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Nurse-led family interactive intervention in children with bronchopneumonia: a randomized controlled trial
1Department of Pediatrics, People's Hospital of Lixin County, Bozhou, P.R. China.
Insights
Nurse-led family interactive psychological intervention improved outcomes for hospitalized children with bronchial asthma (BA). The intervention reduced medical fear and enhanced medication compliance and family care abilities.
Area of Science:
- Pediatric Psychology
- Respiratory Medicine
- Nursing Intervention
Background:
- Hospitalized children with bronchial asthma (BA) often experience negative emotions and challenges in treatment coordination.
- Effective psychological interventions are crucial for improving the well-being and adherence of pediatric patients with BA.
Purpose of the Study:
- To evaluate the impact of a nurse-led family interactive psychological intervention on negative emotions and treatment coordination in hospitalized children with BA.
- To assess the intervention's effect on children's medical fear, medication compliance, and family caregiver burden.
Main Methods:
- A prospective randomized controlled trial involving 91 children with BA and their caregivers.
- Participants were randomized into an intervention group (routine nursing + nurse-led family interactive psychological intervention) and a control group (routine nursing only).
- Outcomes were measured using the Test for Respiratory and Asthma Control in Kids (TRACK), Child Medical Fear Scale (CMFS), medication compliance questionnaire, and Family Caregiver Task Inventory (FCTI).
Main Results:
- The intervention group showed significantly higher TRACK scores post-discharge compared to the control group (p < 0.05).
- The intervention group exhibited lower CMFS scores during hospitalization and before discharge (p < 0.05).
- Children in the intervention group demonstrated improved medication compliance and reduced family caregiver burden (p < 0.001).
Conclusions:
- Nurse-led family interactive psychological intervention is effective in reducing medical fear in hospitalized children with BA.
- The intervention enhances medication compliance and improves the family caregiving abilities of caregivers for children with BA.
Aim:
The aim of this study was to explore the influence of nurse-led family interactive psychological intervention on negative emotions and treatment coordination degree of hospitalized children with bronchial asthma (BA).
Design:
Prospective randomized controlled trial.
Methods:
91 children with BA and their primary caregivers in the hospital from January 2023 to December 2025 were collected by convenience sampling method as study subjects. Children were completely randomized into two groups based on the random number table method. 45 children formed control group and received routine nursing, and the remaining 46 children constituted intervention group and implemented nurse-led family interactive psychological intervention in addition to nursing in control group. The primary clinical outcome was Test for Respiratory and Asthma Control in Kids (TRACK), and the secondary clinical outcomes included Child Medical Fear Scale (CMFS), children' s medication compliance questionnaire, and Family Caregiver Task Inventory (FCTI).
Results:
The TRACK score in intervention group and control group was statistically significant from the aspect of interaction effect (p = 0.008), and there was an interaction between time effect and grouping effect (p < 0.001). Simple effect analysis found that the TRACK scores at 1 day before discharge, 1 month after discharge and 3 months after discharge in intervention group with (80.52 ± 3.88) points, (84.20 ± 3.64) points, (88.54 ± 3.95) points were higher compared with (77.11 ± 5.61) points, (79.62 ± 4.66) points and (82.80 ± 4.55) points in control group (all p < 0.05). The CMFS score exhibited a statistical significance at 4 time points (Wald χ2 = 251.62, p < 0.001). The CMFS scores on the 2nd day of admission and the 3rd day of admission and at 1 day before discharge were lower in intervention group than those in control group (all p < 0.05). The score of children' s medication compliance questionnaire in intervention group at 1 day before discharge was higher while the FCTI score was lower compared to control group (both p < 0.001).
Conclusion:
This study suggests that nurse-led family interactive psychological intervention can reduce the medical fear of hospitalized children with BA, and enhance the medication compliance and family care ability of children.
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