Application of a Refined Nursing Model in Children with Mycoplasma Pneumonia

Summary

This study presents a meticulous care plan for children with mycoplasma pneumonia, covering five core modules: psychological care, respiratory tract management, dietary guidance, fever care and health education. The plan elaborates on the specific implementation steps of each nursing measure and aims to provide a systematic and operational nursing process to assist clinical nurses in standardizing their implementation, enhancing the quality of nursing and the rehabilitation experience of children patients.

Abstract

This research aims to demonstrate and explain a meticulous care plan applicable to Mycoplasma pneumonia (MP) in children. This plan integrates multi-dimensional measures such as psychological care, respiratory tract management, dietary guidance, fever care and health education, forming a structured care path. A total of 122 children with MP admitted from May to September 2023 were selected for the study. They were divided into the experimental group and the control group by random number table method, with 61 cases in each group. The control group received routine care, while the experimental group received meticulous care on the basis of routine care. The plan mainly describes the story-telling communication skills in psychological care, the standard operation of nebulization inhalation parameters and back tapping in respiratory care, the hierarchical monitoring and treatment of fever, as well as the modular health education content for caregivers. The results show that meticulous care can promote symptom relief in children, reduce inflammatory indicators, enhance disease awareness and nursing satisfaction, verifying the feasibility and positive role of this nursing plan in clinical practice. This study provides a replicable and scalable operational framework for the systematic care of MP in children.

Introduction

Mycoplasma pneumoniae (MP), a genus of Mycoplasma within the Tenericutes¹, is one of the main agents of acute respiratory infections and a common cause of community-acquired pneumonia (CAP) in children^2,3. Mycoplasma pneumoniae pneumonia (MPP) accounts for 10%--40% of CAP in children^4,5, with the incidence gradually increasing in recent years⁶. The clinical course can be prolonged, and children, due to psychological immaturity and limited self-control, often experience anxiety a....

Protocol

The survey was conducted in compliance with the latest version of the Declaration of Helsinki and was approved by the Ethics Committee of Hai'an Traditional Chinese Medicine Hospital in Jiangsu Province. The guardians of the patients all signed the informed consent form.

1. Screening of eligibility subjects
   1. Inclusion criteria: Meet the diagnostic criteria for MP infection, with interstitial pneumonia and capillary bronchitis-like changes shown on chest X-ray, age group between 4-12 years, and no use of glucocorticoid in the past two weeks.
   2. Exclusion criteria: Complicated with severe cardiopulmonary insufficiency, concurrent hepati....

Results

A total of 61 patients were included in the experimental group (28 boys, 33 girls; mean age 8.56 ± 3.57 years) and 61 in the control group (32 boys, 29 girls; mean age 9.42 ± 3.13 years). No statistically significant differences were observed in gender, age, BMI, severity at admission, or admission temperature between the two groups (P > 0.05) (Table 1).

In the experimental group, 45 cases were markedly effective, 12 were effective, and 4 were ineffective, for a to.......

Discussion

The refined nursing protocol for children with MP is defined by three interconnected critical steps, each addressing core limitations of conventional nursing. First, embedding psychological interventions into clinical procedures -- via age-appropriate storytelling and game-based framing of medical equipment -- addresses pediatric treatment resistance, a key barrier to care efficacy. This integration aligns with children's cognitive development, reducing anxiety during interventions more effectively than standalone ps.......

Materials

List of materials used in this article

Name	Company	Catalog Number	Comments
German Bairui BRM-077 III	PARI GmbH	——	Nebulisation Device
IBM SPSS Statistics 26.0	IBM	SPSS  26.0	Statistical Software