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Integrated nursing and medical management improves outcomes in pediatric lobar pneumonia: a randomized controlled

Yuxiao Hu1, Qianli Guo1, Xuejiao Liu2

  • 1Respiratory 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.

Frontiers in Pediatrics
|August 12, 2025
PubMed

Insights

Integrated nursing and medical management significantly improves outcomes for pediatric lobar pneumonia. This approach accelerates recovery, enhances lung function, and increases patient and caregiver satisfaction.

Area of Science:

  • Pediatric Pulmonology
  • Clinical Nursing Research
  • Integrated Healthcare Models

Background:

  • Lobar pneumonia is a common respiratory infection in children, necessitating effective management strategies.
  • Current treatment protocols may not fully optimize patient recovery and caregiver experience.

Purpose of the Study:

  • To evaluate the effectiveness of integrated nursing and medical management in pediatric lobar pneumonia.
  • To assess impacts on symptom duration, pulmonary function, inflammation, hospital stay, and caregiver satisfaction.

Main Methods:

  • A randomized controlled trial involving 50 pediatric patients with lobar pneumonia.
  • Comparison of integrated intervention group versus routine care group on key clinical outcomes.

Main Results:

  • The integrated group showed significantly shorter symptom durations (fever, cough, rales) and hospital stays (P < 0.001).
  • Marked improvements in pulmonary function (P = 0.001) and greater reduction in inflammatory markers (P < 0.001) were observed.
  • 100% treatment effectiveness and 96% caregiver satisfaction were reported in the integrated group, with a lower complication rate (8%) compared to controls (P < 0.05).

Conclusions:

  • Integrated nursing and medical management offers superior clinical outcomes for pediatric lobar pneumonia.
  • This approach accelerates recovery, improves lung function, reduces complications, and enhances caregiver satisfaction.
  • Findings support the broader clinical application of integrated care models for this condition.
Abstract

Keywords:
inflammatory markersintegrated nursing and medical managementlobar pneumoniapediatricspulmonary functionsatisfaction

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