学龄期重症支原体肺炎患儿甲泼尼龙琥珀酸钠治疗期间儿童医疗辅导模式的应用效果

Application Effect of Children Medical Counseling Model for School-age Children with Severe Mycoplasma Pneumonia during Methylprednisolone Sodium Succinate Treatment

目的:探讨学龄期重症支原体肺炎患儿甲泼尼龙琥珀酸钠治疗期间儿童医疗辅导模式的应用效果。方法:选取2023年6—12月厦门大学附属妇女儿童医院收治的120例学龄期重症支原体肺炎患儿。随机将其分为对照组和观察组,各60例。两组患儿均给予常规治疗,对照组治疗期间给予常规护理,观察组在对照组基础上给予儿童医疗辅导模式。比较两组患儿入院时及护理1周后心理情况、治疗依从性,临床指标及护理满意度。结果:护理1周后,两组儿童焦虑性情绪障碍筛查表(the screen for child anxiety related emotional disorders,SCARED)评分、儿童抑郁障碍自评量表(depression self-rating scale for children,DSRSC)评分均降低,观察组SCARED评分、DSRSC评分均低于对照组,差异有统计学意义(P<0.05)。护理1周后,观察组治疗依从性评分升高,且高于对照组,差异有统计学意义(P<0.05)。观察组发热、肺部啰音、咳嗽消失时间均早于对照组,差异有统计学意义(P<0.05)。观察组患儿家属护理满意度评分高于对照组,差异有统计学意义(P<0.05)。结论:学龄期重症支原体肺炎患儿甲泼尼龙琥珀酸钠治疗期间使用儿童医疗辅导模式干预效果良好,可有效改善患儿不良情绪,提升患儿治疗依从性,促进患儿恢复,提升家属满意度。

Objective:To explore the application effect of children medical counseling model for school-age children with severe mycoplasma pneumonia during Methylprednisolone Sodium Succinate treatment.Method:A total of 120 school-age children with severe mycoplasma pneumonia admitted to Xiamen University Affiliated Women and Children's Hospital from June to December 2023 were selected.They were randomly divided into control group and observation group,60 cases in each group.The children in both groups were given routine treatment,the control group was given routine nursing during treatment,and the observation group was given children medical counseling mode based on the control group.The psychological condition,treatment compliance at admission and after 1 week of nursing,clinical indicators and nursing satisfaction of the two groups were compared.Result:After 1 week of nursing,the scores of the screen for child anxiety related emotional disorders(SCARED)and the depression self rating scale for children(DSRSC)in both groups decreased,the SCARED and DSRSC scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After one week of nursing,the treatment compliance score of the observation group increased,which was higher than that of the control group,and the difference was statistically significant(P<0.05).The disappearance time of fever,lung rales,and cough in the observation group were earlier than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction score of nursing care for the family members of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:During Methylprednisolone Sodium Succinate treatment for school-age children with severe mycoplasma pneumonia,the intervention effect of children medical guidance mode for children is good,which can effectively improve the adverse mood of children,improve the treatment compliance of children,promote the recovery of children,and enhance the satisfaction of family members.