Scand J Caring Sci. 2026 Mar;40(1):e70167. doi: 10.1111/scs.70167.
ABSTRACT
OBJECTIVE: This study aimed to substantiate the effectiveness of family-centred care (FFC) combined with psychological intervention on improving sleep quality and psychological state among children diagnosed with bronchopneumonia.
METHODS: The experimental design employed central randomization and double-blind methodology. A computer-generated sequence was used to randomly allocate 120 paediatric bronchopneumonia patients into intervention and control groups, with allocation details stored in a central system. The control group received routine nursing care, while the intervention group received FCC and psychological intervention. Nursing staff remained blinded to group assignment during care implementation, while subjects, outcome assessors and data analysts maintained blinding throughout the study period. Group assignment was verified through the central data system following allocation. Family satisfaction with nursing services and the incidence of nursing-related safety events during hospitalisation were compared between groups. Children’s psychological status before and after the intervention was assessed using the Multidimensional Anxiety Scale for Children (MASC) and the Children’s Depression Inventory (CDI). Additionally, treatment compliance was evaluated, and sleep quality was assessed using the modified Epworth Sleepiness Scale (ESS).
RESULTS: The overall family satisfaction rate was significantly higher in the intervention group compared with the control group (83.33% vs. 41.67%, p < 0.001). Postintervention, both MASC and CDI scores declined in the two groups, with lower values observed in the intervention group (MASC: 41.75 ± 6.80 vs. 73.47 ± 6.90; CDI: 14.13 ± 2.91 vs. 28.73 ± 3.48; both p < 0.05). The full compliance rate was also greater in the intervention group than in the control group (58.33% vs. 25.00%, p < 0.001). Furthermore, the improvement in ESS scores was more pronounced in the intervention group (8.42 ± 1.92 vs. 11.52 ± 1.84, p < 0.001), while the incidence of safety events showed a decreasing trend (0.00% vs. 5.00%, p = 0.079).
CONCLUSION: FCC combined with psychological intervention effectively enhances sleep quality, mitigates anxiety, promotes treatment adherence and improves family satisfaction among children with bronchopneumonia. This provides practical evidence for the application of this comprehensive nursing model in paediatric clinical practice and research in the field of family-centred comprehensive interventions.
PMID:41507732 | DOI:10.1111/scs.70167
