层级链式护理联合趣味游戏对急性支气管炎患儿干预效果的研究

doi:10.19983/j.issn.2096-8493.20250097

摘要/Abstract

摘要：

目的: 分析层级链式护理联合趣味游戏对急性支气管炎(acute bronchitis,AB)患儿的干预效果。方法: 采用前瞻性研究,纳入2023年1月至2024年12月莆田市儿童医院收治的AB患儿,共96例,以随机数字表法分为对照组(48例)和观察组(48例),对照组予以常规护理干预,观察组在对照组的基础上实施层级链式护理联合趣味游戏;对比两组主要症状(发热、咳嗽、气喘)缓解时间;于干预前、后,对比两组患儿心理状态[儿童焦虑性情绪量表(screen for child anxiety related emotional disorders,SCARED)评分、儿童医疗恐惧量表(children’s medical fear scale,CMFS)评分],以及治疗配合度。结果: 观察组的发热缓解时间、咳嗽缓解时间、气喘缓解时间及住院时间分别为(3.05±0.51)d、(4.12±1.02)d、(3.35±0.69)d、(7.05±1.11)d,短于对照组[分别为(3.85±0.64)d、(5.85±1.11)d、(4.85±0.74)d、(9.13±1.21)d],差异均有统计学意义(t值分别为6.773、7.951、10.271、8.776,P值均<0.001)。干预后,观察组的SCARED评分、CMFS评分分别为(30.25±3.61)分、(25.05±3.05)分,低于对照组[分别为(38.74±4.17)分、(30.08±2.94)分)],差异均有统计学意义(t值分别为10.665、8.226,P值均<0.001);观察组治疗配合度优良率为97.92%(47/48),高于对照组[83.33%(40/48)],差异有统计学意义(χ²=4.414,P=0.036)。结论: 层级链式护理联合趣味游戏应用于AB患儿中,可减轻焦虑、恐惧情绪,提高治疗配合度,促进症状缓解。

关键词: 支气管炎, 儿童, 护理, 对比研究

Abstract:

Objective: To analyze the intervention effects of hierarchical chain nursing combined with fun games on children with acute bronchitis (AB). Methods: A prospective study was conducted, involving 96 children with AB admitted to Putian Children’s Hospital from January 2023 to December 2024. These children were divided into a control group (48 cases) and an observation group (48 cases) with the random number table method. The control group received routine nursing intervention, while the observation group received hierarchical chain nursing combined with fun games besides the routhine intervention. The relief time of main symptoms (fever, cough, and wheezing) were compared between the two groups. Psychological states (with scores on the Screen for Child Anxiety-Related Emotional Disorders (SCARED) and the Children’s Medical Fear Scale (CMFS)) and treatment compliance were also compared before and after the intervention. Results: The relief time of fever, cough, wheezing and hospitalization in the observation group were (3.05±0.51) d, (4.12±1.02) d, (3.35±0.69) d and (7.05±1.11) d respectively, shorter than that of the control group ((3.85±0.64) d, (5.85±1.11) d, (4.85±0.74) d, (9.13±1.21) d, respectively), and the differences were statistically significant (t-values were 6.773, 7.951, 10.271, 8.776, respectively; P<0.001). After the intervention, the SCARED and CMFS scores in the observation group were 30.25±3.61 and 25.05±3.05, respectively, lower than those in the control group (38.74±4.17 and 30.08±2.94, respectively), with statistically significant differences (t-values: 10.665, 8.226; P<0.001). The excellent treatment compliance rate in the observation group (97.92%, 47/48) was higher than that in the control group (83.33%, 40/48), with a statistically significant difference (χ²=4.414, P=0.036). Conclusion: The application of hierarchical chain nursing combined with fun games in children with AB can alleviate anxiety and fear, improve treatment compliance, and promote symptom relief.

Key words: Bronchitis, Child, Nursing care, Comparative study

中图分类号:

R473.72
R494

李碧华, 王容金, 黄艳萍. 层级链式护理联合趣味游戏对急性支气管炎患儿干预效果的研究[J]. 结核与肺部疾病杂志, 2025, 6(6): 690-695. doi: 10.19983/j.issn.2096-8493.20250097

Li Bihua, Wang Rongjin, Huang Yanping. Study on the intervention effect of hierarchical chain nursing combined with fun games in children with acute bronchitis[J]. Journal of Tuberculosis and Lung Disease, 2025, 6(6): 690-695. doi: 10.19983/j.issn.2096-8493.20250097

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组别		性别[例(构成比,%)]				年龄 (岁,$\bar{x}±s$)		病程 (d,$\bar{x}±s$)		病情程度[例(构成比,%)]
组别		男性		女性		年龄 (岁,$\bar{x}±s$)		病程 (d,$\bar{x}±s$)		轻症		重症
观察组(48例)	21(43.75)		27(56.25)		6.86±1.21		2.03±0.45		35(72.92)		13(27.08)
对照组(48例)	24(50.00)		24(50.00)		6.79±1.31		2.11±0.51		38(79.17)		10(20.83)
统计检验值	χ²=0.377				t=0.272		t=0.815		χ²=0.515
P值	0.540				0.786		0.417		0.473

组别	优	良	差	优良率
观察组(48例)	27(56.25)	20(41.67)	1(2.08)	47(97.92)
对照组(48例)	21(43.75)	19(39.58)	8(16.67)	40(83.33)
χ²值				4.414
P值				0.036