Application and Effect Evaluation of Integrated Nursing and Medical Management in Pediatric Lobar Pneumonia

Application and Effect Evaluation of Integrated Nursing and Medical Management in Pediatric Lobar Pneumonia

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.

Inclusion Criteria:

• (1) Met the diagnostic criteria for lobar pneumonia, presenting with symptoms such as fever, cough, and pulmonary rales, and confirmed by laboratory tests and chest X-ray;
• (2) Aged between 1 and 12 years;
• (3) Informed consent was obtained from the child's legal guardians.

Exclusion Criteria:

• (1)Presence of other concurrent respiratory diseases;
• (2) Congenital or acquired airway malformations, or airway foreign bodies;
• (3) Impaired hepatic or renal function;
• (4) Presence of other systemic diseases;
• (5) Cognitive impairment.