Abstract
OBJECTIVE: This study aims to improve the clinical nursing model by exploring the effects of child-friendly music nursing in the ward on the mental health of children with Henoch-Schönlein purpura nephritis (HSPN). METHODS: This study retrospectively analyzed the clinical data of 105 children with HSPN treated at our hospital from January 2022 to December 2023. Five cases were excluded, resulting in the inclusion of 100 cases. Based on different nursing methods, the children were divided into the reference group (routine nursing, n = 52) and the observation group (child-friendly music nursing plus routine nursing, n = 48). A comparison was made between the two groups regarding the levels of anxiety and depression, inflammatory and immune function indexes [C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), and immunoglobulin A (IgA)], and renal function indexes [serum creatinine (Scr), blood urea nitrogen (BUN), and hemoglobin (HB)]. RESULTS: Before nursing, there were no significant differences between the two groups in terms of levels of anxiety and depression, inflammatory and immune function indexes (such as CRP, IL-6, TNF-α, and IgA), and renal function indexes (such as Scr, BUN, and HB, P > 0.05). After nursing, the observation group demonstrated significantly lower levels of anxiety, depression, CRP, IL-6, TNF-α, and IgA (P < 0.05) compared to the the reference group, while no significant differences were observed in Scr, BUN, and HB (P > 0.05). CONCLUSIONS: Child-friendly music nursing can improve the inflammatory level and immune function of children with HSPN to a certain extent. At the same time, it can also improve the anxiety and depression of children. Therefore, child-friendly music nursing in the ward is helpful for the recovery of the physical and mental health of children with HSPN, with a potential clinical application value.