Effect of medical play nursing mode led by specialist nurses on the compliance of children with severe mycoplasma pneumoniae pneumonia undergoing fiberbronchoscopy

doi:10.3877/cma.j.issn.2095-9133.2025.05.005

Abstract

Abstract:

Objective

To observe the effect of medical game nursing mode led by specialist nurses in the treatment of severe mycoplasma pneumoniae pneumonia (SMPP) children undergoing fiberbronchoscopy.

Methods

Children with SMPP who underwent fiberbronchoscopy in our hospital from January 2023 to May 2024 were prospectively selected as the study objects. According to the simple numerical random table method, they were randomly divided into control group (routine nursing, n=151) and observation group (medical game nursing mode led by specialist nurses, n=151). The time indexes (cough relief, disappearance of pulmonary rale, normal body temperature), biochemical indexes (FVC, FEV1, PEF, SaO₂, PaO₂, PaCO₂), mood (CMFS), comfort level (GCQ), quality of life (PedsQL), treatment compliance were compared between the two groups.

Results

The time of cough relief, lung rales disappearance and normal body temperature in observation group were shorter than those in control group (P<0.05). After nursing, biochemical indexes FVC, FEV1, PEF, SaO₂, PaO₂, GCQ scores and PedsQL scores were higher than before nursing (P<0.05), while biochemical indexes PaCO₂ and CMFS scores were lower than before nursing (P<0.05). After nursing, biochemical indexes FVC, FEV1, PEF, SaO₂, PaO₂, GCQ scores and PedsQL scores in observation group were higher than those in control group (P<0.05), while biochemical indexes PaCO₂ and CMFS scores were lower than those in control group (P<0.05). The rates of compliance in the observation group were 95.36%, higher than those in the control group 84.77% (P<0.05).

Conclusions

The application of the medical game nursing mode led by specialized nurses in the SMPP children undergoing fiberbronchoscopy can improve the compliance of the children, shorten the time index, improve the biochemical index, reduce the fear, and therefore improve the comfort level and quality of life.

Key words: Severe mycoplasma pneumoniae pneumonia, Specialist nurse, Fiberbronchoscopy, Compliance, Quality of life

Shuqin Hu, Dan Cao, Yayan Ding. Effect of medical play nursing mode led by specialist nurses on the compliance of children with severe mycoplasma pneumoniae pneumonia undergoing fiberbronchoscopy[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2025, 11(05): 278-283.

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Figures/Tables 6

References 20

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组别	例数	咳嗽缓解	肺啰音消失	体温正常
观察组	151	5.77±1.00	4.32±0.45	3.82±1.08
对照组	151	6.88±1.18	5.19±0.76	4.76±1.22
t值		8.82	12.10	7.09
P值		<0.05	<0.05	<0.05

组别	例数	咳嗽缓解	肺啰音消失	体温正常
观察组	151	5.77±1.00	4.32±0.45	3.82±1.08
对照组	151	6.88±1.18	5.19±0.76	4.76±1.22
t值		8.82	12.10	7.09
P值		<0.05	<0.05	<0.05

组别	例数	FVC（%）		FEV1（%）		PEF（%）		SaO₂（%）		PaO₂（mmHg）		PaCO₂（mmHg）
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后
观察组	151	94.27±9.45	121.72±9.52^a	72.06±7.92	103.49±10.06^a	71.00±8.42	98.01±9.43^a	82.77±5.22	94.29±8.04^v	54.40±7.41	87.78±9.61^a	73.56±9.02	49.14±6.24^a
对照组	151	93.99±10.02	104.27±8.41^a	72.10±9.27	90.66±9.93^a	71.36±8.51	88.02±7.75^a	83.75±5.08	87.09±7.21^a	53.77±7.17	81.30±8.07^a	72.80±9.20	54.28±7.20^a
t值		0.25	16.88	0.04	11.15	0.37	10.06	1.65	8.19	0.75	6.35	0.72	6.63
P值		>0.05	<0.05	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05

组别	例数	FVC（%）		FEV1（%）		PEF（%）		SaO₂（%）		PaO₂（mmHg）		PaCO₂（mmHg）
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后
观察组	151	94.27±9.45	121.72±9.52^a	72.06±7.92	103.49±10.06^a	71.00±8.42	98.01±9.43^a	82.77±5.22	94.29±8.04^v	54.40±7.41	87.78±9.61^a	73.56±9.02	49.14±6.24^a
对照组	151	93.99±10.02	104.27±8.41^a	72.10±9.27	90.66±9.93^a	71.36±8.51	88.02±7.75^a	83.75±5.08	87.09±7.21^a	53.77±7.17	81.30±8.07^a	72.80±9.20	54.28±7.20^a
t值		0.25	16.88	0.04	11.15	0.37	10.06	1.65	8.19	0.75	6.35	0.72	6.63
P值		>0.05	<0.05	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05

组别	例数	医疗操作恐惧		人际关系恐惧		医疗环境恐惧		自我恐惧		总分
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后
观察组	151	10.57±1.53	7.61±1.58^a	11.42±2.43	8.48±2.73^a	9.76±1.67	7.25±2.02^a	10.05±0.90	7.25±1.51^a	41.80±3.47	30.58±4.07^a
对照组	151	10.67±1.19	9.56±1.40^a	11.10±2.13	10.69±2.09^a	9.52±1.90	8.49±1.67^a	9.93±1.03	9.52±0.82^a	41.23±3.20	37.98±3.09^a
t值		0.63	11.35	1.22	7.90	1.17	8.81	1.08	16.23	1.48	17.79
P值		>0.05	<0.05	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05

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