Abstract
OBJECTIVE: To investigate the impact of nursing risk management on treatment adherence and family psychological status in pediatric idiopathic thrombocytopenic purpura (ITP). METHODS: In this retrospective study, a total of 102 children with ITP admitted to Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University from January 2021 to March 2024 were selected as the research subjects and divided into two groups according to the order of admission and the different nursing protocols, with 50 cases in the control group (routine nursing management) and 52 cases in the observation group (risk management along with routine nursing care). Comparisons were made between the two groups of children in terms of treatment adherence, symptom improvement after intervention, time to symptom relief, length of hospitalization, platelet counts, incidence of rebleeding, family psychological status, and family satisfaction with care. RESULTS: The compliance in the observation group was significantly higher than that in the control group (P<0.05). The scores of hemacelinosis, hemorrhage, and febrile symptoms in both groups at 7 days after admission were notably lower than those at admission (all P<0.05), with the observation group showing significantly lower scores than the control group (P<0.05). The duration of symptom relief and the length of hospitalization in the observation group were considerably shorter than those in the control group (P<0.05). The incidence of platelet counts below 50×10(9)/L three months after discharge and the incidence of rebleeding in the observation group were significantly lower than those in the control group (P<0.05). Three months after discharge, the families in both groups showed significant reductions in anxiety and depression compared to admission (P<0.05), with the observation group showing milder negative emotions than the control group (P<0.05). The overall satisfaction rate in the observation group was higher than that of the control group (P<0.05). CONCLUSION: Nursing risk management improves treatment adherence in pediatric ITP, reduces negative emotions in families, and increases family satisfaction with care.