{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:02:16Z","timestamp":1785391336444,"version":"3.55.0"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To retrospectively evaluate the effects of targeted nursing centered on a game-based model on self-concept, anxiety, and quality of life in children undergoing auricular reconstruction for congenital microtia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective observational study included medical records from children with congenital microtia who underwent auricular reconstruction between January 2022 and December 2025. Medical records were categorized into a control group and an intervention group according to the perioperative nursing model documented during hospitalization. The control group received routine nursing care, whereas the intervention group received routine nursing care combined with game-based nursing. Data from the Piers-Harris Children Self-Concept Scale (CSCS), Screen for Child Anxiety-Related Emotional Disorders (SCARED), and Pediatric Quality of Life Inventory (PedsQL 4.0) scores routinely recorded at admission and discharge during hospitalization were retrospectively extracted from the nursing records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 70 children were included, with 35 in the routine nursing group and 35 in the game-based nursing group. At admission, no statistically significant differences were found between the two groups in CSCS, SCARED, or PedsQL 4.0 scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). At discharge, the intervention group had higher CSCS scores (69.28\u2009\u00b1\u20096.75) than the control group (66.19\u2009\u00b1\u20094.07) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007), lower SCARED scores (40.56\u2009\u00b1\u20092.32) than the control group (54.19\u2009\u00b1\u20092.12) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001), and higher PedsQL 4.0 scores (70.28\u2009\u00b1\u20093.16) than the control group (67.19\u2009\u00b1\u20093.42) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This retrospective analysis suggests that targeted nursing using a game-based model may be associated with improved perioperative psychological outcomes, particularly reduced anxiety, in children undergoing auricular reconstruction for congenital microtia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1826110","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:39:00Z","timestamp":1785389940000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Retrospective analysis of the clinical value of targeted nursing using a game-based model in children undergoing auricular reconstruction for congenital microtia"],"prefix":"10.3389","volume":"14","author":[{"given":"Xue-Zhen","family":"Cao","sequence":"first","affiliation":[{"name":"Department of Plastic and Burn Surgery, Shanxi Provincial Children\u2019s Hospital","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun-Qing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Burn Surgery, Shanxi Provincial Children\u2019s Hospital","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue-Song","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Plastic and Burn Surgery, Shanxi Provincial Children\u2019s Hospital","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1007\/s00106-023-01386-8","article-title":"Aktuelle Diagnostik und Therapie bei Ohrmuscheldysplasien und geh\u00f6rgangsfehlbildungen","volume":"72","author":"Brandt","year":"2024","journal-title":"HNO"},{"key":"B2","doi-asserted-by":"publisher","first-page":"S17","DOI":"10.1080\/00016489.2023.2276348","article-title":"A clinical epidemiological study on congenital ear malformation (CEM)","volume":"143","author":"Zhang","year":"2023","journal-title":"Acta Otolaryngol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1089\/fpsam.2022.0152","article-title":"A hybrid auricular framework of autologous rib cartilage and a porous polyethylene implant for reconstruction of congenital microtia: a modification of nagata\u2019s technique","volume":"26","author":"Ku","year":"2024","journal-title":"Facial Plast Surg Aesthet Med"},{"key":"B4","doi-asserted-by":"publisher","first-page":"487","DOI":"10.21037\/tp-21-453","article-title":"A novel method to accurately locate the reconstructed auricle","volume":"11","author":"Sun","year":"2022","journal-title":"Transl Pediatr"},{"key":"B5","doi-asserted-by":"publisher","first-page":"111838","DOI":"10.1016\/j.ijporl.2023.111838","article-title":"Analysis of predictive factors related to long-term hearing and temporal bone development in congenital microtia","volume":"176","author":"Wang","year":"2024","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"147","DOI":"10.3969\/j.issn.1674-4721.2025.20.32","article-title":"Influence of medical game counseling on psychological status and pain in school-age children with microtia","volume":"32","author":"Liao","year":"2025","journal-title":"Chin Mod Med"},{"key":"B7","doi-asserted-by":"publisher","first-page":"2230","DOI":"10.12104\/j.issn.1674-4748.2022.16.020","article-title":"Effects of specialized game intervention on negative emotions and stress response in children with congenital microtia undergoing auricular reconstruction","volume":"20","author":"Li","year":"2022","journal-title":"Chin Gen Pract Nurs"},{"key":"B8","doi-asserted-by":"publisher","first-page":"860","DOI":"10.1097\/SCS.0000000000009867","article-title":"Correlations among clinical phenotypes, radiological examination indexes, and hearing Status in congenital microtia","volume":"35","author":"Wang","year":"2024","journal-title":"J Craniofac Surg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1097\/00004583-199704000-00018","article-title":"The screen for child anxiety related emotional disorders (SCARED): scale construction and psychometric characteristics","volume":"36","author":"Birmaher","year":"1997","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"B10","doi-asserted-by":"publisher","first-page":"e828","DOI":"10.1097\/SCS.0000000000008761","article-title":"Epidemiological study of neonatal congenital microtia in shandong province, China, 2011\u20132020","volume":"33","author":"Sun","year":"2022","journal-title":"J Craniofac Surg"},{"key":"B11","doi-asserted-by":"publisher","first-page":"3281","DOI":"10.3969\/j.issn.1672-9676.2021.21.031","article-title":"The impact of strabismus correction surgery on the quality of life of children","volume":"18","author":"Qian","year":"2021","journal-title":"Nurs Pract Res"},{"key":"B12","doi-asserted-by":"publisher","first-page":"135","DOI":"10.3969\/j.issn.1672-4933.2020.02.014","article-title":"The effect of narrative therapy on the improvement of mental flexibility of AdolescentPatients with congenital microtia","volume":"18","author":"Liu","year":"2020","journal-title":"Chin Sci J Hear Speech Rehabil"},{"key":"B13","doi-asserted-by":"publisher","first-page":"701","DOI":"10.3969\/j.issn.1673-7040.2024.11.018","article-title":"Research progress on nursing mode of auricular reconstruction surgery for microtia","volume":"35","author":"Wang","year":"2024","journal-title":"Chin J Aesthetic Plast Surg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"568","DOI":"10.13342\/j.cnki.cjhp.2025.04.018","article-title":"Analysis of medical fear emotion and its influencing factors in school aged children with congenital heart disease","volume":"33","author":"Gao","year":"2025","journal-title":"Chin J Health Psychol"},{"key":"B15","doi-asserted-by":"publisher","first-page":"171","DOI":"10.15909\/j.cnki.cn61-1347\/r.006200","article-title":"Application of specialized game intervention in perioperative nursing of burn children with skin grafting","volume":"33","author":"Xiao","year":"2024","journal-title":"Chin J Aesthetic Med"},{"key":"B16","doi-asserted-by":"publisher","first-page":"S60","DOI":"10.1080\/00016489.2023.2272683","article-title":"Innovated surgery incision for patients of congenital malformation of the middle and outer ear with infection (CMMOEI)","volume":"143","author":"Zou","year":"2023","journal-title":"Acta Otolaryngol"},{"key":"B17","doi-asserted-by":"publisher","first-page":"7303647","DOI":"10.1155\/2022\/7303647","article-title":"Multislice spiral computer tomography findings of simple congenital middle ear malformations","volume":"2022","author":"Kang","year":"2022","journal-title":"Contrast Media Mol Imaging"},{"key":"B18","doi-asserted-by":"publisher","first-page":"2560","DOI":"10.1097\/SCS.0000000000009620","article-title":"Pathogenic genes for congenital microtia: a bioinformatics analysis","volume":"34","author":"Sun","year":"2023","journal-title":"J Craniofac Surg"},{"key":"B19","doi-asserted-by":"publisher","first-page":"436","DOI":"10.16128\/j.cnki.1005-3611.2021.02.044","article-title":"Development and trend of behavioral intervention research methods in children with autism","volume":"29","author":"Tan","year":"2021","journal-title":"Chin J Clin Psychol"},{"key":"B20","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1080\/09669760.2023.2168520","article-title":"Research on play-based kindergarten curriculum reform in China: based on the analysis of three typical play modes","volume":"31","author":"Niu","year":"2023","journal-title":"Int J Early Years Educ"},{"key":"B21","doi-asserted-by":"publisher","first-page":"S25","DOI":"10.1080\/00016489.2023.2271087","article-title":"Study of hearing features of congenital malformation of the middle and outer ear (CMMOE)","volume":"143","author":"Duan","year":"2023","journal-title":"Acta Otolaryngol"},{"key":"B22","doi-asserted-by":"publisher","first-page":"333","DOI":"10.3761\/j.issn.16725-9234.2023.03.016","article-title":"Design and application of a perioperative therapeutic play program for school-aged children with fractures based on comfort theory","volume":"20","author":"Zhang","year":"2023","journal-title":"Chin J Nurs Educ"},{"key":"B23","doi-asserted-by":"publisher","first-page":"338","DOI":"10.3761\/j.issn.1672-9234.2023.03.017","article-title":"Design and application of psychological preparation play for pre-magnetic resonance imaging examination in preschool children","volume":"20","author":"Wu","year":"2023","journal-title":"Chin J Nurs Educ"},{"key":"B24","volume-title":"Research on the Cultivation of Children\u2019s Creativity Through Thematic Ink Wash Graffiti and Chalk Painting","author":"Yu","year":"2023"},{"key":"B25","doi-asserted-by":"publisher","first-page":"1421","DOI":"10.3233\/THC-230380","article-title":"Influence of targeted nursing-guided bladder filling on embryo transfer outcomes and patient comfort: a prospective open randomized controlled study","volume":"32","author":"Huang","year":"2024","journal-title":"Technol Health Care"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1826110\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:39:12Z","timestamp":1785389952000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1826110\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":25,"alternative-id":["10.3389\/fped.2026.1826110"],"URL":"https:\/\/doi.org\/10.3389\/fped.2026.1826110","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,30]]},"article-number":"1826110"}}