Research ArticleOpen AccessGoogle Scholar indexed

Early Nursing Intervention in Children with Viral Meningitis

¹ Pediatric Emergency Department, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
² Pediatric Emergency Department, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
³ Pediatric Emergency Department, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
⁴ Pediatric Emergency Department, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
⁵ Pediatric Emergency Department, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
⁶ Pediatric Emergency Department, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
⁷ Pediatric Emergency Department, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
⁸ Pediatric Emergency Department, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
⁹ Pediatric Emergency Department, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China

Journal of Behavioral and Brain Science·Volume 14 (2024)·Pages 1–11·Published 16 January 2024·DOI10.4236/jbbs.2024.141001

Abstract

Aim: To explore the effect of a WeChat peer education program in children with severe viral meningitis combined with respiratory failure. Design: Retrospective cohort study. Methods: Patients who had severe viral meningitis combined with respiratory failure, were admitted to the hospital from March 2017 to June 2018, and who received the WeChat-based nursing intervention were included. Patients who received routine nursing were used as controls. The family’s emotional state, self-care ability, and rehabilitation were analyzed. Results: There were 37 patients in the WeChat group (19 boys (51.3%) and 18 girls (48.7%); mean of 5.1 ± 2.4 years of age) and 37 controls (20 boys (54.1%) and 17 girls (45.9%); mean of 5.9 ± 2.4 years of age) (all P > 0.05). After nursing, improvements in the self-assessed anxiety score and self-assessed depression score were better in the WeChat group (anxiety: -29.2% vs. -20.3%, P = 0.015; depression: -25.2% vs. -15.4%, P = 0.009). After nursing, the improvements in the condition management ability scale and condition management difficulty scale scores were better in the WeChat group (ability: +80.5% vs. +44.4%. P = 0.001; difficulty: +58.4% vs. +37.8%, P = 0.003). After nursing, the improvement in the Fugl-Meyer score was better in the WeChat group (+138.0% vs. +53.0%, P < 0.001). Conclusion: Early nursing intervention combined with WeChat peer education can improve the emotional state of children with severe viral meningitis combined with respiratory failure and their caregivers. Impact: Viral meningitis is associated with a good prognosis, but central nervous system complications can be observed. Early intervention is the key to a good prognosis. Internet-based nursing and coaching can improve self-efficacy and care ability in patients with various conditions, as well as improve the emotional state of the children and their caregivers. The research might have an impact on any children’s hospital that deals with viral meningitis.

KeywordsSocietiesNursingEarly InterventionEducationalMeningitisViralChild

McGill, F., Griffiths, M.J. and Solomon, T. (2017) Viral Meningitis: Current Issues in Diagnosis and Treatment. Current Opinion in Infectious Diseases, 30, 248-256. https://doi.org/10.1097/QCO.0000000000000355
Ai, J., Xie, Z., Liu, G., Chen, Z., Yang, Y., Li, Y., Chen, J., Zheng, G. and Shen, K. (2017) Etiology and Prognosis of Acute Viral Encephalitis and Meningitis in Chinese Children: A Multicentre Prospective Study. BMC Infectious Diseases, 17, Article No. 494. https://doi.org/10.1186/s12879-017-2572-9
Shen, H., Zhu, C., Liu, X., et al. (2019) The Etiology of Acute Meningitis and Encephalitis Syndromes in a Sentinel Pediatric Hospital, Shenzhen, China. BMC Infectious Diseases, 19, Article No. 560. https://doi.org/10.1186/s12879-019-4162-5
Abedi, G.R., Watson, J.T., Nix, W.A., Oberste, M.S. and Gerber, S.I. (2018) Enterovirus and Parechovirus Surveillance—United States, 2014-2016. MMWR Morbidity and Mortality Weekly Report, 67, 515-518. https://doi.org/10.15585/mmwr.mm6718a2
Rudolph, H., Schroten, H. and Tenenbaum, T. (2016) Enterovirus Infections of the Central Nervous System in Children: An Update. The Pediatric Infectious Disease Journal, 35, 567-569. https://doi.org/10.1097/INF.0000000000001090
Irani, D.N. (2008) Aseptic Meningitis and Viral Myelitis. Neurologic Clinics, 26, 635-655, vii-viii. https://doi.org/10.1016/j.ncl.2008.03.003
Lee, K.Y., Burgner, D., Lee, H.S., et al. (2005) The Changing Epidemiology of Pediatric Aseptic Meningitis in Daejeon, Korea from 1987 to 2003. BMC Infectious Diseases, 5, Article No. 97. https://doi.org/10.1186/1471-2334-5-97
Huang, C.C., Liu, C.C., Chang, Y.C., Chen, C.Y., Wang, S.T. and Yeh, T.F. (1999) Neurologic Complications in Children with Enterovirus 71 Infection. The New England Journal of Medicine, 341, 936-942. https://doi.org/10.1056/NEJM199909233411302
Huang, R., Pang, J., Wang, Y. and Pu, Q. (2018) Analysis of Viral Load and Complications in Children Patients with Severe Hand-Foot-Mouth Disease Caused by Enterovirus Type 71. International Journal of Laboratory Medicine, 39, 187-189.
Hsia, S.H., Wu, C.T., Chang, J.J., Lin, T.Y., Chung, H.T., Lin, K.L., Hwang, M.S., Chou, M.L. and Chang, L.Y. (2005) Predictors of Unfavorable Outcomes in Enterovirus 71-Related Cardiopulmonary Failure in Children. The Pediatric Infectious Disease Journal, 24, 331-334. https://doi.org/10.1097/01.inf.0000157219.19674.98
Yang, F., Ren, L., Xiong, Z., et al. (2009) Enterovirus 71 Outbreak in the People’s Republic of China in 2008. Journal of Clinical Microbiology, 47, 2351-2352. https://doi.org/10.1128/JCM.00563-09

Menu

Early Nursing Intervention in Children with Viral Meningitis

Abstract

References (42)