Objective To analyze the impact of medical guidance games combined with specialized nursing on treatment compliance and clinical symptoms in preschool children with pneumonia.

Methods A total of 113 preschool children with pneumonia admitted to Beijing Daxing District People's Hospital from February 2023 to June 2024 were selected as research subjects and randomly divided into control group (n=56) and observation group (n=57). The control group received routine nursing, while the observation group received medical guidance games combined with specialized nursing on the basis of the control group. Treatment compliance, improvement time of clinical symptoms, and psychological states were compared between the two groups.

Results The total treatment compliance rate in the observation group was 98.2%, which was higher than 89.3% in the control group, and the difference was statistically significant (P < 0.05). The disappearance times of symptoms such as cough, expectoration, dyspnea, and fever in the observation group were all shorter than those in the control group (P < 0.05). After intervention, the scores of the Children's Medical Fear Scale (CMFS) and the Screen for Child Anxiety Related Emotional Disorders (SCARED) in the observation group were both lower than those in the control group (P < 0.05).

Conclusion Medical guidance games combined with specialized nursing can improve treatment compliance in preschool children with pneumonia, shorten their recovery time, help alleviate negative emotions such as medical fear and anxiety, and promote disease recovery.