{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T15:16:16Z","timestamp":1780413376138,"version":"3.54.1"},"reference-count":0,"publisher":"Pakistan Journal of Medical Sciences","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pak J Med Sci"],"abstract":"<jats:p>Objective: To investigate the outcome of a Family Systems Theory-Based integrated care protocol in children with Helicobacter pylori(Hp)-associated gastritis.\nMethodology: A retrospective analysis was performed on 180 children with Hp-associated gastritis at Maternity &amp; Child Care Center of Qinhuangdao enrolled between January 2024 to June 2025. Based on the type of care intervention received, the children were divided into two groups via a 1:1 matching protocol. The control group(n=90) received conventional care, whereas the observation group (n=90) received the integrated care protocol based on Family Systems Theory. Compared the medical adherence rate and disease recurrence rate between the two groups of children.\nResults: At four weeks after care intervention, the observation group exhibited significantly higher scores for the MUIS-FM dimensions of lack of clarity, unpredictability, information deficiency, and ambiguity compared with the control group(all P&lt;0.05). The PedsQLTM4.0 scores in the observation group were significantly higher at two weeks and four weeks after care intervention than those in the control group(P&lt;0.05). In contrast, the STAI-Y scores in the observation group were significantly lower at two weeks and four weeks after care intervention compared with the control group(P&lt;0.05). Furthermore, the observation group had a significantly higher medical adherence rate and a significantly lower disease recurrence rate than the control group(P&lt;0.05).\nConclusion: Implementation of the integrated care protocol based on Family Systems Theory for children with Hp-associated gastritis can alleviate the level of illness uncertainty among primary caregivers, improve children\u2019s quality of life, enhance their medical adherence, and reduce the disease recurrence rate.<\/jats:p>","DOI":"10.12669\/pjms.42.6.14836","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T14:47:31Z","timestamp":1780411651000},"page":"1405-1410","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of a family systems theory-based integrated care protocol for children with helicobacter pylori-associated gastritis"],"prefix":"10.12669","volume":"42","author":[{"given":"Cuihong","family":"Zhao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyu","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tongtong","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawei","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guoliang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4935","published-online":{"date-parts":[[2026,6,2]]},"container-title":["Pakistan Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/14836\/11478","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/14836\/11478","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T14:47:32Z","timestamp":1780411652000},"score":1,"resource":{"primary":{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/view\/14836"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,2]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6,2]]}},"URL":"https:\/\/doi.org\/10.12669\/pjms.42.6.14836","relation":{},"ISSN":["1681-715X","1682-024X"],"issn-type":[{"value":"1681-715X","type":"electronic"},{"value":"1682-024X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,2]]}}}