兴趣诱导联合医护一体化护理改善大叶性肺炎患儿心理健康及预后的随机对照研究

A randomized controlled trial of interest induction combinedwith integrated healthcare nursing for improvements of psychological health and prognosis in children with lobar pneumonia

  • 摘要: 目的 探讨兴趣诱导联合医护一体化护理改善大叶性肺炎患儿心理健康及预后的效果。方法 选取2023年10月—2024年10月在河北省儿童医院确诊的126例大叶性肺炎患儿为研究对象, 并随机分为研究组(n=63)和对照组(n=63)。对照组采用常规护理干预,研究组采用兴趣诱导联合医护一体化护理模式。比较2组临床症状改善时间、心理评分、治疗依从性以及并发症发生情况。结果 研究组患儿退热时间、咳嗽明显减轻时间、气促缓解时间、湿啰音消失时间均短于对照组,差异有统计学意义(P < 0.05)。干预后, 2组患儿多维焦虑量表(MASC-C)、儿童行为量表(CBCL)评分均低于干预前,且研究组低于对照组,差异有统计学意义(P < 0.05)。研究组患儿按时服药、功能锻炼、饮食调整、自我监测维度的依从性评分均高于对照组,差异有统计学意义(P < 0.05)。研究组发生1例肺不张、1例气胸,并发症总发生率为3.17%(2/63); 对照组发生1例胸腔积液、1例肺不张、2例气胸,并发症总发生率为6.35%(4/63); 2组并发症总发生率比较,差异无统计学意义(χ2=0.700, P>0.05)。结论 兴趣诱导联合医护一体化护理模式可提高治疗依从性,缩短临床症状改善时间,改善患儿心理健康。

     

    Abstract: Objective To explore the effect of interest induction combined with integrated healthcare nursing on improvements of mental health and prognosis in children with lobar pneumonia. Methods A total of 126 children diagnosed as lobar pneumonia in the Hebei Children's Hospital from October 2023 to October 2024 were selected as research objects and randomly divided into study group (n=63) and control group (n=63). The control group received conventional nursing interventions, while the study group received the interest induction combined with integrated healthcare nursing model. The time for improvement of clinical symptoms, psychological scores, therapeutic compliance, and the occurrence of complications were compared between the two groups. Results The resolution time for fever, obvious alleviation time for cough, relief time for shortness of breath, and disappearance time for moist rales in the study group were significantly shorter than those in the control group (P < 0.05). After the intervention, the scores of the Multidimensional Anxiety Scale for Children (MASC-C) and the Child Behavior Checklist (CBCL) in both groups were significantly lower than those before the intervention, and the scores in the study group were significantly lower than those in the control group (P < 0.05). The compliance scores of the study group in terms of taking medication on time, functional exercise, dietary adjustment, and self-monitoring dimensions were all significantly higher than those of the control group (P < 0.05). In the study group, there was 1 case of atelectasis and 1 case of pneumothorax, with a total complication rate of 3.17% (2/63); there was 1 case of pleural effusion, 1 case of atelectasis, and 2 cases of pneumothorax in the control group, with a total complication rate of 6.35% (4/63). There was no significant difference in the total complication rate between the two groups (χ2=0.700, P>0.05). Conclusion The interest induction combined with integrated healthcare nursing model can improve therapeutic compliance, shorten the time for improvement of clinical symptoms, and enhance the mental health of children.

     

/

返回文章
返回