【摘要】 目的：探究童趣化心理干预联合改良式拍背排痰法在支气管肺炎患儿中的应用效果。方法：选取2021年2月—2022年10月厦门大学附属妇女儿童医院收治的164例支气管肺炎患儿作为研究对象，按照随机数字表法将其分为对照组(n=82)和试验组(n=82)。对照组采取改良式拍背排痰法干预，试验组在对照组基础上增加童趣化心理干预。对比两组负面情绪变化、依从性、临床症状消失时间及住院时间。结果：干预前，两组儿童焦虑性情绪障碍筛查量表(the screen for child anxiety related emotional disorders，SCARED)各项评分对比，差异均无统计学意义(Pgt;0.05)；干预2周后，试验组SCARED中分离性焦虑、社交恐惧、广泛性焦虑、学校恐惧及躯体性惊恐评分均显著低于对照组(Plt;0.05)。干预2周后，试验组依从性显著优于对照组(Plt;0.05)。试验组气促、咳嗽、发热、咳痰消失时间及住院时间均显著短于对照组(Plt;0.05)。结论：童趣化心理干预联合改良式拍背排痰法应用于支气管肺炎患儿，有助于缓解患儿负面情绪，提高依从性，有助于缩短气促、咳嗽、发热及咳痰消失时间，促进患儿早日康复。

    【关键词】 童趣化心理干预 改良式拍背排痰 支气管肺炎 依从性 焦虑性情绪障碍

    Application Effect of Children's Entertaining Psychological Intervention Combined with Modified Back Patting and Sputum Removal in Children with Bronchopneumonia/LIN Yilan. //Medical Innovation of China， 2023， 20(22)： 0-090

    [Abstract] Objective： To explore the application effect of children's entertaining psychological intervention combined with modified back patting and sputum removal in children with bronchopneumonia. Method： A total of 164 children with bronchopneumonia admitted to Women and Children's Hospital Affiliated to Xiamen University from February 2021 to October 2022 were selected as research objects and divided into control group (n=82) and experimental group (n=82) according to random number table method. The control group was treated with modified back patting and sputum removal method ......