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Retrospective analysis of the clinical value of targeted nursing using a game-based model in children undergoing
Xue-Zhen Cao1, Jun-Qing Wang1, Xue-Song Guo1
1Department of Plastic and Burn Surgery, Shanxi Provincial Children's Hospital, Taiyuan, China.
Insights
Targeted nursing using a game-based model improved self-concept and quality of life while reducing anxiety in children undergoing auricular reconstruction for congenital microtia. This approach offers a promising strategy for enhancing pediatric surgical care.
Area of Science:
- Pediatric Surgery
- Nursing Care Models
- Psychological Outcomes in Children
Background:
- Congenital microtia requires surgical reconstruction, often impacting a child's psychological well-being.
- Perioperative anxiety and self-concept are critical factors influencing recovery and quality of life in pediatric patients.
Purpose of the Study:
- To evaluate the effectiveness of a game-based nursing model on self-concept, anxiety, and quality of life in children undergoing auricular reconstruction for congenital microtia.
- To compare outcomes between children receiving routine nursing care and those receiving game-based nursing interventions.
Main Methods:
- Retrospective observational study of 70 children with congenital microtia undergoing auricular reconstruction.
- Patients were divided into a control group (routine nursing) and an intervention group (routine care plus game-based nursing).
- Data on self-concept (CSCS), anxiety (SCARED), and quality of life (PedsQL 4.0) were extracted from medical records at admission and discharge.
Main Results:
- No significant baseline differences were observed between the groups.
- At discharge, the game-based nursing group showed significantly higher self-concept scores (p=0.007).
- The intervention group demonstrated significantly lower anxiety scores (p<0.001) and higher quality of life scores (p<0.001) compared to the control group.
Conclusions:
- Game-based nursing interventions are associated with improved psychological outcomes in children undergoing auricular reconstruction.
- This targeted nursing approach may effectively reduce perioperative anxiety and enhance the overall well-being of pediatric patients with congenital microtia.
- The findings support the integration of game-based strategies into nursing care for pediatric reconstructive surgery.
Objective:
To retrospectively evaluate the effects of targeted nursing centered on a game-based model on self-concept, anxiety, and quality of life in children undergoing auricular reconstruction for congenital microtia.
Methods:
This retrospective observational study included medical records from children with congenital microtia who underwent auricular reconstruction between January 2022 and December 2025. Medical records were categorized into a control group and an intervention group according to the perioperative nursing model documented during hospitalization. The control group received routine nursing care, whereas the intervention group received routine nursing care combined with game-based nursing. Data from the Piers-Harris Children Self-Concept Scale (CSCS), Screen for Child Anxiety-Related Emotional Disorders (SCARED), and Pediatric Quality of Life Inventory (PedsQL 4.0) scores routinely recorded at admission and discharge during hospitalization were retrospectively extracted from the nursing records.
Results:
A total of 70 children were included, with 35 in the routine nursing group and 35 in the game-based nursing group. At admission, no statistically significant differences were found between the two groups in CSCS, SCARED, or PedsQL 4.0 scores (p > 0.05). At discharge, the intervention group had higher CSCS scores (69.28 ± 6.75) than the control group (66.19 ± 4.07) (p = 0.007), lower SCARED scores (40.56 ± 2.32) than the control group (54.19 ± 2.12) (p < 0.001), and higher PedsQL 4.0 scores (70.28 ± 3.16) than the control group (67.19 ± 3.42) (p < 0.001).
Conclusion:
This retrospective analysis suggests that targeted nursing using a game-based model may be associated with improved perioperative psychological outcomes, particularly reduced anxiety, in children undergoing auricular reconstruction for congenital microtia.
