目的: 探讨耳穴压丸结合心理行为引导对肺炎支原体肺炎患儿红霉素治疗依从性、不良反应及心理状态的影响。方法: 选取2022年9月1日—2023年10月31日期间于我院治疗的肺炎支原体肺炎患儿86例,使用随机数表法分配为观察组和对照组,每组43例。对照组在红霉素治疗基础上予以心理行为引导干预,观察组则在上述治疗同时行耳穴压丸。比较两组患儿干预后红霉素治疗依从性、心理状态、疾病转归情况以及不良反应发生情况。结果: 干预后,观察组红霉素治疗依从率为95.35%,较对照组的81.40%高;两组一般健康问题、行为问题评分及总评分均较干预前下降,且观察组评分较对照组低;观察组发热、咳嗽以及住院时间均较对照组短;观察组治疗不良反应总发生率为6.98%,低于对照组的23.26%;观察组治疗后恶心呕吐分级情况优于对照组,且0级比例较对照组高。结论: 耳穴压丸结合心理行为引导有利于提高肺炎支原体肺炎患儿红霉素治疗依从性,改善患儿心理与行为问题,促进患儿恢复,且不增加治疗不良反应风险。
Abstract
Objective To investigate the effect of auricular point pressing therapy combined with psychological and behavioral guidance on compliance, adverse reactions, and psychological states of children with Mycoplasma pneumoniae pneumonia treated with erythromycin. Methods A total of 86 children with Mycoplasma pneumoniae pneumonia treated in the hospital between September 1, 2022 and October 31, 2023 were selected. Using the random number table method, children enrolled were assigned to the combination group and the control group, with 43 cases in each group. The control group was given psychological and behavioral guidance on the basis of erythromycin treatment. The combination group was given auricular point pressing therapy on the basis of the control group. Then, the two groups were compared on compliance with erythromycin treatment, psychological states, disease outcomes, and incidence of adverse reactions. Results After intervention, the compliance rate of erythromycin treatment in the combination group (95.35%) was higher than that in the control group (81.40%). The scores for general health issues and behavioral issues, and total scores of both groups decreased. Compared with the control group, the combination group had lower scores. The relief time for fever, cough and length of hospital stay in the combination group were shorter than those in the control group. The total incidence of adverse reactions in the combination group (6.98%) was lower than that in the control group (23.26%). The nausea and vomiting grading in the observation group was better than that in the control group, and the proportion of grade 0 was higher than that in the control group. Conclusion Auricular point pressing therapy combined with psychological and behavioral guidance is conducive to improving compliance with erythromycin treatment among children with Mycoplasma pneumoniae pneumonia, improving their psychological and behavioral problems, promoting recovery, and reducing the risk of adverse reactions.
关键词
肺炎支原体肺炎 /
红霉素 /
心理行为引导 /
耳穴压丸 /
治疗依从性 /
不良反应 /
心理状态
Key words
mycoplasma pneumoniae pneumonia /
erythromycin /
psychological and behavioral guidance /
auricular point pressing therapy /
treatment compliance /
adverse reaction /
psychological state
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基金
合肥市卫生健康委应用医学科研项目“Wnt/B-catenin信号通路与COX-2在慢性肾脏病患者血管钙化中的关系研究”（Hwk2023yb012）
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