Study on the intervention effect of hierarchical chain nursing combined with fun games in children with acute bronchitis

doi:10.19983/j.issn.2096-8493.20250097

Abstract

Abstract:

Objective: To analyze the intervention effects of hierarchical chain nursing combined with fun games on children with acute bronchitis (AB). Methods: A prospective study was conducted, involving 96 children with AB admitted to Putian Children’s Hospital from January 2023 to December 2024. These children were divided into a control group (48 cases) and an observation group (48 cases) with the random number table method. The control group received routine nursing intervention, while the observation group received hierarchical chain nursing combined with fun games besides the routhine intervention. The relief time of main symptoms (fever, cough, and wheezing) were compared between the two groups. Psychological states (with scores on the Screen for Child Anxiety-Related Emotional Disorders (SCARED) and the Children’s Medical Fear Scale (CMFS)) and treatment compliance were also compared before and after the intervention. Results: The relief time of fever, cough, wheezing and hospitalization in the observation group were (3.05±0.51) d, (4.12±1.02) d, (3.35±0.69) d and (7.05±1.11) d respectively, shorter than that of the control group ((3.85±0.64) d, (5.85±1.11) d, (4.85±0.74) d, (9.13±1.21) d, respectively), and the differences were statistically significant (t-values were 6.773, 7.951, 10.271, 8.776, respectively; P<0.001). After the intervention, the SCARED and CMFS scores in the observation group were 30.25±3.61 and 25.05±3.05, respectively, lower than those in the control group (38.74±4.17 and 30.08±2.94, respectively), with statistically significant differences (t-values: 10.665, 8.226; P<0.001). The excellent treatment compliance rate in the observation group (97.92%, 47/48) was higher than that in the control group (83.33%, 40/48), with a statistically significant difference (χ²=4.414, P=0.036). Conclusion: The application of hierarchical chain nursing combined with fun games in children with AB can alleviate anxiety and fear, improve treatment compliance, and promote symptom relief.

Key words: Bronchitis, Child, Nursing care, Comparative study

CLC Number:

R473.72
R494

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. doi: 10.19983/j.issn.2096-8493.20250097

Figures/Tables 4

References 16

[1]	陈亚芳, 钱立蓉, 戴文君. 家属参与共治原则对急性支气管炎患儿临床症状改善的影响. 河北医药, 2024, 46(18):2800-2803. doi:10.3969/j.issn.1002-7386.2024.18.018.
[2]	王莉, 马荣伟. 小儿支气管炎患者应用针对性护理干预的护理效果分析. 山西医药杂志, 2023, 52(2):139-141. doi:10.3969/j.issn.0253-9926.2023.02.015.
[3]	符伟侠. 层级链式护理在毛细支气管炎患儿中的应用效果. 中国民康医学, 2023, 35(11):187-189. doi:10.3969/j.issn.1672-0369.2023.11.057.
[4]	彭旭. 层级链式护理联合机械振动排痰对肺炎支原体感染患儿症状改善时间的影响. 婚育与健康, 2025, 31(13):163-165. doi:10.3969/j.issn.1006-9488.2025.13.055.
[5]	王卫平, 孙锟, 常立文. 儿科学(第九版). 北京: 人民卫生出版社,2018:252-262.
[6]	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.
[7]	石娜, 郭彩云, 刘丹. 基于趣味视频示范教学的运动康复训练在儿童支气管哮喘中的应用价值. 医学临床研究, 2023, 40(10):1598-1601. doi:10.3969/j.issn.1671-7171.2023.10.046.
[8]	校晓丽, 林蓉. 童趣化诱导联合改良式拍背排痰法在学龄期支气管肺炎患儿雾化吸入治疗中的应用效果. 医学临床研究, 2022, 39(5):796-798. doi:10.3969/j.issn.1671-7171.2022.05.046.
[9]	米庆贺. 家庭参与式护理联合童趣诱导对急性支气管炎患儿治疗依从性,临床症状消失时间的影响. 医学临床研究, 2024, 41(9):1315-1318. doi:10.3969/j.issn.1671-7171.2024.09.010.
[10]	张晓燕, 王丽可, 郭甜甜. 层级链式护理联合预警干预对毛细支气管炎患儿的影响. 实用中西医结合临床, 2023, 23(6):121-123. doi:10.13638/j.issn.1671-4040.2023.06.034.
[11]	宋丽, 秦彦平, 张锡珍. 层级链式护理在喘息性支气管炎患儿中的应用价值分析及其对肺功能,治疗依从性的影响. 黑龙江医药科学, 2024, 47(5):185-187. doi:10.3969/j.issn.1008-0104.2024.05.061.
[12]	杨子君, 居雅蓓. 体感游戏在支气管哮喘患儿缓解期的应用价值. 临床肺科杂志, 2024, 29(5):670-674. doi:10.3969/j.issn.1009-6663.2024.05.005.
[13]	李佩, 张瑞霞. 趣味游戏式功能干预联合家庭教育-环境改良护理模式对哮喘患儿治疗配合度及症状控制情况的影响. 临床医学研究与实践, 2024, 9(28):143-146. doi:10.19347/j.cnki.2096-1413.202428036.
[14]	郑继芳. 层级链式护理模式对住院支气管炎患儿治疗依从性及家属负性情绪的影响. 基层医学论坛, 2021, 25(33):4812-4813. doi:10.19435/j.1672-1721.2021.33.033.
[15]	王红梅, 高倩. 趣味游戏结合家庭教育-环境改良护理模式对哮喘患儿治疗配合度及症状控制情况的影响. 临床医学研究与实践, 2024, 9(13):166-169. doi:10.19347/j.cnki.2096-1413.202413040.
[16]	Kombe GE, Almasi JT, Kato Y, et al. Nurse Practitioners (NPs) as Game Changers in Tanzania Health Delivery System: Lessons Learnt from Fujita Bantane Hospital in Japan. Asian J Neurosurg, 2024, 19(4):583-586. doi:10.1055/s-0044-1788681. pmid: 39606295

组别		性别[例(构成比,%)]				年龄 (岁,$\bar{x}±s$)		病程 (d,$\bar{x}±s$)		病情程度[例(构成比,%)]
组别		男性		女性		年龄 (岁,$\bar{x}±s$)		病程 (d,$\bar{x}±s$)		轻症		重症
观察组(48例)	21(43.75)		27(56.25)		6.86±1.21		2.03±0.45		35(72.92)		13(27.08)
对照组(48例)	24(50.00)		24(50.00)		6.79±1.31		2.11±0.51		38(79.17)		10(20.83)
统计检验值	χ²=0.377				t=0.272		t=0.815		χ²=0.515
P值	0.540				0.786		0.417		0.473

时间	SCARED评分	CMFS评分	时间	SCARED评分	CMFS评分
干预前			干预后
观察组(48例)	53.36±5.41	36.63±3.17	观察组(48例)	30.25±3.61^a	25.05±3.05^a
对照组(48例)	54.14±6.05	37.05±4.20	对照组(48例)	38.74±4.17^a	30.08±2.94^a
t值	0.666	0.553	t值	10.665	8.226
P值	0.507	0.582	P值	<0.001	<0.001

组别	优	良	差	优良率
观察组(48例)	27(56.25)	20(41.67)	1(2.08)	47(97.92)
对照组(48例)	21(43.75)	19(39.58)	8(16.67)	40(83.33)
χ²值				4.414
P值				0.036