问题导向协同护理联合心理-行为双维度诱导护理对难治性支原体肺炎患儿纤维支气管镜治疗的影响

doi:10.19983/j.issn.2096-8493.20250082

摘要/Abstract

摘要：

目的: 研究问题导向协同护理联合心理-行为双维度诱导护理(简称“双诱导护理”)对难治性支原体肺炎患儿纤维支气管镜治疗的影响。方法: 选择2023年12月至2024年5月于莆田学院附属医院接受纤维支气管镜治疗的难治性肺炎患儿45例作为对照组,2024年6—11月收治的同类型患儿45例作为观察组。对照组采用常规模式实施护理,观察组接受问题导向协同护理联合双诱导护理干预,对两组干预后的观察指标进行比较。结果: 经过2周的护理后,观察组儿童医疗恐惧量表评分和儿童焦虑性自评量表评分分别为(12.71±1.73)分和(7.27±1.30)分,分别低于对照组的(16.27±1.71)分和(11.62±1.95)分,差异均有统计学意义(t=-9.335,P<0.001;t=-12.704,P<0.001);治疗依从优良率为95.6%(43/45),高于对照组的82.2%(37/45),差异有统计学意义(χ²=4.050,P=0.044);生存质量测定量表的生理功能、情感功能、社会功能和角色功能评分分别为(81.89±1.91)分、(79.11±1.99)分、(78.04±2.27)分和(82.33±1.77)分,分别高于对照组的(70.69±2.93)分、(71.73±1.76)分、(69.33±1.64)分和(72.73±2.24)分,差异均有统计学意义(t=21.825,P<0.001;t=19.139,P<0.001;t=20.637,P<0.001;t=22.678,P<0.001)。结论: 将问题导向协同护理联合双诱导护理应用于难治性支原体肺炎患儿纤维支气管镜治疗中,可提升患儿治疗依从性,改善患儿病情,优化患儿生活质量。

关键词: 病人医疗护理, 支原体, 肺炎, 儿童, 支气管镜检查, 对比研究

Abstract:

Objective: To observe the effect of problem oriented collaborative nursing combined with psychological-behavioral dual-dimensional induction on fiberoptic bronchoscopy treatment of children with refractory Mycoplasma pneumonia. Methods: Forty-five children with refractory pneumonia who received fiberoptic bronchoscopy treatment at the Affiliated Hospital of Putian University from December 2023 to May 2024 were selected as control group, and 45 children of the same type admitted from June to November 2024 were selected as observation group. The control group was provided with conventional care. The observation group received problem-oriented collaborative nursing combined with psychological-behavioral dual-dimensional induction. Observation indicators of the two groups after the intervention were compared. Results: The average scores of medical fear scale (CMFS) and self-rating anxiety scale (SCARED) for children in the observation group were (12.71±1.73) points and (7.27±1.30) points respectively, which were lower than those of the control group ((16.27±1.71) points and (11.62±1.95) points, t=-9.335, -12.704, both P<0.001). The treatment compliance excellent and good rate of the observation group was 95.6% (43/45), which was higher than 82.2% (37/45) of the control group (χ²=4.050, P=0.044). The average PedsQL 4.0 scores for physiological functions, emotional functions, social functions, and role functions of the observation group were (81.89±1.91) points, (79.11±1.99) points, (78.04±2.27) points, and (82.33±1.77) points respectively, higher than that of the control group ((70.69±2.93) points, (71.73±1.76) points, (69.33±1.64) points, (72.73±2.24) points, t=21.825, 19.139, 20.637, 22.678, all P<0.001). Conclusion: The application of problem oriented collaborative nursing combined with psychological-behavioral dual-dimensional induction in the fiberoptic bronchoscopy treatment of children with refractory mycoplasma pneumonia can enhance their treatment compliance, improve their indicators, and optimize their quality of life.

Key words: Patient care, Mycoplasma pneumoniae, Child, Bronchoscopy, Comparative study

中图分类号:

黄淑娇. 问题导向协同护理联合心理-行为双维度诱导护理对难治性支原体肺炎患儿纤维支气管镜治疗的影响[J]. 结核与肺部疾病杂志, 2026, 7(1): 101-105. doi: 10.19983/j.issn.2096-8493.20250082

Huang Shujiao. The effect of problem oriented collaborative nursing combined with psychological-behavioral dual-dimensional induction on fiberoptic bronchoscopy treatment of refractory mycoplasma pneumonia in children[J]. Journal of Tuberculosis and Lung Disease, 2026, 7(1): 101-105. doi: 10.19983/j.issn.2096-8493.20250082

图/表 3

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参考文献 14

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组别	CMFS评分		SCARED评分
组别	护理前	护理后	护理前	护理后
观察组(45例)	22.38±1.90	12.71±1.73	16.20±1.75	7.27±1.30
对照组(45例)	22.56±1.83	16.27±1.71	16.18±1.85	11.62±1.95
t值	-0.230	-9.335	-0.121	-12.704
P值	0.819	<0.001	0.904	<0.001

组别	依从性优 (例)	依从性良 (例)	依从性一般 (例)	依从性差 (例)	依从性优良 [例(优良率,%)]
观察组(45例)	23	20	1	1	43(95.6)
对照组(45例)	20	17	6	2	37(82.2)
χ²值					4.050
P值					0.044

组别	生理功能		情感功能		社会功能		角色功能
组别	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后
观察组(45例)	61.76±2.23	81.89±1.91	61.73±2.11	79.11±1.99	60.82±1.59	78.04±2.27	64.42±2.14	82.33±1.77
对照组(45例)	61.40±2.10	70.69±2.93	61.62±1.91	71.73±1.76	60.31±1.76	69.33±1.64	64.56±2.19	72.73±2.24
t值	0.694	21.825	0.208	19.139	1.254	20.637	-0.460	22.678
P值	0.489	<0.001	0.836	<0.001	0.213	<0.001	0.646	<0.001

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