Strategic Planning Matrix)analytical framework to conduct a strategic study on the preschool teacher education program,taking the preschool teacher major of Zengcheng Vocational and Technical School in Guangzhou City as an example.Through in-depth interviews and qualitative and quantitative analysis methods,the current external opportunities and threats,internal strengths,and weaknesses faced by the major are assessed.Alternative strategies are proposed,and then the QSPM method is used to quantitatively evaluate these alternative strategies.It is concluded that a differentiation strategy should be adopted as the competitive strategy for the preschool teacher education program.The research findings have significant reference value for the development and planning of similar preschool teacher majors in higher vocational colleges.The practical significance lies in the fact that the research conclusions can be directly applied by education providers.The innovative significance lies in providing career planning references for current preschool teacher major students and their parents through strategic analysis.
基金Supported by the Self-Funded Plan for Scientific and Technological Research and Development of Shijiazhuang City in 2022,No.221460383.
文摘BACKGROUND Intellectual disability(ID),affecting 1%-3%of children globally,presents significant challenges for parents that often translate into occupational stress.While studies document elevated parenting stress levels(33.57 vs 26.46 in controls),job-related impacts remain poorly understood.This study employs propensity score matching(PSM)to rigorously analyze work stress determinants among parents of preschool-aged children with ID,controlling for socioeconomic and behavioral confounders.The research bridges a critical gap by examining how workplace demands intersect with special caregiving responsibilities,aiming to identify modifiable risk factors for targeted interventions.Findings will inform evidence-based workplace accommodations and support policies,offering novel insights into the occupational consequences of parenting a child with ID through advanced causal inference methods.This work holds important implications for hazard ratio(HR)policies and social support systems serving this vulnerable population.AIM To explore the factors affecting the job stress of parents of preschool children with mental retardation(MR),based on the PSM.METHODS One hundred and twenty-five children aged 3-6 years who were treated in our hospital from December 2022 to December 2024 were included in the questionnaire survey.Five cases were excluded due to incomplete data,and 120 cases completed the study.The questionnaire was filled out by the parents of the children,and 100 parents of normal children were selected to be included in the control group.After the baseline difference was balanced by PSM 1:1 matching,the general information,scores of parental stress in each dimension and parental stress level of the two groups were compared and analyzed.Single factor analysis was carried out on the factors affecting the parental stress of group;Pearson was used to analyze the correlation between the factors affecting parental stress in MR group.Logistic regression was used to analyze the factors affecting the job stress of parents in MR group.RESULTS After matching,there were 97 cases in both groups.The differences of parents'working status and family location in MR group were statistically significant,P<0.05.Parents in MR group were significantly higher than those in control group in every dimension and total score,of which 75.22%were at a high level,P<0.05.Univariate analysis shows that the older the parents are,the more unstable their work status is,the lower their education level is,the less their family income is,their location is in the countryside and the children have a genetic history,the higher their parental stress score is.Pearson correlation analysis showed that the total score of parental stress was related to supporting friends(r=-0.354),seeking social support,maintaining self-esteem and psychological stability(r=-0.146),coping style frequency(r=-0.476)and role size(r=-0.063).P<0.05.Using the binary Logistic regression model,it was found that whether the child had a genetic history(HR=1.667)was a risk factor affecting the parents'job stress of MR children,and friends'support(HR=0.539),seeking social support(HR=0.478),maintaining self-esteem and psychological stability(HR=0.625),and the frequency and role of coping styles(HR=0.794)were all its protective factors,P<0.05.CONCLUSION Parents'parental stress of most preschool children with MR is at a high level,in which children's genetic history is its risk factor,and friends'support,seeking social support,maintaining self-esteem and psychological stability,as well as the frequency and role of coping styles are its protective factors,which provides new intervention programs and measures to alleviate parents'parental stress of MR children.
文摘From the perspective of the inheritance of intangible cultural heritage,this study explores practical strategies for integrating local opera singing styles into the cultivation of preschool music literacy.After literature research,field investigation,and teaching practice,it analyzes the application value of the artistic features of local opera singing styles in preschool education and seeks effective methods for integrating them into music education in kindergartens.Research shows that local opera singing styles are rich in cultural connotations and artistic charm,and have unique advantages in cultivating children’s musical literacy.Therefore,integrating them into preschool music education is beneficial to children’s understanding of traditional culture,the development of musical abilities,and the cultivation of aesthetic tastes.This study proposes the following practical strategies:Select suitable opera segments for young children and design interesting teaching activities;use multimedia technology to create vivid and interesting learning scenarios;organize opera experience activities to bring children closer to traditional culture;and conduct teacher training to enhance their knowledge of opera and teaching abilities.This research result has certain theoretical and practical significance for promoting local operas into kindergartens,facilitating the inheritance of intangible cultural heritage,and innovating preschool music education.
文摘Nowadays,with the continuous deepening of quality-oriented education in China and the increasing demands of parents,especially the implementation of the new curriculum design concept,tremendous changes have taken place in teaching methods,teaching contents,teaching means,and learning approaches,which pose new challenges to the professional growth of preschool teachers.At present,preschool teachers are not only required to have a sense of responsibility and love,but also to have rich professional knowledge and skills,as well as new creative thinking and research ability.Even if the preschool teachers who have performed very well in traditional education are now struggling to adapt to the actual needs of educational development,which requires preschool teachers to continuously develop in the direction of specialization.This article will focus on how to promote the professional growth and development of preschool teachers to analyze and elaborate.
文摘Nature education program is an essential teaching content in kindergarten,which is not only conducive to enhancing children’s knowledge of the natural environment and awareness of protection but also cultivating their exploratory ability.As the future practitioners of kindergarten education,preschool education majors in colleges and universities are now actively exploring the implementation strategies of kindergarten nature education programs and innovating the construction method of nature education programs,which not only directly affects the high quality of their future teaching work,but also helps to promote the cognitive development of young children and the enhancement of their practical skills.Based on this,this paper outlines the teaching strategies of a kindergarten nature education program from the perspective of letting young children get close to nature,discovering nature,and other aspects of preschool education majors in colleges and universities.
基金supported by the Gulf States Collaborative Center for Health Policy Research (Gulf States-HPC) from the National Institute on Minority Health and Health Disparities of the National Institutes of Health (No. U54MD008602)the LSU Biomedical Collaborative Research Program+2 种基金funding support from the American Council on Exercisesupported in part by the National Institute of General Medical Sciences of the National Institutes of Health, which funds the Louisiana Clinical and Translational Science Center (No. U54 GM104940)supported in part by the NORC Center Grant entitled "Nutrition and Metabolic Health Through the Lifespan" sponsored by NIDDK (No. P30DK072476)
文摘Purpose: To examine the associations among preschoolers fundamental motor skills, screen-time, physical activity(PA), and sedentary behavior(SB).Methods: Children ages 3à4 years were enrolled in a prospective observational trial of PA. Trained assessors conducted the Test of Gross Motor Development-3 rd edition(TGMD-3), and the Movement Assessment Battery for Children-2 nd edition, and parent-reported child screen-time and sociodemographic information. Children wore an accelerometer for 7 days to examine SB and total PA(TPA). TPA was further characterized as moderateto-vigorous PA(MVPA) or vigorous PA(VPA). Mixed linear models were calculated, controlling for age(for TGMD-3), sex, household income, and accelerometer wear time(for accelerometry models), with childcare center as a random effect. The primary analysis reported on the cross-sectional baseline data of 126 children with complete fundamental motor skill and screen-time data; a subanalysis included 88 children with complete accelerometry data.Results: Children were 3.4 § 0.5 years of age(54% girls; 46% white, 42% African American, 12% other). A total of 48% lived in households at or below the federal poverty level. Children engaged in 5.1 § 3.6 h/day of screen-time. Children's screen-time was inversely related to the Movement Assessment Battery for Children-2 nd edition, manual dexterity skills percentile(b(SE) = ?1.7(0.8), p = 0.049). In the accelerometry subsample,children engaged in 5.9 § 0.9 h/day of TPA of which 1.7 § 0.6 h/day was MVPA. Boys engaged in more MVPA and VPA and less SB compared with girls(all p < 0.05). A higher TGMD-3, total score(b(SE) = 0.4(0.2), p = 0.017) and locomotor score(b(SE) = 0.7(0.3), p = 0.018) were associated with more VPA but not with TPA or MVPA. Screen-time and television in the bedroom were not related to SB, TPA, MVPA, or VPA.Conclusion: Children's motor skills were positively related to VPA but inversely related to screen-time. Further inquiry into the implications of high exposure to screen-time in young children is needed.
基金Supported by Municipal Human Resources Development Program for Outstanding Young Talents in Medical and Health Sciences in Shanghai(No.2017YQ019)Key Discipline of Public Health-Eye health in Shanghai(No.15GWZK0601)Overseas High-end Research Team-Eye health in Shanghai(No.GWTD2015S08)
文摘AIM: To explore the distribution pattern of macular choroidal thickness(ChT) and its association with age as well as refractive status in Chinese preschoolers.METHODS: School-based, cross-sectional study. A total of 550 healthy preschool children aged 3 to 6 years old from 6 kindergartens were enrolled. Comprehensive ocular examinations, including measurement of visual acuity, axial length, intraocular pressure and slit-lamp examination before cycloplegia, as well as refraction measurement and sweptsource optical coherence tomography(SS-OCT) examination after cycloplegia, were performed. The macular ChT in each sector of the ETDRS grid was measured by the builtin software of SS-OCT.RESULTS: The mean central ChT of the participants was 312±59 μm. The mean axial length and spherical equivalent refraction were 22.36±0.72 mm and 1.51±0.83 D, respectively. Axial length increased with age(P<0.001), while the spherical equivalent refraction was similar among different age groups. Similarly, no significant difference was observed in ChT in all sectors among different age groups(all P>0.05). The central ChT of 3-4, 5 and 6 years old children was 314±59 μm, 312±60 μm and 312±59 μm, respectively(P=0.920). No difference was observed in ChT in most of the sectors between genders. No statistical significant difference was observed among different refractive groups(all P>0.05), though the ChT of each sector seemed to be smaller in myopic children. Axial length and weight were the independent factors of central Ch T. Children with longer axial length(β=-21.184, P<0.001) and smaller weight(β=1.502, P=0.041) tended to have thinner choroid.CONCLUSION: In preschool children, the ChT remains relatively stable with age, while a negative association between ChT and axial length existed. This will be helpful to elucidate the characteristics of ChT during the early refractive development.
文摘Objective To investigate the effect of yogurt supplementation on the growth of preschool children in Beijing suburbs. Methods Four hundred and two preschool children (217 males, 185 females), aged 3-5 years, whose height for age and/or weight for age were less than the reference level, were selected as subjects from 7 kindergartens in Beijing Fangshan District. The subjects were divided randomly into control group (CG, 201) and yogurt supplemented group (YG, 201). Each subject in YG was given one serving of yogurt (125 g) for 5 days a week from March to December in 2001, while nothing additional was provided to CG. All subjects kept their usual diet during the study. Anthropometry (body height and weight and upper-arm circumference) and the bone mineral density (BMD) of forearm were measured every 3 months. Disease status and dietary intake were also recorded and assessed. Results The intake of calcium, zinc, and vitamin B2 in YG was significantly higher than that in CG. The incidence and duration of upper-respiratory infection and diarrhea of children in YG were significantly less than those in CG. The height gain of children in YG was significantly higher than that in CG after yogurt was supplemented for 3, 6, and 9 months (P<0.05) (1.90±0.49 cm vs 1.77±0.54 cm, 3.83±0.57cm vs 3.64±0.66 cm and 5.43±0.69 cm vs 5.24±0.76 cm, respectively). The weight gain of children in YG was significantly higher than that in CG after yogurt was supplemented for 3, 6, and 9 months (P<0.05) (0.70±0.43 kg vs 0.49±0.35 kg, 0.98±0.62 kg vs 0.80±0.60 kg and 1.42±0.76 kg vs 1.20±0.67 kg, respectively). The BMD of children in YG was significantly higher than that in CG after yogurt was supplemented for 9 months (P<0.05) (0.415±0.058 g/cm2 vs 0.400±0.065 g/cm2). Conclusion Yogurt is beneficial to the improvement of calcium, zinc, and vitamin B2 intake, the decreasing of the incidence and duration of upper-respiratory infection and diarrhea, and the promotion of the health and the growth and development of preschool children.
基金Supported by the National Natural Science Foundation of China,No.81330068.
文摘BACKGROUND Parental behaviors are key in shaping children’s psychological and behavioral development,crucial for early identification and prevention of mental health issues,reducing psychological trauma in childhood.AIM To investigate the relationship between parenting behaviors and behavioral and emotional issues in preschool children.METHODS From October 2017 to May 2018,7 kindergartens in Ma’anshan City were selected to conduct a parent self-filled questionnaire-Health Development Survey of Preschool Children.Children’s Strength and Difficulties Questionnaire(Parent Version)was applied to measures the children’s behavioral and emotional performance.Parenting behavior was evaluated using the Parental Behavior Inventory.Binomial logistic regression model was used to analyze the association between the detection rate of preschool children’s behavior and emotional problems and their parenting behaviors.RESULTS High level of parental support/participation was negatively correlated with conduct problems,abnormal hyperactivity,abnormal total difficulty scores and abnormal prosocial behavior problems.High level of maternal support/participation was negatively correlated with abnormal emotional symptoms and abnormal peer interaction in children.High level of parental hostility/coercion was positively correlated with abnormal emotional symptoms,abnormal conduct problems,abnormal hyperactivity,abnormal peer interaction,and abnormal total difficulty scores in children(all P<0.05).Moreover,paternal parenting behaviors had similarly effects on behavior and emotional problems of preschool children compared with maternal parenting behaviors(all P>0.05),after calculating ratio of odds ratio values.CONCLUSION Our study found that parenting behaviors are associated with behavioral and emotional issues in preschool children.Overall,the more supportive or involved the parents are,the fewer behavioral and emotional problems the children experience;conversely,the more hostile or controlling the parents are,the more behavioral and emotional problems the children face.Moreover,the impact of fathers’parenting behaviors on preschool children’s behavior and emotions is no less significant than that of mothers’parenting behaviors.
文摘Objective To study the relationship between micronutrient supplementation and children growth. Methods A double-blind, placebo-controlled trial was conducted in 156 growth retarded preschool children. They were randomly assigned to five groups: supplemental control (S-control, n=28), zinc supplementation(+Zn, 3.5mg Zn/day, n=34), zinc and calcium supplementation (+ZnCa, 3.5mg Zn+250mg Ca/day, n=37), zinc and calcium and vitamin A supplementation (+ZnCaVA, 3.5mgZn +250mgCa+200gVA/day, n=28), Calcium and vitamin A supplementation (+CaVA, 250mgCa + 200gVA/day, n=29). Another 34 children with normal height were selected as normal control (N-control). Supplementation continued for twelve months. Results The height gain in +Zn group (7.84cm per year) and +ZnCa group (7.70 cm per year) was significantly higher than that in S-control group (6.74 cm per year, P<0.05); The weight gain in +ZnCaVA group (2.55kg per year) and +CaVA group (2.57 kg per year) was also significantly higher than that in S-control group (2.19kg per year, P<0.05); The average days of illness in each supplementation group were lower than that in S-control (13 days per year compared with 23 days per year). No significant difference was observed on bone age. Conclusion Zinc and Zinc+Calcium supplementation can improve the height gain, and vitamin A can improve weight gain in growth retarded preschool children, but do not affect the maturity of bone. Micronutrient supplementation can lower the morbidity of these children.
基金supported by the China Mega-Project for Infectious Disease(2014ZX10004002-004-001)National Natural Science Foundation of China(31500152)+1 种基金National Key Technology R&D Program(2014BAI13B04)National program on key research project of china(2016YFD0500400)
文摘Post-exposure prophylaxis（PEP） has proved to be the most important measure for rabies prevention and control. There is little information regarding adverse reactions to the Essen and 2-1-1 regimens in preschool children（aged 0-6）. We reexamined the outcomes of 1,109 preschool children who were vaccinated using SPEEDA under the Essen regimen between January 2011 and December 2012 and 1,267 preschool children under the 2-1-1 regimen between January 2013 and December 2014. We find that, in preschool children, the febrile reaction after the first 2-dose injection in the 2-1-1 regimen was significantly higher than that induced by the first 1-dose in the Essen procedure. Thus, we recommend that the Essen regimen should still be used for rabies PEP in preschool children.
基金Supported by Hangzhou Medical and Health Technology Project,No.OO20191141。
文摘BACKGROUND Preschoolers become anxious when they are about to undergo anesthesia and surgery,warranting the development of more appropriate and effective interventions.AIM To explore the effect of static cartoons combined with dynamic virtual environments on preoperative anxiety and anesthesia induction compliance in preschool-aged children undergoing surgery.METHODS One hundred and sixteen preschool-aged children were selected and assigned to the drug(n=37),intervention(n=40),and control(n=39)groups.All the children received routine preoperative checkups and nursing before being transferred to the preoperative preparation room on the day of the operation.The drug group received 0.5 mg/kg midazolam and the intervention group treatment consisting of static cartoons combined with dynamic virtual environments.The control group received no intervention.The modified Yale Preoperative Anxiety Scale was used to evaluate the children’s anxiety level on the day before surgery(T0),before leaving the preoperative preparation room(T1),when entering the operating room(T2),and at anesthesia induction(T3).Compliance during anesthesia induction(T3)was evaluated using the Induction Compliance Checklist(ICC).Changes in mean arterial pressure(MAP),heart rate(HR),and respiratory rate(RR)were also recorded at each time point.RESULTS The anxiety scores of the three groups increased variously at T1 and T2.At T3,both the drug and intervention groups had similar anxiety scores,both of which were lower than those in the control group.At T1 and T2,MAP,HR,and RR of the three groups increased.The drug and control groups had significantly higher MAP and RR than the intervention group at T2.At T3,the MAP,HR,and RR of the drug group decreased and were significantly lower than those in the control group but were comparable to those in the intervention group.Both the drug and intervention groups had similar ICC scores and duration of anesthesia induction(T3),both of which were higher than those of the control group.CONCLUSION Combining static cartoons with dynamic virtual environments as effective as medication,specifically midazolam,in reducing preoperative anxiety and fear in preschool-aged children.This approach also improve their compliance during anesthesia induction and helped maintain their stable vital signs.
文摘Purpose:To evaluate the effect of interesting games on reducing preoperative anxiety and improving compliance with anaesthesia in children.Methods:Ninety preschool-aged children undergoing elective surgery were randomly assigned to two groups.The children in the control group were admitted to a general preoperative room with one parent for 15e20 min,and were then taken into the anaesthesia room.During anaesthetic induction,the nurse attracted the children’s attention using an interesting game with encouragement and attention diversion.The children’s anxiety was assessed using the Modified Yale Preoperative Anxiety Scale(mYPAS)when they entered the operating room,while they were waiting to undergo s0urgery,and during anaesthetic induction.Moreover,the children’s compliance with anaesthetic induction was assessed using the Induction Compliance Checklist(ICC).Results:No statistically significant differences in the mYPAS scores were observed between the two groups upon entering the operating room(p>0.05).The mYPAS scores were significantly lower in the experimental group than in the control group while waiting for surgery and during anaesthetic induction(p<0.05),while there were no significant differences in the mYPAS scores upon entering the operating room.The children’s compliance with anaesthetic induction was significantly higher in the experimental group than in the control group(p<0.05).Conclusion:Engagement in an interesting game can reduce preschool-aged children’s preoperative anxiety and improve their compliance with anaesthetic induction.
基金Supported by the National Natural Science Foundation of China(No.81873673)the Basic and Applied Basic Research Foundation of Guangdong Province(No.2021A1515011673).
文摘AIM:To evaluate the effect of lens surgery on health-related quality of life(HRQoL)of preschool children with congenital ectopia lentis(CEL).METHODS:A prospective self-controlled study was conducted in Zhongshan Ophthalmic Center.Children aged from 5 to 7y whom were diagnosed with CEL and underwent phacoemulsification with scleral-fixated posterior chamber intraocular lens implantation and their parents were enrolled in this study.All of them completed the child and proxy(parental)PedsQL™4.0 before and after the surgery.Their preoperative scores were compared to their postoperative ones.Subgroup analyses were performed based on gender and preoperative bilateral presenting visual acuity of the children.RESULTS:Thirty-two children with CEL successfully underwent surgery without any complications,among whom 8 had monocular surgery and 24 had binocular surgery.Preoperative and postoperative questionnaires were completed by 32 child-parent pairs.Surgical intervention could significantly improve the vision of affected children(P<0.001).The medians of physical,psychosocial and total health scores self-reported by the children were 68.75(62.50,81.25),65.00(60.00,80.00)and 67.39(60.87,78.26)preoperatively and were 93.75(87.50,100.00),90.00(83.33,96.67)and 89.13(85.32,95.65)postoperatively.The preoperative scores of the affected children were significantly lower in all scales than age-matched healthy children(P<0.001).All the postoperative scores were significantly higher than the preoperative scores in affected children and their parents(P<0.001).In the physical functioning evaluation,the preoperative score reported by parents of girls was higher than parents of boys(P=0.041),and the postoperative score of girls was higher than that of boys(P=0.036).CONCLUSION:CEL is associated with significantly worse quality of life in preschool children.Surgical intervention can significantly improve the HRQoL in affected children from both personal and family perspective.
基金the main study who are focused on parenting style and preschoolers'behavioral problems and give an opportunity to me to comment on this issue.
文摘In this editorial,I comment on the article“Association of preschool children behavior and emotional problems with the parenting behavior of both parents”which was published in the latest issue of“World Journal of Clinical Cases”that demonstrates the prevalence of behavioral disorders in preschool children.Therefore I am focused on parenting which is the most effective factor shown to affect the development and continuity of these behaviors.The management of child behavior problems is crucial.Children in early ages,especially preschoolers who are in the first 5 years of life,are influenced by dramatic changes in various aspects of development,such as social,emotional,and physical.Also,children experience many changes linked to different developmental tasks,such as discovering themselves,getting new friendships,and adapting to a new environment.In this period,parents have a critical role in supporting child development.If parents do not manage and overcome their child’s misbehavior,it could be transformed into psychosocial problems in adulthood.Parenting is the most powerful predictor in the social development of preschool children.Several studies have shown that to reduce the child’s emotional and behavioral problems,a warm relationship between parents and children is needed.In addition,recent studies have demonstrated significant relationships between family regulation factors and parenting,as well as with child behaviors.
