Abstract:

Objective　To explore the clinical effect of quantitative assessment model combined with interactive health education intervention for children with Mycoplasma pneumoniae pneumonia (MPP). Methods　A total of 76 MPP children in Nanyang First People's Hospital from March 2021 to March 2023 were selected and were divided into an experimental group (38 cases) and a control group (38 cases) according to the admission time. There were 23 boys and 15 girls in the control group, the age was (7.81±2.33) years old, and the course of disease was (4.48±1.23) d. There were 22 boys and 16 girls in the experimental group, the age was (7.58±2.19) years old, and the course of disease was (4.55±1.22) d. The control group received interactive health education intervention, and the experimental group was combined with quantitative assessment model based on the control group. Both groups were cared for 2 weeks. The treatment compliance rate, fever reduction time, cough disappearance time, shortness of breath disappearance time, pulmonary rale disappearance time, hospital stay, complication rate, and Pediatric Survival Quality Measurement Scale (PedsQL) score were compared between the two groups. Independent sample t test and χ² test were used for statistical analysis. Results　The treatment compliance rate of the experimental group [97.37% (37/38)] was higher than that of the control group [78.95% (30/38)] (P<0.05). The duration of fever reduction [(4.28±1.74) d], cough disappearance [(5.13±0.96) d], pulmonary rale disappearance [(5.54±1.10) d], shortness of breath disappearance [(1.68±0.52) d], and hospital stay [(6.25±2.04) d] in the experimental group were shorter than those in the control group [(5.81±2.01) d, (6.78±1.34) d, (7.66±1.76) d, (2.56±0.73) d, and (9.78±2.53) d] (all P<0.05). The incidence of complications in the experimental group [7.89% (3/38)] was lower than that in the control group [26.32% (10/38)] (P<0.05). After intervention, the scores of social role [(17.48±1.15) points], physical function [(29.89±1.02) points], psychological state [(17.41±1.28) points], and emotional function [(18.05±0.96) points] of the experimental group were higher than those of the control group [(14.11±2.07) points, (26.48±2.15) points, (18.05±0.96) points, (13.87±3.04) points, and (14.97±1.19) points] (all P<0.001). Conclusion　The quantitative assessment model combined with interactive health education intervention can improve the treatment compliance rate, shorten the improvement time of clinical symptoms, reduce the incidence of complications, and improve the quality of life in MPP children.

Key words:

Mycoplasma pneumoniae pneumonia, Children, Quantitative assessment model, Interactive health education

摘要：

目的　探讨量化评估模式联合互动健康教育干预用于肺炎支原体肺炎（Mycoplasma pneumoniae pneumonia，MPP）患儿的临床效果。方法　选取2021年3月至2023年3月南阳市第一人民医院MPP患儿76例，按入院时间分为试验组（38例）和对照组（38例）。对照组男23例，女15例；年龄（7.81±2.33）岁；病程（4.48±1.23）d；采用互动健康教育干预。试验组男22例，女16例；年龄（7.58±2.19）岁；病程（4.55±1.22）d；在对照组基础上联合量化评估模式。两组患儿均护理2周。对比两组治疗依从率，退热时间、咳嗽消失时间、气促消失时间、肺部啰音消失时间、住院时间，并发症发生率及儿童生存质量测定量表（PedsQL）评分。采用独立样本t检验、χ²检验进行统计学分析。结果　试验组治疗依从率［97.37%（37/38）］高于对照组［78.95%（30/38）］（P<0.05）。试验组退热时间［（4.28±1.74）d］、咳嗽消失时间［（5.13±0.96）d］、肺部啰音消失时间［（5.54±1.10）d］、气促消失时间［（1.68±0.52）d］、住院时间［（6.25±2.04）d］均短于对照组［（5.81±2.01）d、（6.78±1.34）d、（7.66±1.76）d、（2.56±0.73）d、（9.78±2.53）d］（均P<0.05）。试验组并发症发生率［7.89%（3/38）］低于对照组［26.32%（10/38）］（P<0.05）。干预后，试验组社会角色［（17.48±1.15）分］、躯体功能［（29.89±1.02）分］、心理状态［（17.41±1.28）分］、情感功能评分［（18.05±0.96）分］均高于对照组［（14.11±2.07）分、（26.48±2.15）分、（13.87±3.04）分、（14.97±1.19）分］（均P<0.001）。结论　量化评估模式联合互动健康教育干预MPP患儿，可提高治疗依从率，缩短临床症状改善时间，降低并发症发生率，提高生活质量。

关键词:

肺炎支原体肺炎, 儿童, 量化评估模式, 互动健康教育