Application effect of family education-environment improvement nursing combined with scenario games in children with bronchial asthma

doi:10.19983/j.issn.2096-8493.20250184

Abstract

Abstract:

Objective: To evaluate the application effect of family education-environment improvement nursing combined with scenario games in children with bronchial asthma. Methods: Refered to the enrollment criteria, a total of 84 pediatric patients with bronchial asthma admitted to The First Hospital of Putian City from April 2023 to December 2024 were enrolled and randomly divided into a control group (42 cases, receiving routine nursing) and an observation group (42 cases, receiving additional family education-environmental improvement nursing combined with scenario-based games). Psychological status (assessed by the Child Medical Fear Scale (CMFS) and the Screen for Child Anxiety Related Emotional Disorders (SCARED)), treatment compliance, Childhood Asthma Control Test (C-ACT) scores, average nebulization duration, recurrence rate, and parental satisfaction were compared between the two groups. Results: After the intervention, CMFS and SCARED scores in the observation group were significantly lower than those in the control group ((17.29±1.73) vs. (29.68±2.70) and (18.85±2.07) vs. (22.25±2.24), respectively; t=25.040, 7.224, both P<0.001), while the total C-ACT score was significantly higher ((24.12±2.40) vs. (20.23±2.05); t=7.987, P<0.001). The average nebulization duration in the observation group was significantly shorter than that in the control group ((15.45±1.77) min vs. (22.65±2.16) min; t=16.709, P<0.001). Total treatment compliance (92.86% (39/42) vs.76.19% (32/42); χ²=4.459, P=0.035) and overall parental satisfaction (97.62% (41/42) vs. 78.57% (33/42); χ²=7.265, P=0.007) were significantly higher, and the recurrence rate was significantly lower (9.52% (4/42) vs. 30.95% (13/42); χ²=5.974, P=0.015) in the observation group. Conclusion: The combination of family education-environmental improvement nursing combined with scenario games can alleviate anxiety and fear in children with bronchial asthma, enhance treatment compliance and asthma control effectiveness, shorten nebulization duration, reduce disease recurrence rate, and improve parental satisfaction, suggesting its clinical value.

Key words: Asthma, Education, nursing, Milieu therapy, Play therapy, Psychotherapy, Patient compliance

CLC Number:

R473.72

Chen Liping, Chen Shuhua, Xie Tingting. Application effect of family education-environment improvement nursing combined with scenario games in children with bronchial asthma[J]. Journal of Tuberculosis and Lung Disease , 2026, 7(2): 244-248. doi: 10.19983/j.issn.2096-8493.20250184

Figures/Tables 2

References 15

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组别	例数	CMFS评分				SCARED评分
组别	例数	护理前	护理后	t值	P值	护理前	护理后	t值	P值
观察组	42	36.85±3.60	17.29±1.73	34.084	<0.001	28.26±2.52	18.85±2.07	18.904	<0.001
对照组	42	36.76±3.45	29.68±2.70	9.266	<0.001	28.25±2.50	22.25±2.24	14.695	<0.001
t值		0.117	25.040			0.018	7.224
P值		0.907	<0.001			0.986	<0.001

组别	例数	患儿				家长				总分
组别	例数	护理前	护理后	t值	P值	护理前	护理后	t值	P值	护理前	护理后	t值	P值
观察组	42	6.58± 0.63	10.58± 0.85	26.393	<0.001	8.66± 0.87	13.54± 0.98	29.933	<0.001	15.24± 1.53	24.12± 2.40	19.297	<0.001
对照组	42	6.63± 0.67	8.75± 0.71	17.309	<0.001	8.70± 0.88	11.48± 0.92	16.543	<0.001	15.33± 1.56	20.23± 2.05	11.416	<0.001
t值		0.352	10.708			0.210	9.932			0.267	7.987
P值		0.726	<0.001			0.835	<0.001			0.790	<0.001