Objective To explore the application of nursing intervention scheme based on caregiver participation decision in children with Henoch-Schönlein purpura.

Methods Children with Henoch-Schönlein purpura admitted to hospital from January 2022 to November 2024 were selected as the study subjects, and 80 pediatric patients were randomly divided into an observation group and a control group, with 40 cases in each group.The control group received routine nursing care for Henoch-Schönlein purpura, while the observation group received nursing intervention scheme based on caregiver participation decision.Before and after the intervention, questionnaires were collected on the quality of discharge education, decision conflict of the pediatric patients and caregivers, and children′s medical fears, along with 3-month follow-up on disease recurrence.

Results After a 3-month follow-up, the recurrence rate in the observation group was lower than that in the control group (P < 0.05).The actually obtained content, guidance skill, efficacy, and total score in observation group were significantly higher than those in the control group (P < 0.01).Reexamination 3 months after discharge showed that the actually obtained content, guidance skill, efficacy, and total score in observation group were significantly higher than those before discharge (P < 0.05), which in the control group were decreased(P < 0.05 to P < 0.01), and which in the observation group were significantly higher than those in the control group (P < 0.01).After intervention, the decisional conflict scale (DCS) score composition in the observation group was better than that in the control group (P < 0.05), and decision delay rate was lower than that in the control group (P < 0.05), which was significantly lower than that before intervention (P < 0.01).The decision delay rate in the control group was not significantly different from that before intervention (P>0.05).After intervention, the scores of children′s medical fear scale (CMFS) in the two groups were significantly decreased (P < 0.01), and the scores of each dimension of CMFS in the observation group were significantly lower than those in the control group (P < 0.05 to P < 0.01).

Conclusions The application effect of nursing intervention scheme based on caregiver participation decision in children with Henoch-Schönlein purpura is significant.This approach effectively enhances the quality of discharge guidance for caregivers, reduces decisional delay, alleviates medical fear in pediatric patients, and significantly decreasede disease recurrence rate, which is worthy of clinical application.