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Volume 18, Issue 1 (2026)
Iran J War Public Health 2026, 18(1): 1001-1006 |
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Received: 2026/02/21 | Accepted: 2026/02/27 | Published: 2026/01/29
Received: 2026/02/21 | Accepted: 2026/02/27 | Published: 2026/01/29
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Aneed S, Abadi N, Mansi Q, Sharhan M. Rehabilitation Nursing Care as a Mediators between Injury Severity and Functional Independence among Children with Physical Disabilities. Iran J War Public Health 2026; 18 (1) :1001-1006
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Abstract (27 Views)
Background: Severe injuries experienced by children with physical disabilities become a significant determinant of their ability. The purpose of this study was to investigate if the association with the degree of injury and functional independence for children with physical impairments is mediated by recuperative nursing care.
Methods: A descriptive-correlational, cross-sectional study conducted in the Thi-Qar Governorate, Iraq, from April to July 2025.Using rigorous random sampling, 420 children with physical disabilities connected to injuries, ages 6 to 18, were gathered from hospitals and rehabilitation facilities. The Functional Independence Measure for Children, the Rehabilitation Nursing Care Scale (RNCSD), and the Pediatric Injury Severity Scale were validated tools used to gather data. For the statistical analysis, SPSS v28 and analysis techniques were used. Person correlation and regression, we used the PROCESS macro (Model 4) from and 5,000 bootstrap samples in mediation analysis.
Results: Injury Severity was negatively correlated with Rehabilitation Nursing Care and functional independence (r= −0.68 to −0.72, p<0.001) while Nursing Care was positively associated with functional independence ( r = 0.79, p<0.001). The results of the mediation analysis have confirmed that the relationship between injury severity and functional independence is partially mediated by rehabilitation nursing care (B= -1.01, 95% CI [−1.19, −0.84]), with an overall model R² of 69% being explained.
Conclusion: It was found that rehabilitation nursing care significantly mediates the effect of Injury Severity on Functional Independence. Integrating structured nursing interventions into pediatric rehabilitation programs could further increase recovery outcomes.
Methods: A descriptive-correlational, cross-sectional study conducted in the Thi-Qar Governorate, Iraq, from April to July 2025.Using rigorous random sampling, 420 children with physical disabilities connected to injuries, ages 6 to 18, were gathered from hospitals and rehabilitation facilities. The Functional Independence Measure for Children, the Rehabilitation Nursing Care Scale (RNCSD), and the Pediatric Injury Severity Scale were validated tools used to gather data. For the statistical analysis, SPSS v28 and analysis techniques were used. Person correlation and regression, we used the PROCESS macro (Model 4) from and 5,000 bootstrap samples in mediation analysis.
Results: Injury Severity was negatively correlated with Rehabilitation Nursing Care and functional independence (r= −0.68 to −0.72, p<0.001) while Nursing Care was positively associated with functional independence ( r = 0.79, p<0.001). The results of the mediation analysis have confirmed that the relationship between injury severity and functional independence is partially mediated by rehabilitation nursing care (B= -1.01, 95% CI [−1.19, −0.84]), with an overall model R² of 69% being explained.
Conclusion: It was found that rehabilitation nursing care significantly mediates the effect of Injury Severity on Functional Independence. Integrating structured nursing interventions into pediatric rehabilitation programs could further increase recovery outcomes.
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