{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T05:54:47Z","timestamp":1785045287180,"version":"3.55.0"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100005150","name":"Chinese Academy of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005150","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011635","name":"Chinese Academy of Medical Sciences & Peking Union Medical College Fuwai Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011635","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","pediatricnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Nursing"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.pedn.2026.01.006","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T18:54:51Z","timestamp":1768848891000},"page":"201-208","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["The effects of therapeutic play on alleviating preoperative anxiety in preschool children with congenital heart disease: A cluster-randomized controlled trial"],"prefix":"10.1016","volume":"87","author":[{"given":"Haiying","family":"Xing","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tong","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yafei","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangyu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengran","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Conghui","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiyu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoye","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxue","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuyang","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.pedn.2026.01.006_bb0005","doi-asserted-by":"crossref","first-page":"e244","DOI":"10.1016\/j.pedn.2024.07.012","article-title":"The effects of preoperative therapeutic play on anxiety and fear levels in preschool children","volume":"78","author":"Celik","year":"2024","journal-title":"Journal of Pediatric Nursing"},{"issue":"5","key":"10.1016\/j.pedn.2026.01.006_bb0010","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1213\/ane.0b013e3181b412cf","article-title":"Behavioral analysis of children\u2019s response to induction of anesthesia","volume":"109","author":"Chorney","year":"2009","journal-title":"Anesthesia and Analgesia"},{"issue":"3","key":"10.1016\/j.pedn.2026.01.006_bb0015","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/j.jopan.2019.10.008","article-title":"Strategies to relieve patients\u2019 preoperative anxiety before anesthesia: Experiences of nurse anesthetists","volume":"35","author":"Clair","year":"2020","journal-title":"Journal of Perianesthesia Nursing"},{"key":"10.1016\/j.pedn.2026.01.006_bb0020","series-title":"Pediatric cardiac surgery","author":"Constantine","year":"2017"},{"issue":"15","key":"10.1016\/j.pedn.2026.01.006_bb0025","first-page":"2596","article-title":"Study on translation of the modified Yale preoperative anxiety scale-short form and its reliability and validity","volume":"33","author":"Dai","year":"2019","journal-title":"Chinese Nursing Research"},{"issue":"1","key":"10.1016\/j.pedn.2026.01.006_bb0030","first-page":"74","article-title":"Incorporating Piaget's theories into behavior management techniques for the child dental patient","volume":"48","author":"Delitala","year":"2000","journal-title":"General Dentistry"},{"issue":"1\u20132","key":"10.1016\/j.pedn.2026.01.006_bb0035","doi-asserted-by":"crossref","first-page":"29","DOI":"10.2298\/MPNS1502029D","article-title":"Psychological aspects of pediatric anesthesia","volume":"68","author":"Draskovi\u0107","year":"2015","journal-title":"Medicinski Pregled"},{"issue":"1","key":"10.1016\/j.pedn.2026.01.006_bb0040","doi-asserted-by":"crossref","DOI":"10.1111\/jspn.12272","article-title":"Video game distraction and anesthesia mask practice reduces children\u2019s preoperative anxiety: A randomized clinical trial","volume":"25","author":"Dwairej","year":"2020","journal-title":"Journal for Specialists in Pediatric Nursing"},{"issue":"22","key":"10.1016\/j.pedn.2026.01.006_bb0045","doi-asserted-by":"crossref","first-page":"2607","DOI":"10.1161\/CIR.0b013e31821b1f10","article-title":"Indications for cardiac catheterization and intervention in pediatric cardiac disease: A scientific statement from the American Heart Association","volume":"123","author":"Feltes","year":"2011","journal-title":"Circulation"},{"key":"10.1016\/j.pedn.2026.01.006_bb0050","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijnurstu.2024.104958","article-title":"A child-centred research checklist to improve the design and reporting of paediatric research studies: A descriptive mixed methods study","volume":"162","author":"Foster","year":"2025","journal-title":"International Journal of Nursing Studies"},{"key":"10.1016\/j.pedn.2026.01.006_bb0055","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2023.1322085","article-title":"Preoperative anxiety management in children. Benefits of humanoid robots: An experimental study","volume":"10","author":"Franconi","year":"2023","journal-title":"Frontiers in Surgery"},{"issue":"2","key":"10.1016\/j.pedn.2026.01.006_bb0060","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2019-1139","article-title":"Digital technology distraction for acute pain in children: A meta-analysis","volume":"145","author":"Gates","year":"2020","journal-title":"Pediatrics"},{"issue":"3","key":"10.1016\/j.pedn.2026.01.006_bb0065","doi-asserted-by":"crossref","first-page":"239","DOI":"10.3390\/healthcare8030239","article-title":"Play therapy as an intervention in hospitalized children: A systematic review","volume":"8","author":"Godino-I\u00e1\u00f1ez","year":"2020","journal-title":"Healthcare"},{"issue":"4","key":"10.1016\/j.pedn.2026.01.006_bb0070","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1007\/s13193-022-01571-1","article-title":"Effectiveness of preoperative therapeutic play on anxiety among children undergoing invasive procedure: A systematic review and meta-analysis","volume":"13","author":"Halemani","year":"2022","journal-title":"Indian Journal of Surgical Oncology"},{"issue":"12","key":"10.1016\/j.pedn.2026.01.006_bb0075","first-page":"1314","article-title":"Research progress on preoperative anxiety and postoperative delirium","volume":"39","author":"Huang","year":"2023","journal-title":"Journal of Clinical Anesthesiology"},{"issue":"11","key":"10.1016\/j.pedn.2026.01.006_bb0080","doi-asserted-by":"crossref","DOI":"10.1093\/cdn\/nzaa166","article-title":"Exploring the role of maternal nutritional epigenetics in congenital heart disease","volume":"4","author":"Joshi","year":"2020","journal-title":"Current Developments in Nutrition"},{"key":"10.1016\/j.pedn.2026.01.006_bb0085","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s12887-016-0570-5","article-title":"Play interventions to reduce anxiety and negative emotions in hospitalized children","volume":"16","author":"Li","year":"2016","journal-title":"BMC Pediatrics"},{"issue":"3","key":"10.1016\/j.pedn.2026.01.006_bb0090","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1177\/1099800420977699","article-title":"Play effects on hospitalized children with acute respiratory infection: An experimental design study","volume":"23","author":"Liu","year":"2021","journal-title":"Biological Research for Nursing"},{"key":"10.1016\/j.pedn.2026.01.006_bb0095","series-title":"Clinical research of play on children's preoperative anxiety and anesthesia compliance","author":"Liu","year":"2013"},{"issue":"2","key":"10.1016\/j.pedn.2026.01.006_bb0100","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1093\/ije\/dyz009","article-title":"Global birth prevalence of congenital heart defects 1970-2017: Updated systematic review and meta-analysis of 260 studies","volume":"48","author":"Liu","year":"2019","journal-title":"International Journal of Epidemiology"},{"issue":"32","key":"10.1016\/j.pedn.2026.01.006_bb0105","first-page":"3975","article-title":"Interpretation of report on cardiovascular health and diseases in China 2022","volume":"26","author":"Ma","year":"2023","journal-title":"Chinese General Practice"},{"issue":"3","key":"10.1016\/j.pedn.2026.01.006_bb0110","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1590\/S0080-623420140000300006","article-title":"Therapeutic play in preparing for surgery: Behavior of preschool children during the perioperative period","volume":"48","author":"Paladino","year":"2014","journal-title":"Revista da Escola de Enfermagem da USP"},{"issue":"2","key":"10.1016\/j.pedn.2026.01.006_bb0115","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1111\/pan.13300","article-title":"Perioperative experiences of anesthesia reported by children and parents","volume":"28","author":"Perrott","year":"2018","journal-title":"Paediatric Anaesthesia"},{"key":"10.1016\/j.pedn.2026.01.006_bb0120","unstructured":"Piaget, J. (1985). The equilibration of cognitive structures: The central problem of intellectual development. T. Brown & K. J. Thampy, Trans.). Chicago: University of Chicago Press. (Original work published 1975)."},{"key":"10.1016\/j.pedn.2026.01.006_bb9000","series-title":"Manual for the State-Trait Anxiety Inventory (STAI)","author":"Spielberger","year":"1983"},{"issue":"3","key":"10.1016\/j.pedn.2026.01.006_bb0125","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1136\/bmjqs-2011-000332","article-title":"Promoting patient-centred care through trainee feedback: Assessing residents\u2019 C-I-CARE (ARC) program","volume":"21","author":"Wen","year":"2012","journal-title":"BMJ Quality and Safety"},{"issue":"2","key":"10.1016\/j.pedn.2026.01.006_bb0130","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1111\/pan.13802","article-title":"Reducing preoperative anxiety with child life preparation prior to intravenous induction of anesthesia: A randomized controlled trial","volume":"30","author":"West","year":"2020","journal-title":"Paediatric Anaesthesia"},{"issue":"1","key":"10.1016\/j.pedn.2026.01.006_bb0135","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.jopan.2021.03.001","article-title":"Optimizing pediatric induction experiences using human-centered design","volume":"37","author":"Winterberg","year":"2022","journal-title":"Journal of Perianesthesia Nursing"},{"issue":"7","key":"10.1016\/j.pedn.2026.01.006_bb0140","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-021071","article-title":"Effects of therapeutic play on children undergoing cast-removal procedures: A randomised controlled trial","volume":"8","author":"Wong","year":"2018","journal-title":"BMJ Open"},{"issue":"Suppl. 2","key":"10.1016\/j.pedn.2026.01.006_bb0145","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1007\/s00101-022-01177-w","article-title":"Virtual reality in preoperative preparation of children undergoing general anesthesia: A randomized controlled study","volume":"71","author":"Wu","year":"2022","journal-title":"Die Anaesthesiologie"},{"key":"10.1016\/j.pedn.2026.01.006_bb0150","doi-asserted-by":"crossref","DOI":"10.1177\/2333794X211007975","article-title":"Postoperative maladaptive behavior, preoperative anxiety and emergence delirium in children undergone general anesthesia: A narrative review","volume":"8","author":"Zainal Abidin","year":"2021","journal-title":"Global Pediatric Health"},{"issue":"1","key":"10.1016\/j.pedn.2026.01.006_bb0155","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.jopan.2020.07.006","article-title":"The effects of a therapeutic play\/play therapy program on the fear and anxiety levels of hospitalized children after liver transplantation","volume":"36","author":"Zengin","year":"2021","journal-title":"Journal of Perianesthesia Nursing"},{"key":"10.1016\/j.pedn.2026.01.006_bb0160","unstructured":"Zheng, T.(2021). Research on Construction and Analysis of Preoperative Therapeutic Play Program for Children With Congenital Heart Disease. Thesis (master) Peking Union Medical College. Doi:https:\/\/doi.org\/10.27648\/d.cnki.gzxhu.2021.000596."},{"key":"10.1016\/j.pedn.2026.01.006_bb0165","series-title":"The growth and development status and the correlation analysis between serum ghrelin and cardiac geometric structure in children with congenital heart disease","author":"Zhou","year":"2023"},{"issue":"01","key":"10.1016\/j.pedn.2026.01.006_bb0170","first-page":"11-14+20","article-title":"Study on motor function development in children with simple congenital heart disease","volume":"10","author":"Zhou","year":"2022","journal-title":"Journal of Biological Education"}],"container-title":["Journal of Pediatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596326000138?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596326000138?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T16:00:46Z","timestamp":1774281646000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0882596326000138"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":35,"alternative-id":["S0882596326000138"],"URL":"https:\/\/doi.org\/10.1016\/j.pedn.2026.01.006","relation":{},"ISSN":["0882-5963"],"issn-type":[{"value":"0882-5963","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The effects of therapeutic play on alleviating preoperative anxiety in preschool children with congenital heart disease: A cluster-randomized controlled trial","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedn.2026.01.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}