童趣化诱导联合细节化护理对社区获得性肺炎患儿情绪状态及治疗效果的影响

doi:10.19983/j.issn.2096-8493.20250111

摘要/Abstract

摘要：

目的: 观察童趣化诱导联合细节化护理对社区获得性肺炎患儿情绪状态及治疗效果的影响。方法: 采用前瞻性研究的方法,连续纳入2023年2月至2024年4月莆田学院附属医院收治的社区获得性肺炎患儿82例作为研究对象,采用随机数字表法分为观察组和对照组,各41例。对照组实施常规护理,观察组在常规护理措施的基础上实施童趣化诱导联合细节化护理。观察并比较两组研究对象情绪状态、治疗依从性、症状改善时间及住院时间等指标变化情况。结果: 干预后,观察组的儿童医疗恐惧调查量表(child medical fear scale,CMFS)评分、儿童焦虑性情绪障碍筛查量表(the screen for child anxiety related emotional disorders,SCARED)评分分别为(18.29±1.83)分和(26.85±2.67)分,均明显低于对照组的(22.68±2.70)分和(34.25±3.47)分,差异均有统计学意义(t值分别为8.618和10.822,P值均<0.001)。观察组治疗总依从率为95.12%(39/41),明显高于对照组的80.49%(33/41),差异有统计学意义(Z=2.312,P=0.021)。观察组退热、喘息、肺部啰音消失时间及住院时间分别为(2.76±0.45)d、(3.75±0.54)d、(6.52±0.68)d、(7.41±0.32)d,均明显短于对照组[分别为(3.86±0.52)d、(4.46±0.62)d、(7.68±0.84)d、(8.35±0.46)d],差异均有统计学意义(t值分别为10.242、5.529、6.873、10.741,P值均<0.001)。结论: 童趣化诱导联合细节化护理可改善社区获得性肺炎患儿情绪状态,提高治疗依从性,促进疾病康复进程,缩短症状改善及住院时间。

关键词: 儿童, 社区获得性感染, 肺炎, 儿科护理学, 护理评价研究

Abstract:

Objective: To observe the effects of child interest induction combined with detailed nursing on the emotional state and therapeutic outcomes of children with community-acquired pneumonia. Methods: A prospective study was conducted, enrolling 82 children with community-acquired pneumonia admitted to the Putian University Affiliated Hospital from February 2023 to April 2024 as the study subjects. The subjects were randomly divided into an observation group and a control group, with 41 cases in each group. The control group received routine nursing care, while the observation group received playful induction combined with detailed nursing care in addition to routine measures. The emotional state, treatment compliance, symptom improvement time, and hospitalization duration were observed and compared between the two groups. Results: After intervention, the child medical fear scale (CMFS) score and the screen for child anxiety related emotional disorders (SCARED) score in the observation group were (18.29±1.83) points and (26.85±2.67) points, respectively, which were significantly lower than those in the control group (22.68±2.70) points and (34.25±3.47) points, and the differences were statistically significant (t-values were 8.618 and 10.822, respectively, with P values<0.001). The total compliance rate of the observation group was 95.12% (39/41), significantly higher than the control group’s 80.49% (33/41), and the difference was statistically significant (Z=2.312, P=0.021). The observation group had significantly shorter durations of fever reduction ((2.76±0.45) days), wheezing ((3.75±0.54) days), disappearance of lung rales ((6.52±0.68) days), and hospitalization time ((7.41±0.32) days), respectively, compared to the control group ((3.86±0.52) days, (4.46±0.62) days, (7.68±0.84) days, and (8.35±0.46) days, respectively), with statistically significant differences (t-values of 10.242, 5.529, 6.873, 10.741, P values<0.001). Conclusion: The combination of child interest induction and detailed nursing can improve the emotional state of children with community-acquired pneumonia, enhance treatment compliance, promote disease recovery process, shorten symptom improvement and hospitalization time.

Key words: Child, Community-acquired infections, Pneumonia, Pediatric nursing, Nursing evaluation research

中图分类号:

林楠. 童趣化诱导联合细节化护理对社区获得性肺炎患儿情绪状态及治疗效果的影响[J]. 结核与肺部疾病杂志, 2025, 6(6): 673-677. doi: 10.19983/j.issn.2096-8493.20250111

Lin Nan. The effect of child interest induction combined with detailed nursing on the emotional state and therapeutic outcomes of children with community-acquired pneumonia[J]. Journal of Tuberculosis and Lung Disease, 2025, 6(6): 673-677. doi: 10.19983/j.issn.2096-8493.20250111

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参考文献 14

[1]	Nygaard U, Bloch J, Dungu KHS, et al. Incidence and aetiology of Danish children with community-acquired pneumonia treated with chest tube drainage in 2022—2023 versus the previous three decades. Arch Dis Child, 2023, 108(11): 945-946. doi:10.1136/archdischild-2023-326024.
[2]	房亚菲, 刘丽娟, 霍晨. 儿童社区获得性肺炎的流行特征和临床表现及病原菌调查. 中华医院感染学杂志, 2020, 30(5): 752-756. doi:10.11816/cn.ni.2020-191189.
[3]	王文艳. 童趣化理念结合精细化干预方案治疗儿童重症肺炎的临床疗效及对生活质量的影响. 中国妇幼保健, 2023, 38(23): 4595-4598. doi:10.19829/j.zgfybj.issn.1001-4411.2023.23.018.
[4]	邓茂丹, 郑亚妮. 细节及舒适护理对小儿支气管肺炎疗效及治疗依从性影响. 贵州医药, 2023, 47(2):327-328. doi:10.3969/j.issn.1000-744X.2023.02.096.
[5]	中华医学会儿科学分会呼吸学组, 《中华儿科杂志》编辑委员会. 儿童社区获得性肺炎管理指南(2013修订)(上). 中华儿科杂志, 2013, 51(10):745-752. doi:10.3760/cma.j.issn.0578-1310.2013.10.006.
[6]	San Martín-Rodríguez L, Soto-Ruiz N, Ferraz-Torres M, et al. The Spanish Version of the Child Medical Fear Questionnaire: Cross-Cultural Adaptation and Validation. Int J Environ Res Public Health, 2021, 19(1):451. doi:10.3390/ijerph19010451.
[7]	Behrens B, Swetlitz C, Pine DS, et al. The Screen for Child Anxiety Related Emotional Disorders (SCARED): Informant Discrepancy, Measurement Invariance, and Test-Retest Reliability. Child Psychiatry Hum Dev, 2019, 50(3):473-482. doi:10.1007/s10578-018-0854-0.
[8]	朱盼, 岳楠楠. 童趣化沟通结合漫画式健康教育对雾化治疗肺炎患儿配合度及康复效果的影响. 中国医药导报, 2023, 20(11):175-178. doi:10.20047/j.issn1673-7210.2023.11.40.
[9]	马兰, 陈谷. 基于儿童医疗空间童趣化设计的专项护理对雾化吸入期肺炎支原体肺炎患儿的影响. 蚌埠医学院学报, 2022, 47(9):1306-1309. doi:10.13898/j.cnki.issn.1000-2200.2022.09.038.
[10]	徐颖. 细节管理联合常规护理在小儿肺炎中的应用. 中华现代护理杂志, 2020, 26(4):537-538. doi:10.3760/cma.j.issn.1674-2907.2020.04.023
[11]	陈兴碧, 陈星涛. 童趣化心理干预模式在儿童支气管肺炎中的应用效果及对治疗依从性的影响. 川北医学院学报, 2021, 36(10):1399-1402. doi:10.3969/j.issn.1005-3697.2021.10.032.
[12]	宋庆, 聂婷婷, 舒美燕, 等. 童趣化游戏健康教育在学龄前纤维支气管镜手术患儿麻醉诱导中的效果观察. 护理学报, 2023, 30(19):74-78. doi:10.16460/j.issn1008-9969.2023.19.074.
[13]	宋旭红. 细节护理干预在急性上呼吸道感染患者中的小儿应用效果分析. 中国药物与临床, 2020, 20(4):676-377. doi:10.11655/zgywylc2020.04.089.
[14]	于静波, 汪永梅, 徐丽娟. 细节护理联合家庭护理对哮喘患儿负面情绪及疗效的影响. 重庆医学, 2022, 51(S1):389-391.

组别	例数	年龄 (岁,$\bar{x}±s$)	性别[例(构成比,%)]		病程 (d,$\bar{x}±s$)
组别	例数	年龄 (岁,$\bar{x}±s$)	男性	女性	病程 (d,$\bar{x}±s$)
对照组	41	5.34±0.67	25(60.98)	16(39.02)	3.68±0.42
观察组	41	5.47±0.73	23(56.10)	18(43.90)	3.72±0.45
统计检验值		t=0.840	χ²=0.201		t=0.416
P值		0.403	0.654		0.679

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[10]	马雪莲. 基于循证医学框架的综合护理模式对老年慢性支气管肺炎患者的干预效果分析[J]. 结核与肺部疾病杂志, 2025, 6(S1): 137-139.
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