Screen use in pediatric cancer patients: A hospital-based study.
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BACKGROUND: Screen use has become an integral part of children's daily lives, yet little is known about its patterns and associated factors among pediatric cancer patients undergoing active treatment. METHODS: A cross-sectional survey was conducted among 225 pediatric cancer patients and their parents from three tertiary hospitals in Jinan City between March and June 2023. Parents completed questionnaires on their children's screen use over the six months preceding the survey, covering both home and hospital settings, as well as parental mediation, parental psychological distress, sociodemographic and condition-related information. Children's screen use was described and factors associated with screen time were analyzed using binary logistic regression. RESULTS: The median daily screen time was 2.57 h (range: 0.14-14.71), with 56.9 % of children exceeding the two-hour guideline. Watching short-form videos was the most common activity. Longer screen time was significantly associated with higher parental psychological distress, children's history of critical conditions, and a lack of parental limits on screen use (P < 0.05). CONCLUSIONS: Screen use is widespread among pediatric cancer patients, with more than half exceeding the two-hour guideline. Parental mediation, parental psychological distress, and children's critical conditions were key factors influencing longer screen use. IMPLICATIONS FOR PRACTICE: The findings highlight the need for healthcare practitioners to provide educational and psychosocial support to help parents set appropriate screen time boundaries and encourage healthy digital engagement among pediatric cancer patients.