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Integrated nursing and medical management significantly improves clinical symptoms and pulmonary function in children with lobar pneumonia, shortens hospitalization duration, reduces complication rates, and enhances caregiver satisfaction. These findings support its broad clinical applicability and value.
This study aims to evaluate the clinical efficacy of integrated nursing and medical management in the treatment of pediatric lobar pneumonia. Specifically, it assesses its impact on symptom relief, pulmonary function recovery, inflammatory response control, duration of hospitalization, and caregiver satisfaction. Fifty pediatric patients diagnosed with lobar pneumonia and admitted to our hospital between January and December 2023 were selected and randomly assigned to either the observation group or the control group (n = 25 each) using a random number table. The control group received routine nursing care, while the observation group was additionally managed with an integrated nursing and medical approach. The two groups were compared in terms of duration of fever, cough, pulmonary rales, antibiotic treatment, length of hospital stay, pulmonary function parameters (FEV₁, FVC, FEV₁/FVC), inflammatory markers (CRP, WBC, PCT, LDH), overall treatment efficacy, caregiver satisfaction, and incidence of adverse events.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | The control group received routine nursing care |
| |
| observation group | the observation group was additionally managed with an integrated nursing and medical approach. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| observation group | Other | the observation group was additionally managed with an integrated nursing and medical approach. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to Clinical Resolution of Symptoms | Duration (in days) from hospital admission until resolution of three key symptoms: fever (axillary temperature <37.3°C for 24h), cough (absence of cough for 48h), and pulmonary rales (absence on auscultation). Assessed daily by blinded clinicians. | From admission until discharge (up to 14 days). |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Pulmonary Function (FEV₁, FVC, FEV₁/FVC) | Absolute change in spirometry-measured FEV₁ (L), FVC (L), and FEV₁/FVC ratio (%) from admission to discharge. Assessed using standardized spirometry protocols. | Baseline (T0) and discharge (T1; up to 14 days). |
| Reduction in Inflammatory Markers (CRP, PCT, WBC, LDH) |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Complications | Proportion of patients experiencing adverse events (e.g., hemoptysis, pneumothorax, bronchospasm) during hospitalization, verified by imaging/lab reports. | From admission to discharge (up to 14 days). |
| Antibiotic Usage Duration |
Inclusion Criteria:
Exclusion Criteria:
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Fifty pediatric patients diagnosed with lobar pneumonia and admitted to our hospital between January and December 2023 were selected and randomly assigned to either the observation group or the control group (n = 25 each) using a random number table.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hebei Children's Hospital | Shijiazhuang | 050000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40791810 | Derived | Hu Y, Guo Q, Liu X, Lv W, Liu L. Integrated nursing and medical management improves outcomes in pediatric lobar pneumonia: a randomized controlled study. Front Pediatr. 2025 Jul 28;13:1612618. doi: 10.3389/fped.2025.1612618. eCollection 2025. |
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| ID | Term |
|---|---|
| D011014 | Pneumonia |
| D010549 | Personal Satisfaction |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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| control group | Other | The control group received routine nursing care |
|
Percent reduction in serum CRP (mg/L), PCT (ng/mL), WBC (×10⁹/L), and LDH (U/L) levels from admission to discharge. |
| Baseline (T0) and discharge (T1; up to 14 days). |
| Length of Hospital Stay | Total days from admission to discharge, documented from electronic health records. | Up to 14 days. |
| Parental Satisfaction Rate | Proportion of caregivers reporting "very satisfied" or "satisfied" on a 4-point Likert scale (very satisfied/satisfied/neutral/dissatisfied) at discharge. | At discharge (T1; up to 14 days). |
Total days of intravenous/oral antibiotic therapy, recorded from medication logs.
| From admission to discontinuation (up to 14 days). |
| Adherence to Rehabilitation Protocols | Compliance with respiratory exercises (e.g., % of scheduled postural drainage sessions completed), tracked via nursing logs. | Daily during hospitalization (up to 14 days). |
| D001519 |
| Behavior |
| D008722 | Methods |