The effect of problem oriented collaborative nursing combined with psychological-behavioral dual-dimensional induction on fiberoptic bronchoscopy treatment of refractory mycoplasma pneumonia in children

doi:10.19983/j.issn.2096-8493.20250082

Abstract

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

CLC Number:

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

Figures/Tables 3

References 14

[1]	卢满桃. 精细化护理在小儿支原体肺炎护理中的应用效果分析. 结核与肺部疾病杂志, 2024, 5 (S1): 126-128. doi:10.19983/j.issn.2096-8493.20240329.
[2]	蒋美红, 袁琛. 纤维支气管镜肺泡灌洗治疗儿童难治性肺炎支原体肺炎的临床观察. 中华全科医学, 2025, 23 (2): 269-272. doi:10.16766/j.cnki.issn.1674-4152.003883.
[3]	范红杰, 殷宗莉. 以问题为导向的护理干预结合目标血压管理模式在老年高血压脑出血术后护理中的应用效果. 临床医学研究与实践, 2025, 10 (10): 142-145. doi:10.19347/j.cnki.2096-1413.202510036.
[4]	陈仪, 陈娜. 上尿路结石患儿围术期应用协同护理联合医护一体化干预对手术质量家属焦虑影响. 基层医学论坛, 2025, 29 (15): 141-144. doi:10.19435/j.1672-1721.2025.15.041.
[5]	弓陈芳, 李茜梅, 杨晓如. 心理-行为双维度诱导对行纤维支气管镜检查的儿童的影响. 国际精神病学杂志, 2023, 50 (6): 1550-1552. doi:10.13479/j.cnki.jip.2023.06.014.
[6]	Li PL, Fu HM, Liu K, et al. Effect of bronchofiberscopic lavage with acetylcysteine instillation on refractory mycoplasma pneumoniae pneumonia in children: a retrospective clinical observation. Ital J Pediatr, 2025, 51(1): 62. doi:10.1186/s13052-025-01879-y.
[7]	Opartpunyasarn P, Vichitvejpaisal P, Oer-Areemitr N. The effect of binaural beat audio on anxiety in patients undergoing fiberoptic bronchoscopy: A prospective randomized controlled trial. Medicine (Baltimore), 2022, 101(24): e29392. doi:10.1097/MD.0000000000029392.
[8]	刘丹丹. 心理和行为诱导对儿童乳牙慢性根尖周炎治疗的影响. 中国冶金工业医学杂志, 2022, 39 (5): 603. doi:10.13586/j.cnki.yjyx1984.2022.05.117.
[9]	Lu W, Wu X, Xu Y, et al. Correction: Predictive value of bronchoscopy combined with CT score for refractory mycoplasma pneumoniae pneumonia in children. BMC Pulm Med, 2024, 24(1): 350. doi:10.1186/s12890-024-03120-8. pmid: 39030514
[10]	姜良茜, 赖美丽, 金虎, 等. 基于问题导向的健康教育对绝经后期冠心病患者心理状态生活质量及治疗依从性的影响. 中国妇幼保健, 2025, 40 (8): 1518-1521. doi:10.19829/j.zgfybj.issn.1001-4411.2025.08.040.
[11]	孔令娜. 家属协同护理联合穴位敷贴按摩在小儿支原体肺炎患儿中的应用. 中外医学研究, 2025, 23 (6): 71-74. doi:10.14033/j.cnki.cfmr.2025.06.020.
[12]	陈玲玲. 心理诱导和互动式行为干预对儿童乳牙龋齿治疗效果和配合度的影响. 中国妇幼保健, 2024, 39 (17): 3335-3338. doi:10.19829/j.zgfybj.issn.1001-4411.2024.17.027.
[13]	林慧慧, 李春迎. 护患沟通技巧系统护理联合家属协同护理干预在支气管肺炎雾化治疗患儿护理中的应用效果观察. 反射疗法与康复医学, 2025, 6(9): 187-190. doi:10.16344/j.cnki.10-1669/r4.2025.09.030.
[14]	焦培, 周三女, 郭桂英. 家属协同护理联合互动健康教育护理对支气管肺炎患儿症状改善及配合度的影响. 慢性病学杂志, 2024, 25 (12): 1861-1863, 1867. doi:10.16440/j.cnki.1674-8166.2024.12.27.

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

[1]	Wei Xiaoling, Xue Min, Liu Yanqin, Liu Miao, Zhang Yun, Cheng Lu, Ma Xiang. Effect of diagnosis delay on pulmonary function and related indicators in children with bronchial asthma [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(6): 659-665.
[2]	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.
[3]	Li Zhongqiang, Wu Xuejun, Li Rui, Lyu Gaomei, Ren Zhijuan, Yang Huimin, Ge Yunpeng, Xu Leilei, Hou Lingyun, Xing Yuge. Comparison between different imaging presentations and pulmonary function in children aged 5-13 with Mycoplasma pneumoniae pneumonia during the acute phase [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(6): 678-683.
[4]	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.
[5]	Guan Tingting, Wang Ying, Wang Lianzhi. The diagnostic value of thoracoscopic cryobiopsy in internal medicine for suspected tuberculous pleurisy [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(6): 738-746.
[6]	Zhang Ying, Ye Yun, Zuo Xiuying, Ding Jiaqi, Wang Fang. Summary of the best evidence for nutritional management in patients with both pulmonary tuberculosis and diabetes [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(5): 538-543.
[7]	Liu Jing, Zhao Yuejuan. Comparison of ultrasound imaging characteristics between pulmonary tuberculosis and bacterial pneumonia in high-altitude environments [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(4): 432-435.
[8]	Zhong Xiaofeng, Liu Hengming, Yuan Kuan, Li Zi, Zhao Simin, Li Xuewen. Effect observation of feed forward intervention management mode in preventing catheter-related bloodstream infections in patients undergoing long-term veno-venous extracorporeal membrane oxygenation (ECMO) [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(3): 291-296.
[9]	Li Qin, Li Muchen, Wang Mengzhou, Zhang Qiuping, Zhao Yungen. Establishment and effectiveness evaluation of a chronic obstructive pulmonary disease chain management model in the context of medical consortium [J]. Journal of Tuberculosis and Lung Disease, 2025, 6(2): 210-216.
[10]	Wei Xiaowen, Dong Ning, Shen Lei, Tao Yonghong, Wu Yuanhao, Zhang Lin. The lived experience and needs of parents caring for children with tuberculosis: a qualitative study [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(6): 505-510.
[11]	Li Min, Zeng Xuan, Peng Yuanyuan, Zeng Jilan, He Junmei, Ye Taosheng, Hou Junlian. Effect of PDCA cycle management on enhancing the standardization rate of preoperative preparation for bronchoscopy in the tuberculosis department [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(6): 546-551.
[12]	Xue Min, Wei Xiaoling, Liu Miao, Wang Jing, Zhang Yun, Ma Xiang. Analysis of factors affecting the onset age of asthma in children [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(5): 468-475.
[13]	Liu Xin, Wu Qianhong, Chen Qiliang, Guo Le. Analysis of thoracic collapse deformity secondary to stage Ⅲ tuberculous empyema and its related influencing factors [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(4): 283-288.
[14]	Hang Chong, Fang Nannan, Liu Xiao. Application observation of narrative nursing combined with phased health education in the nursing of non-small cell lung cancer chemotherapy patients [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(4): 339-344.
[15]	Su XingYue, Wang Beilei, Ma Xiang. Single nucleotide polymorphisms and related genes in Chinese children with type 2 inflammatory asthma [J]. Journal of Tuberculosis and Lung Disease, 2024, 5(4): 370-375.