童趣化心理干预模式在儿童支气管肺炎中的应用效果及对治疗依从性的影响

Application effect of children s interesting psychological intervention mode in children with bronchial pneumonia and its influence on treatment compliance

目的:探讨童趣化心理干预模式在支气管肺炎患儿中的应用效果及对其治疗依从性的影响。方法:116例支气管肺炎患儿根据不同护理方式分为观察组和对照组,每组各58例。观察组和对照组治疗方式一致,对照组护理实施常规口头心理干预模式,观察组护理给予童趣化心理干预模式,干预时间为2周。观察两组干预前后的儿童情绪障碍筛查量表评分(SCARED)评分、血气指标[血氧饱和度(SaO_(2))、氧分压(PaO_(2))、二氧化碳分压(PaCO_(2))]、肺功能指标[用力肺活量(FVC)、呼气高峰流量(PEFR)、第一秒用力呼气容积(FEV1)],比较两组的住院时间、治疗依从性和家属满意度。结果:干预前,观察组和对照组SCARED评分、血气指标和肺功能指标比较,差异均无统计学差异(P>0.05)。干预后,观察组SCARED评分和PaCO2均低于对照组(P<0.05);观察组FVC、PEFR和FEV1水平均高于对照组,住院时间短于对照组(P<0.05);干预后,观察组SaO_(2)、PaO_(2)水平和治疗依从性、家属满意度均高于对照组(P<0.05)。结论:治疗中实施童趣化心理干预模式护理支气管肺炎可改善患儿血气指标和肺功能,缓解负面情绪,提高治疗依从性,缩短住院时间。

Objective:To explore the application effect of children s interesting psychological intervention mode in children with bronchial pneumonia and its influence on treatment compliance.Methods:116 children with bronchopneumonia were divided into observation group and control group according to different nursing methods,with 58 cases in each group.The treatment methods of the observation group and the control group were the same,the control group was given routine oral psychological intervention mode,and the observation group was given child interest psychological intervention mode.The intervention time was 2 weeks.The scores of children s emotional disorder screening scale(SCARED),blood gas indexes[SaO_(2),PaO_(2),PaCO_(2)],pulmonary function indexes[FVC,PEFR and FEV1]before and after the intervention were observed,and the hospitalization time,treatment compliance and family satisfaction of the two groups were compared.Results:Before intervention,there was no significant difference in SCARED score,blood gas index and pulmonary function index between the observation group and the control group(P>0.05).After intervention,the SCARED score and PaCO_(2)in the observation group were lower than those in the control group(P<0.05).The levels of FVC,PEFR and FEV1 in the observation group after intervention were higher than those in the control group,and the length of hospital stay was shorter than that in the control group,the difference was statistically significant(P<0.05).The levels of SaO_(2)and PaO_(2),treatment compliance and family satisfaction in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:The implementation of child interest psychological intervention model in the treatment of children with bronchopneumonia can significantly improve their blood gas indexes and lung function,alleviate their negative emotions,improve their treatment compliance,and shorten the length of hospital stay.