Hu Yuxiao, Guo Qianli, Liu Xuejiao, Lv Wenshan, Liu Linlin
Respiratory Department II, Children's Hospital of Hebei Province (Hebei Provincial Clinical Research Center for Child Health and Disease; Hebei Provincial Medical Key Discipline), Shijiazhuang, China.
Lung Function Laboratory, Children's Hospital of Hebei Province (Hebei Provincial Clinical Research Center for Child Health and Disease; Hebei Provincial Medical Key Discipline), Shijiazhuang, China.
Front Pediatr. 2025 Jul 28;13:1612618. doi: 10.3389/fped.2025.1612618. eCollection 2025.
To evaluate the effectiveness of integrated nursing and medical management in children with lobar pneumonia, focusing on symptom relief, pulmonary function recovery, inflammation control, length of hospital stay, and caregiver satisfaction.
Fifty pediatric patients with lobar pneumonia were randomly assigned to receive either routine nursing care or an integrated medical and nursing intervention. Key clinical outcomes-including the duration of symptoms, pulmonary function indices, inflammatory markers, length of hospital stay, treatment efficacy, caregiver satisfaction, and adverse events-were compared between groups.
Compared with the control group, the observation group demonstrated significantly shorter durations of fever, cough, and pulmonary rales, reduced antibiotic usage, and shorter hospital stays (all < 0.001). Pulmonary function indices improved markedly ( = 0.001), and inflammatory markers showed more substantial reductions ( < 0.001). The overall treatment effectiveness in the observation group was 100%, with a caregiver satisfaction rate of 96.00% and a complication rate of 8.00%, all significantly better than those in the control group ( < 0.05).
Integrated nursing and medical management significantly improves clinical outcomes for pediatric lobar pneumonia, accelerating recovery, enhancing pulmonary function, reducing complications, and increasing caregiver satisfaction. These findings support its broader application in clinical practice.
https://clinicaltrials.gov/study/NCT06945991, NCT06945991 (16th/April/2025).
评估综合护理与医疗管理对大叶性肺炎患儿的有效性，重点关注症状缓解、肺功能恢复、炎症控制、住院时间及照顾者满意度。
将50例大叶性肺炎患儿随机分为两组，分别接受常规护理或综合医疗护理干预。比较两组的关键临床结局，包括症状持续时间、肺功能指标、炎症标志物、住院时间、治疗效果、照顾者满意度及不良事件。
与对照组相比，观察组发热、咳嗽及肺部啰音持续时间显著缩短，抗生素使用减少，住院时间缩短（均P＜0.001）。肺功能指标明显改善（P = 0.001），炎症标志物下降更显著（P＜0.001）。观察组总体治疗有效率为100%，照顾者满意度为96.00%，并发症发生率为8.00%，均显著优于对照组（P＜0.05）。
综合护理与医疗管理显著改善大叶性肺炎患儿的临床结局，加速康复，增强肺功能，减少并发症，提高照顾者满意度。这些结果支持其在临床实践中更广泛的应用。
https://clinicaltrials.gov/study/NCT06945991，NCT06945991（2025年4月16日）
