基于行为诱导法的个性化心理护理结合家属赋权干预对学龄期毛细支气管炎门诊雾化吸入治疗患儿医疗恐惧及配合度的影响

Influences of individualized psychological care based on behavioral induction method combined with family empowerment intervention on medical fear and degree of cooperation in school-aged children with bronchiolitis treated by aerosol inhalation in outpatient service

目的探讨基于行为诱导法的个性化心理护理结合家属赋权干预在学龄期毛细支气管炎门诊雾化吸入治疗患儿中的应用效果。方法选取2020年9月至2022年3月我院收治的90例学龄期毛细支气管炎门诊雾化吸入治疗患儿为研究对象,以随机数字表法将其分为对照组和观察组,各45例。对照组采用常规护理,观察组采用基于行为诱导法的个性化心理护理结合家属赋权干预。比较两组的干预效果。结果干预后,观察组的医疗恐惧调查量表(CMFS)各维度评分均低于对照组(P<0.05)。观察组的配合度优良率高于对照组(P<0.05)。干预后,观察组的呼吸频率(RR)、功能残气量(FRC)低于对照组,潮气量(TV)高于对照组(P<0.05)。结论基于行为诱导法的个性化心理护理结合家属赋权干预可减轻学龄期毛细支气管炎门诊雾化吸入治疗患儿的医疗恐惧感,提高其配合度,也能促进患儿肺功能改善,值得临床推广应用。

Objective To explore the application effect of individualized psychological care based on behavioral induction method combined with family empowerment intervention in school-aged children with bronchiolitis treated by aerosol inhalation in outpatient service.Methods Ninety school-age children with bronchiolitis treated by aerosol inhalation in outpatient service of our hospital from September 2020 to March 2022 were selected as the study objects and divided into control group and observation group by random number table method,with 45 cases in each group.The control group adopted routine nursing,and the observation group adopted individualized psychological care based on behavioral induction method combined with family empowerment intervention.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of the Child Medical Fear Scale(CMFS)in the observation group were lower than those of the control group(P<0.05).The excellent and good rate of cooperation in the observation group was higher than that in the control group(P<0.05).After intervention,the respiratory rate(RR)and functional residual capacity(FRC)in the observation group were lower than those in the control group,and the tidal volume(TV)was higher than that in the control group(P<0.05).Conclusion Individualized psychological care based on behavioral induction method combined with family empowerment intervention can reduce the medical fear of school-age children with bronchiolitis treated by aerosol inhalation in outpatient service,improve degree of cooperation,and promote the improvement of lung function,which is worthy of clinical promotion and application.