摘要
目的探讨童趣化游戏干预在学龄前儿童肺炎支原体肺炎中的应用效果。方法选取2017年2月至2019年5月扬州大学附属医院儿科收治的肺炎支原体肺炎学龄前儿童,按照入院时间先后顺序分为对照组44例和观察组45例。两组患儿均给予规范治疗和常规护理,观察组在对照组基础上加予童趣化游戏干预。比较两组患儿的临床表现(咳嗽、发热、气促及肺部阴影)改善时间、临床疗效、住院时间、Achenbach儿童行为量表(child behavior checklist,CBCL)以及家属护理满意度。统计学方法采用两组独立样本t检验、χ^(2)检验。结果观察组患儿的总有效率高于对照组(95.6%与84.1%,χ^(2)=8.000,P<0.05),观察组家长满意度显著高于对照组(91.1%与79.6%,χ^(2)=4.888,P<0.05),差异具有统计学意义。观察组患儿的咳嗽消失时间短于对照组[(6.8±1.5)与(8.0±1.5)d,t=3.377,P<0.05];观察组患儿的气促消失时间短于对照组[(1.2±0.8)与(2.5±0.7)d,t=8.151,P<0.05];观察组患儿的胸部X线片明显吸收时间短于对照组[(6.0±1.4)与(7.0±1.4)d,t=3.369,P<0.05]。出院时观察组CBCL评分低于对照组[(39.4±11.8)与(50.5±10.2)分,t=4.743,P<0.05],差异具有统计学意义。患儿住院时间对照组和观察组比较[(12.4±1.4)与(12.1±1.4)d,t=1.011,P>0.05],差异无统计学意义(P>0.05)。结论童趣化游戏可能通过改善学龄前患儿心理及行动行为,从而达到更快治愈肺炎支原体肺炎的作用,但对总住院时间无明显影响。
Objective To explore the effect of childlike play intervention in preschool children with mycoplasma pneumoniae pneumonia.Methods The children with mycoplasma pneumoniae pneumonia admitted to the Department of Pediatrics of the Affiliated Hospital of Yangzhou University from February 2017 to May 2019 were selected and divided into a control group of 44 cases and an observation group of 45 cases in the order of admission time.Both groups of children were given standard treatment and routine care,and the observation group was given childlike play intervention on the basis of the control group.The clinical manifestations(cough,fever,shortness of breath,and lung shadow)improvement time,clinical efficacy,length of hospitalization,Achenbach Child Behavior Checklist(CBCL),and satisfaction with family care were compared between the two groups of children.χ^(2) test and t-test,were used for statistical analysis.Results The total effective rate in the observation group was higher than that in the control group(95.6%vs 84.1%,χ^(2)=8.000,P<0.05).The parental care satisfaction in the observation group was higher than that in the control group(91.1%vs 79.6%,χ^(2)=4.888,P<0.05),which was statistical significance.The time of cough disappearance in observation group was shorter than that in control group[(6.8±1.5)vs(8.0±1.5)d,t=3.377,P<0.05].The disappearance time of shortness of breath in observation group was shorter than that in control group[(1.2±0.8)vs(2.5±0.7)d,t=8.151,P<0.05].The absorption time of chest radiographs in the observation group was lower than that in the control group[(6.0±1.4)vs(7.0±1.4)d,t=3.369,P<0.05].At discharge,the CBCL score of the observation group was lower than that of the control group[(39.4±11.8)vs(50.5±10.2),t=4.743,P<0.05],which was statistical significance.There was no statistically significant difference between the control group and the observation group[(12.4±1.4)vs(12.1±1.4)d,t=1.011,P>0.05]in the hospitalization time of children.Conclusion Childlike games may improve the menta
作者
翟秀玲
刘林
王永霞
李眉
蒋丽军
Zhai Xiuling;Liu Lin;Wang Yongxia;Li Mei;Jiang Lijun(Department of Pediatrics,Affiliated Hospital of Yangzhou University,Jiangsu,Yangzhou 225000,China)
出处
《发育医学电子杂志》
2022年第1期45-49,共5页
Journal of Developmental Medicine (Electronic Version)
基金
江苏省卫生健康委员会妇幼健康科研项目(F201858)。
关键词
童趣化游戏
支原体肺炎
学龄前儿童
临床疗效
Childlike game
Mycoplasma pneumonia
Preschool children
Clinical efficacy
