Abstract:

Objective: To investigate the effect of rehabilitation breathing exercise guided by interesting videos on pulmonary function and treatment compliance in children with bronchopneumonia. Methods: Retrospectively, 65 children with bronchopneumonia admitted to the First Hospital of Putian City, Fujian Province from August 2023 to July 2024 were selected as control group, and 70 children with bronchopneumonia admitted to the same hospital from August 2024 to July 2025 were selected as observation group. Children in the control group received routine nursing care for bronchopneumonia, while those in the observation group were given rehabilitation breathing exercise training guided by interesting videos on the basis of routine nursing care applied to the control group. Both groups received continuous nursing care for 2 weeks. Their emotional states were assessed by the scale of Screen for Child Anxiety Related Emotional Disorders (SCARED). Data were collected by trained medical staff through one-on-one interviews combined with observation of the children’s performances (guardians assisted in the evaluation for young children) before nursing intervention and 2 weeks after nursing intervention. Treatment compliance was assessed by a self-designed scale adapted from the Frankl Scale, and data was collected 2 weeks after nursing intervention through the observation of medical staff, communication with children and their parents, and reference to guardian feedback. The relief time of clinical symptoms (fever resolution time, cough relief time, relief time of pulmonary rales), pulmonary function indicators (forced vital capacity (FVC), forced expiratory volume in 1 second (FEV₁), peak expiratory flow (PEF)), emotional state and nursing compliance were recorded before and after nursing intervention in both groups. Results: After nursing intervention, the average FVC ((83.34±9.35) L), FEV₁ ((80.48±9.36) L), PEF ((186.74±39.49) L/min) and the proportion of children with good compliance (87.14% (61/70)) in the observation group were significantly higher than those in the control group ((76.89±8.37) L, (73.65±8.23) L, (162.45±35.45) L/min, 66.15% (43/65); t=4.211, P<0.001; t=4.488, P<0.001; t=3.750, P<0.001; χ²=2.830, P=0.005). The average fever resolution time ((3.63±1.53) d), cough relief time ((5.28±1.12) d), relief time of pulmonary rales ((5.01±1.17) d) and anxiety score ((26.12±3.47) points) in the observation group were significantly lower than those in the control group ((4.91±1.88) d, (5.84±1.32) d, (5.72±1.24) d, (29.45±3.23) points; t=4.352, P<0.001; t=3.140, P=0.002; t=3.423, P<0.001;t=5.759,P<0.001). Conclusion: Rehabilitation breathing exercise guided by interesting videos can effectively shorten the relief time of clinical symptoms, promote pulmonary function recovery, reduce the anxiety level of children with bronchopneumonia and improve their compliance with nursing care. It provides an effective and feasible method for the clinical nursing of children with bronchopneumonia and has high clinical application value.

Key words: Rehabilitation nursing, Bronchopneumonia, Children, Patient compliance