基于童趣化理念的健康管理在呼吸道感染患儿中的应用效果

doi:10.19983/j.issn.2096-8493.20260041

摘要/Abstract

摘要：

目的: 探究基于童趣化理念的健康管理在呼吸道感染患儿中的应用效果。方法: 回顾性收集2022年1月至2022年12月于莆田学院附属医院行常规健康管理的43例呼吸道感染患儿作为对照组,另收集2023年1月至2023年12月于莆田学院附属医院在常规管理基础上,实施童趣化理念健康管理的43例呼吸道感染患儿作为观察组;比较干预前后两组患儿主要症状消失时间、患儿配合度及生活质量。结果: 干预后,观察组发热消失时间[(2.13±0.54)d]、咳嗽消失时间[(5.11±1.06)d]、喘息消失时间[(4.08±0.87)d]、肺啰音消失时间[(5.09±0.93)d]均短于对照组[(2.67±0.62)d、(5.94±1.13)d、(4.79±0.93)d、(5.94±0.89)d],差异均有统计学意义(t值分别为4.307、3.513、3.656、4.330,P值均<0.001)。干预后,观察组患儿配合度优良率(95.35%,41/43)高于对照组(79.07%,34/43),差异有统计学意义(χ²=5.108,P=0.024)。干预后,观察组儿童少年生活质量量表(QLSCA)中生活环境[(73.36±6.34)分]、满意度[(76.52±6.55)分]、社会心理功能[(75.94±6.06)分]、生理心理健康维度得分[(80.58±7.13)分]均高于对照组[(70.18±5.97)分、(72.43±6.31)分、(71.04±6.32)分、(75.74±6.09)分],差异均有统计学意义(t=2.395,P=0.019;t=2.949,P=0.004;t=3.670,P<0.001;t=3.385,P=0.001)。结论: 基于童趣化理念的健康管理应用于呼吸道感染患儿中,可促进患儿症状消失,提高配合度,改善生活质量。

关键词: 呼吸道感染, 疾病管理, 病人依从, 儿童

Abstract:

Objective: To explore the application effect of health management based on the concept of childlike fun in children with respiratory tract infections. Methods: A retrospective data collection was conducted on 43 children with respiratory tract infections who underwent routine health management at Putian University Affiliated Hospital from January 2022 to December 2022 as the control group, while another 43 children with respiratory tract infections taking routine management at the Hospital from January 2023 to December 2023 and also received child centered health management were enrolled as the observation group. We then compared their main symptoms’ disappearance time, cooperation level, and quality of life between the two groups of children before and after intervention. Results: After intervention, the average disappearance time of fever ((2.13±0.54) d), cough ((5.11±1.06) d), wheezing ((4.08±0.87) d), and lung rales ((5.09±0.93) d) in the observation group were all significantly shorter than those in the control group ((2.67±0.62) d, (5.94±1.13) d, (4.79±0.93) d, (5.94±0.89) d; t=4.307, 3.513, 3.656, 4.330, all P<0.001). After intervention, the excellent cooperation rate of the observation group (95.35%, 41/43) was significantly higher than that of the control group (79.07%, 34/43; χ²=5.108, P=0.024). After intervention, the observation group’s average living environment score (73.36±6.34), satisfaction score (76.52±6.55), social and psychological function score (75.94±6.06), and physiological and psychological health dimension score (80.58±7.13) assessed by the Quality of Life Scale for Children and Adolescents (QLSCA) were all significantly higher than those in the control group ((70.18±5.97), (72.43±6.31), (71.04±6.32), (75.74±6.09); t=2.395, P=0.019; t=2.949, P=0.004; t=3.670, P<0.001; t=3.385, P=0.001). Conclusion: Applying health management based on the concept of childlike fun in children with respiratory infections can promote their symptom disappearance, improve cooperation, and enhance their quality of life.

Key words: Respiratory tract infection, Disease management, Patient compliance, Child

中图分类号:

蔡一晶. 基于童趣化理念的健康管理在呼吸道感染患儿中的应用效果[J]. 结核与肺部疾病杂志, 2026, 7(3): 338-342. doi: 10.19983/j.issn.2096-8493.20260041

Cai Yijing. The application effect of health management based on the concept of childlike fun in children with respiratory tract infections[J]. Journal of Tuberculosis and Lung Disease, 2026, 7(3): 338-342. doi: 10.19983/j.issn.2096-8493.20260041

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组别	优	良	差	优良率
观察组(43例)	23(53.49)	18(41.86)	2(4.65)	41(95.35)
对照组(43例)	14(32.56)	20(46.55)	9(20.93)	34(79.07)
χ²值				5.108
P值				0.024

时间	组别	生活环境	满意度	社会心理功能	生理心理健康
干预前	观察组(43例)	62.38±6.11	55.76±5.13	53.38±5.09	51.54±6.01
	对照组(43例)	61.95±5.86	55.94±5.35	53.94±5.17	52.07±5.98
	t值	0.333	0.159	0.506	0.410
	P值	0.740	0.874	0.614	0.683
干预后	观察组(43例)	73.36±6.34^a	76.52±6.55^a	75.94±6.06^a	80.58±7.13^a
	对照组(43例)	70.18±5.97^a	72.43±6.31^a	71.04±6.32^a	75.74±6.09^a
	t值	2.395	2.949	3.670	3.385
	P值	0.019	0.004	<0.001	0.001