en توانبخشی جانبازان يا معلولان Rehabilitation of Veterans or Handicapped پژوهشی اصيل Original Research <span style="font-size:11pt"><span style="tab-stops:72.0pt 193.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0d0d0d">Background: </span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0d0d0d">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.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="tab-stops:72.0pt 193.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0d0d0d">Methods:</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0d0d0d"> 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.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="tab-stops:72.0pt 193.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0d0d0d">Results:</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0d0d0d"> Injury Severity was negatively correlated with Rehabilitation Nursing Care and functional independence (r= &minus;0.68 to &minus;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 [&minus;1.19, &minus;0.84]), with an overall model R&sup2; of 69% being explained.</span></span></span></span></span></span></span></span><br> <b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0d0d0d">Conclusion:</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0d0d0d"> 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.</span></span></span></span> Rehabilitation Nursing Care,Injury Severity,Functional Independence,Pediatric Rehabilitation,Physical Disabilities 1001 1006 http://ijwph.ir/browse.php?a_code=A-10-2417-1&slc_lang=en&sid=1 S.H. Aneed sururneizy10@gmail.com 15300319475328460028699 15300319475328460028699 Yes N.N. Abadi 15300319475328460028700 15300319475328460028700 No Q.H. Mansi 15300319475328460028701 15300319475328460028701 No M.A. Sharhan 15300319475328460028702 15300319475328460028702 No