叙事疗法结合医疗游戏在儿童支原体肺炎护理中的应用

Application of Narrative Therapy Combined with Medical Games in Nursing of Children with Mycoplasma Pneumonia

目的探究叙事疗法结合医疗游戏在儿童支原体肺炎护理中的应用效果。方法选取2023年9—12月诊治的104例支原体肺炎患儿,按随机数字表法分为两组。对照组(52例)行常规护理,研究组(52例)在此基础上接受叙事疗法结合医疗游戏干预。比较两组症状体征改善情况、住院情况、治疗依从性及干预前后肺功能[呼气峰值流速(PEF)、肺活量(VC)、每分钟最大通气量(MVV)]、心理情况[儿童抑郁障碍自评量表(DSRSC)、儿童焦虑障碍自评量表(SCARED)]。结果研究组咳嗽消失时间、喘憋消失时间、肺部湿啰音消失时间、退热时间及住院时间短于对照组(P<0.05);两组干预后PEF、VC、MVV高于干预前,且研究组高于对照组(P<0.05);两组干预后DSRSC评分、SCARED评分低于干预前,且研究组低于对照组(P<0.05);研究组总依从率(94.33%)高于对照组(80.77%)(P<0.05)。结论叙事疗法结合医疗游戏干预可改善支原体肺炎患儿临床症状及肺功能,减轻其不良情绪,提升其依从性。

Objective To explore the application effect of narrative therapy combined with medical games in the nursing of children with mycoplasma pneumonia.Methods A total of 104 children with mycoplasma pneumonia diagnosed and treated from September to December 2023 were divided into two groups according to random number table method.The control group(52 cases)received routine nursing,and the study group(52 cases)received narrative therapy combined with medical game intervention on this basis.The improvement of symptoms and signs,hospitalization,treatment compliance,pulmonary function[peak expiratory flow(PEF),vital capacity(VC),maximum voluntary ventilation(MVV)]and psychological status[depression self rating scale for children(DSRSC)and the screen for child anxiety related emotional disorders(SCARED)]before and after intervention were compared between the two groups.Results The disappearance time of cough,asthmatics,lung moist rales,fever and hospital stay in the study group were shorter than those in the control group(P<0.05).PEF,VC and MVV in two groups were higher after intervention than those before intervention,and the study group was higher than the control group(P<0.05).After intervention,DSRSC score and SCARED score of two groups were lower than those before intervention,and the study group was lower than the control group(P<0.05).The total compliance rate in the study group(94.33%)was higher than that in the control group(80.77%)(P<0.05).Conclusion Narrative therapy combined with medical game intervention can improve the clinical symptoms and lung function of children with mycoplasma pneumonia,reduce their adverse mood and improve their compliance.