肺炎患儿对雾化吸入治疗的医疗恐惧感调查

Investigation of Medical Fear for Aerosol Inhalation in the Treatment of Children with Pneumonia

目的:探究肺炎患儿对雾化吸入治疗的医疗恐惧感。方法:选择2022年1月—2023年11月来鹰潭市人民医院儿科就诊的肺炎患儿81例,均行雾化吸入治疗。收集患儿及家属的一般资料,采用儿童医疗恐惧调查量表(CMFS)了解患儿的医疗恐惧感,并分析患儿的CMFS≥30分的影响因素。结果:81例肺炎患儿对雾化吸入的CMFS(30.69±4.29)分。单因素分析发现,CMFS≥30分组与CMFS<30分组肺炎患儿的性别、年龄、医疗付费方式、雾化过程是否出现不良反应比较,差异均无统计学意义(P>0.05);两组的患儿雾化吸入教育、家属对雾化吸入认知、家属文化程度、雾化吸入时间、气质类型、雾化时行为干预比较,差异均有统计学意义(P<0.05)。多因素分析结果显示患儿未进行雾化吸入教育、家属对雾化吸入认知不了解、家属文化程度为高中及以下、雾化吸入时间≥20 min、气质类型为难养型、雾化时无行为干预是肺炎患儿对雾化吸入治疗CMFS≥30分的独立危险因素。患儿家属希望获取肺炎雾化吸入相关知识途径:69.14%为当面演示,48.15%为互联网途径。结论:肺炎患儿对雾化吸入治疗存在一定的医疗恐惧感,患儿未进行雾化吸入教育、家属对雾化吸入认知不了解、家属文化程度为高中及以下、雾化吸入时间≥20 min、气质类型为难养型、雾化时无行为干预是肺炎患儿对雾化吸入治疗CMFS≥30分的独立危险因素,临床针对相关因素进行护理将降低患儿的恐惧感,改善患儿预后。

Objective:To explore medical fear for aerosol inhalation in the treatment of children with pneumonia.Method:A total of 81 children with pneumonia in Pediatrics Department of Yingtan City People's Hospital were selected from January 2022 to November 2023,all of whom received aerosol inhalation.The general data of children and their family members were collected.The children's medical fear was understood by the child medical fear scale(CMFS).The influencing factors of CMFS score≥30 points in children were analyzed.Result:In the 81 children with pneumonia after aerosol inhalation,CMFS score was(30.69±4.29)points.Univariate analysis showed that there were no significant differences in children's gender,age,medical payment methods and whether adverse reactions occurred during aerosol inhalation between CMFS≥30 points group and CMFS<30 points group(P>0.05);there were significant differences in aerosol inhalation education,family members'cognition to aerosol inhalation,family members'education level,aerosol inhalation time,temperament types and behavioral intervention during aerosol inhalation between the two groups(P<0.05).The results of multivariate analysis showed that no aerosol inhalation education,family members'non-cognition to aerosol inhalation,family members'education level of high school or below,aerosol inhalation time≥20 min,difficult temperament and no behavioral intervention during aerosol inhalation were independent risk factors in aerosol inhabation in the treatment of children with pneumonia of CMFS score≥30 points.The hope to acquire knowledge methods about aerosol inhalation for family members were as follows:face-to-face demonstration was 69.14%,the Internet was 48.15%.Conclusion:There is certain medical fear of aerosol inhalation in children with pneumonia.No aerosol inhalation education,family members'non-cognition to aerosol inhalation,family members'education level of high school or below,aerosol inhalation time≥20 min,difficult temperament and no behavioral intervention during aerosol inhalation are independent risk factors in aerosol inhabation in the treatment of children with pneumonia of CMFS score≥30 points.Clinical nursing based on the related factors will reduce fear and improve prognosis of children.