{"id":"https://openalex.org/W7225790222","doi":"https://doi.org/10.1186/s12887-026-07956-3","title":"Perioperative perceived-stress trajectories and associated factors among caregivers of children undergoing inguinal hernia surgery","display_name":"Perioperative perceived-stress trajectories and associated factors among caregivers of children undergoing inguinal hernia surgery","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225790222","doi":"https://doi.org/10.1186/s12887-026-07956-3"},"language":"en","primary_location":{"id":"doi:10.1186/s12887-026-07956-3","doi":"https://doi.org/10.1186/s12887-026-07956-3","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12887-026-07956-3","pdf_url":null,"source":{"id":"https://openalex.org/S134535697","display_name":"BMC Pediatrics","issn_l":"1471-2431","issn":["1471-2431"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12887-026-07956-3","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161462932","display_name":"Huan Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210156877","display_name":"Second People\u2019s Hospital of Yibin","ror":"https://ror.org/05xceke97","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156877"]},{"id":"https://openalex.org/I85430964","display_name":"Jinzhou Medical University","ror":"https://ror.org/02yd1yr68","country_code":"CN","type":"education","lineage":["https://openalex.org/I85430964"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Huan Li","raw_affiliation_strings":["Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China","School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, 121001, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China","institution_ids":["https://openalex.org/I4210156877"]},{"raw_affiliation_string":"School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, 121001, China","institution_ids":["https://openalex.org/I85430964"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134678309","display_name":"Yan Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210156877","display_name":"Second People\u2019s Hospital of Yibin","ror":"https://ror.org/05xceke97","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156877"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yan Chen","raw_affiliation_strings":["Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China","institution_ids":["https://openalex.org/I4210156877"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161427070","display_name":"Yuanqin Zhong","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210156877","display_name":"Second People\u2019s Hospital of Yibin","ror":"https://ror.org/05xceke97","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156877"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yuanqin Zhong","raw_affiliation_strings":["Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China","institution_ids":["https://openalex.org/I4210156877"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039624625","display_name":"Fangli Tang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210156877","display_name":"Second People\u2019s Hospital of Yibin","ror":"https://ror.org/05xceke97","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156877"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Fangli Tang","raw_affiliation_strings":["Department of Gastroenterology, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China","institution_ids":["https://openalex.org/I4210156877"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161438893","display_name":"Xi Yang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210156877","display_name":"Second People\u2019s Hospital of Yibin","ror":"https://ror.org/05xceke97","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156877"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xi Yang","raw_affiliation_strings":["Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China","institution_ids":["https://openalex.org/I4210156877"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161451214","display_name":"Dongmei Lin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210156877","display_name":"Second People\u2019s Hospital of Yibin","ror":"https://ror.org/05xceke97","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156877"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Dongmei Lin","raw_affiliation_strings":["Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China","institution_ids":["https://openalex.org/I4210156877"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161445998","display_name":"Lijia Deng","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210156877","display_name":"Second People\u2019s Hospital of Yibin","ror":"https://ror.org/05xceke97","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156877"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lijia Deng","raw_affiliation_strings":["Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China","institution_ids":["https://openalex.org/I4210156877"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159745957","display_name":"Feng Han","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210156877","display_name":"Second People\u2019s Hospital of Yibin","ror":"https://ror.org/05xceke97","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156877"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Feng Han","raw_affiliation_strings":["Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Yibin Second People\u2019s Hospital, Yibin, Sichuan, 644000, China","institution_ids":["https://openalex.org/I4210156877"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5161467701","display_name":"Huijun Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I85430964","display_name":"Jinzhou Medical University","ror":"https://ror.org/02yd1yr68","country_code":"CN","type":"education","lineage":["https://openalex.org/I85430964"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Huijun Zhang","raw_affiliation_strings":["School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, 121001, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, 121001, China","institution_ids":["https://openalex.org/I85430964"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5161467701"],"corresponding_institution_ids":["https://openalex.org/I85430964"],"apc_list":{"value":3090,"currency":"USD","value_usd":3090},"apc_paid":{"value":3090,"currency":"USD","value_usd":3090},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11292","display_name":"Pediatric Pain Management Techniques","score":0.2791000008583069,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11292","display_name":"Pediatric Pain Management Techniques","score":0.2791000008583069,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11768","display_name":"Music Therapy and Health","score":0.12389999628067017,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11632","display_name":"Family and Disability Support Research","score":0.06930000334978104,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9347000122070312},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.758400022983551},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5927000045776367},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5688999891281128},{"id":"https://openalex.org/C2781132756","wikidata":"https://www.wikidata.org/wiki/Q1144039","display_name":"Inguinal hernia","level":3,"score":0.5360999703407288},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.5238999724388123},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.46810001134872437},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.42480000853538513},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4156000018119812},{"id":"https://openalex.org/C77350462","wikidata":"https://www.wikidata.org/wiki/Q1125472","display_name":"Confounding","level":2,"score":0.41190001368522644},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3926999866962433},{"id":"https://openalex.org/C2778196487","wikidata":"https://www.wikidata.org/wiki/Q3073775","display_name":"Inguinal hernia surgery","level":4,"score":0.37779998779296875},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3294000029563904},{"id":"https://openalex.org/C2779096551","wikidata":"https://www.wikidata.org/wiki/Q133076","display_name":"Hernia","level":2,"score":0.3158999979496002},{"id":"https://openalex.org/C87227347","wikidata":"https://www.wikidata.org/wiki/Q7100713","display_name":"Ordered logit","level":2,"score":0.3066999912261963},{"id":"https://openalex.org/C2779870332","wikidata":"https://www.wikidata.org/wiki/Q7166982","display_name":"Perceived Stress Scale","level":3,"score":0.3052000105381012},{"id":"https://openalex.org/C192806908","wikidata":"https://www.wikidata.org/wiki/Q6495487","display_name":"Latent growth modeling","level":2,"score":0.29809999465942383},{"id":"https://openalex.org/C2780120127","wikidata":"https://www.wikidata.org/wiki/Q743664","display_name":"Abdominal surgery","level":2,"score":0.2896000146865845},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.2888000011444092},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2847000062465668},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.2822999954223633},{"id":"https://openalex.org/C2776098842","wikidata":"https://www.wikidata.org/wiki/Q17152720","display_name":"Surgical stress","level":2,"score":0.2791000008583069},{"id":"https://openalex.org/C78604142","wikidata":"https://www.wikidata.org/wiki/Q1640582","display_name":"Fight-or-flight response","level":3,"score":0.27469998598098755},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.2524999976158142},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.2502000033855438}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12887-026-07956-3","doi":"https://doi.org/10.1186/s12887-026-07956-3","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12887-026-07956-3","pdf_url":null,"source":{"id":"https://openalex.org/S134535697","display_name":"BMC Pediatrics","issn_l":"1471-2431","issn":["1471-2431"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pediatrics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12887-026-07956-3","doi":"https://doi.org/10.1186/s12887-026-07956-3","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12887-026-07956-3","pdf_url":null,"source":{"id":"https://openalex.org/S134535697","display_name":"BMC Pediatrics","issn_l":"1471-2431","issn":["1471-2431"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pediatrics","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Primary":[0],"caregivers":[1],"accompanying":[2],"children":[3],"through":[4,7],"surgery":[5,108,115,233],"pass":[6],"a":[8,23,71,81,122,134,149,197,265],"rapid":[9],"sequence":[10],"of":[11,40,75,169],"demanding":[12],"perioperative":[13,50],"events,":[14],"and":[15,37,60,88,117,146,179,194,215],"their":[16],"perceived":[17,54],"stress":[18,58,229],"is":[19],"unlikely":[20],"to":[21,98,111,142],"follow":[22],"single":[24],"common":[25],"course.":[26,201],"Repeated":[27],"caregiver":[28,53],"data":[29],"across":[30,225],"the":[31,38,41,248,253,256,276],"inguinal":[32],"hernia":[33],"pathway":[34],"are":[35,259],"scarce,":[36],"heterogeneity":[39],"response":[42],"has":[43],"not":[44],"been":[45],"formally":[46],"characterized.":[47],"To":[48],"describe":[49],"change":[51,130],"in":[52],"stress,":[55],"identify":[56],"latent":[57,138],"trajectories,":[59],"determine":[61],"baseline":[62],"factors":[63],"associated":[64,221],"with":[65,121,133,140,148,166,222],"more":[66],"severe":[67],"trajectories.":[68],"We":[69],"analysed":[70],"retrospective":[72],"longitudinal":[73],"cohort":[74],"438":[76],"child-caregiver":[77],"dyads":[78],"treated":[79],"at":[80,102,164,171,174,177,181],"tertiary":[82],"pediatric":[83],"surgical":[84],"center":[85],"between":[86],"2022":[87],"2025.":[89],"The":[90],"10-item":[91],"Perceived":[92],"Stress":[93],"Scale":[94],"(PSS-10,":[95],"range":[96],"0":[97],"40)":[99],"was":[100,131,230],"recorded":[101],"admission":[103,203],"(T0),":[104],"one":[105],"hour":[106],"before":[107,118,232],"(T1),":[109],"6":[110],"12":[112],"h":[113],"after":[114],"(T2),":[116],"discharge":[119],"(T3),":[120],"day-3":[123],"assessment":[124],"(T4)":[125],"for":[126],"399":[127],"caregivers.":[128],"Population":[129],"modelled":[132],"linear":[135],"mixed-effects":[136],"model,":[137],"trajectories":[139,277],"one-":[141],"seven-class":[143],"finite-mixture":[144],"models,":[145],"associations":[147],"prespecified":[150],"baseline-only":[151],"ordinal":[152],"logistic":[153],"model":[154],"supported":[155],"by":[156,243],"extensive":[157],"sensitivity":[158],"analyses.":[159,227],"PSS-10":[160,249],"scores":[161,258],"were":[162,192,220],"highest":[163,231],"T1,":[165,175],"population":[167],"means":[168],"17.07":[170],"T0,":[172],"21.06":[173],"13.15":[176],"T3,":[178],"11.24":[180],"T4":[182],"(Wald":[183],"chi-square":[184],"1829.20,":[185],"P":[186],"<":[187],"0.001).":[188],"Five":[189],"ordered":[190],"classes":[191],"retained,":[193],"24.9%":[195],"followed":[196],"higher-score,":[198],"incompletely":[199],"recovering":[200],"Urgent":[202],"(adjusted":[204],"odds":[205],"ratio":[206],"2.30),":[207],"lower":[208],"social":[209],"support":[210],"(0.73":[211],"per":[212],"5":[213],"points),":[214],"previous":[216],"surgical-caregiving":[217],"experience":[218],"(0.54)":[219],"severity,":[223],"stably":[224],"all":[226],"Caregiver":[228],"but":[234],"separated":[235],"into":[236],"five":[237],"internally":[238],"stable":[239],"severity":[240],"strata,":[241],"marked":[242],"three":[244],"admission-available":[245],"factors.":[246],"Because":[247],"references":[250],"appraisal":[251],"over":[252],"preceding":[254],"month,":[255],"repeated":[257],"interpreted":[260],"as":[261,270],"global":[262],"appraisals":[263],"during":[264],"salient":[266],"episode":[267],"rather":[268],"than":[269],"momentary":[271],"state,":[272],"which":[273],"bounds":[274],"how":[275],"should":[278],"be":[279],"read.":[280],"Not":[281],"applicable.":[282]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}