The impact of risk grading nursing combined with closed-loop management on clinical symptoms, functional recovery, and psychological status of children with bacterial pneumonia

LIN Xiaomin; CAI Yuanyuan; QIAN Jinji; LIN Xiaoqing

doi:10.16766/j.cnki.issn.1674-4152.003858

Volume 23 Issue 1

Jan. 2025

Turn off MathJax

Article Contents

Article Navigation > Chinese Journal of General Practice > 2025 > 23(1): 162-166

LIN Xiaomin, CAI Yuanyuan, QIAN Jinji, LIN Xiaoqing. The impact of risk grading nursing combined with closed-loop management on clinical symptoms, functional recovery, and psychological status of children with bacterial pneumonia[J]. Chinese Journal of General Practice, 2025, 23(1): 162-166. doi: 10.16766/j.cnki.issn.1674-4152.003858

Citation:

LIN Xiaomin, CAI Yuanyuan, QIAN Jinji, LIN Xiaoqing. The impact of risk grading nursing combined with closed-loop management on clinical symptoms, functional recovery, and psychological status of children with bacterial pneumonia[J]. Chinese Journal of General Practice, 2025, 23(1): 162-166. doi: 10.16766/j.cnki.issn.1674-4152.003858

Citation:

LIN Xiaomin, CAI Yuanyuan, QIAN Jinji, LIN Xiaoqing. The impact of risk grading nursing combined with closed-loop management on clinical symptoms, functional recovery, and psychological status of children with bacterial pneumonia[J]. Chinese Journal of General Practice, 2025, 23(1): 162-166. doi: 10.16766/j.cnki.issn.1674-4152.003858

PDF( 485 KB)

The impact of risk grading nursing combined with closed-loop management on clinical symptoms, functional recovery, and psychological status of children with bacterial pneumonia

doi: 10.16766/j.cnki.issn.1674-4152.003858

1.
Pediatric Emergency and Critical Care Medicine, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

2021KY800

S20220040

Received Date: 2024-10-17
Available Online: 2025-02-13

Abstract

Abstract

Objective The present study will discuss the effect of combining risk grading nursing with closed-loop management in children with bacterial pneumonia. The impact on the clinical symptoms, functional recovery, and psychological state of the children will be observed. The study will provide a new theoretical basis for clinical nursing. Methods A total of 100 children diagnosed with pneumonia at the Second Affiliated Hospital of Wenzhou Medical University from January 2023 to December 2023 were divided into two groups: a control group and an observation group. The randomization of cases within each group was achieved using a random number list method, with 50 cases allocated to each group. The control group was responsible for the routine nursing management, while the observation group employs risk grading nursing in combination with closed-loop management, based on the control group ' s approach. The study will compare the improvement time of clinical symptoms, lung function levels, comfort levels, and negative emotional levels between the two groups of children. Additionally, it will calculate the satisfaction levels of parents for both groups. Results The time required for fever relief, cough relief, wheezing relief and the disappearance of lung rales was found to be shorter in the observation group when compared to the control group (P < 0.05). Following the intervention, the forced expiratory volume in the first second (FEV₁), peak expiratory flow (PEF) and forced vital capacity (FVC) of the observation group were all higher than those of the control group (P < 0.05). Following the implementation of the intervention, the results of the comfort questionnaire, the children ' s anxiety self-rating scale (SCARED), and the depression self-rating scale (DSRSC) of the observation group were found to be lower than those in the control group, with a statistical significance of P < 0.05. Furthermore, the satisfaction rate of parents in the observation group was 96% (48/50), which was higher than the 82% (41/50) recorded for the control group, again with a statistical significance of χ²=5.005, P=0.025. Conclusion The integration of risk grading nursing with closed-loop management has been demonstrated to effectively alleviate clinical symptoms in children diagnosed with bacterial pneumonia. This approach has also been shown to promote the recovery of lung function in children, alleviate their negative emotions, and improve both their comfort and that of their parents.
- Bacterial pneumonia,
- Risk grading nursing,
- Closed-loop management,
- Clinical symptoms,
- Pulmonary function,
- Mentality

FullText(HTML)

References(18)

References

[1]	李群, 吕允相, 夏申宏, 等. 血清PCT、CRP和IDO水平在预测社区获得性肺炎患者预后中的临床价值[J]. 中华全科医学, 2024, 22(3): 460-463, 512. doi: 10.16766/j.cnki.issn.1674-4152.003426 LI Q, LYU Y X, XIA S H, et al. Clinical value of serum PCT, CRP and IDO levels in predicting prognosis in patients with community-acquired pneumonia[J]. Chinese Journal of General Practice, 2024, 22(3): 460-463, 512. doi: 10.16766/j.cnki.issn.1674-4152.003426
[2]	MMETIN A J, VAN DER VELDEN F J S, VON BOTH U, et al. External validation of a multivariable prediction model for identification of pneumonia and other serious bacterial infections in febrile immunocompromised children[J]. Arch Dis Child, 2023, 109(1): 58-66.
[3]	杜成娟, 韩玉芹. 层级链式护理对肺炎患儿症状改善、肺功能及生活质量的影响[J]. 国际护理学杂志, 2022, 41(18): 3427-3430. doi: 10.3760/cma.j.cn221370-20200730-00863 DU C J, HAN Y Q. The impact of hierarchical chain nursing on symptom improvement, lung function, and quality of life in children with pneumonia[J]. International Journal of Nursing, 2022, 41(18): 3427-3430. doi: 10.3760/cma.j.cn221370-20200730-00863
[4]	赵金龙, 赵莹莹, 宗倩倩, 等. 量化风险评估的分级护理模式对精神科患者保护性约束的影响研究[J]. 中华护理杂志, 2023, 58(11): 1315-1322. doi: 10.3761/j.issn.0254-1769.2023.11.006 ZHAO J L, ZHAO Y Y, ZONG Q Q, et al. Influence of a graded nursing model based on quantitative risk assessment on protective restraint of psychiatric patients[J]. Chinese Journal of Nursing, 2023, 58(11): 1315-1322. doi: 10.3761/j.issn.0254-1769.2023.11.006
[5]	申明, 张铭光, 任宏飞, 等. 基于失效模式与效应分析的闭环管理在住院患者结肠镜检查肠道准备中的应用[J]. 中国医药导报, 2024, 21(17): 103-105, 112. SHEN M, ZHANG M G, REN H F, et al. Application of closed-loop management based on failure mode and effect analysis in intestinal preparation for colonoscopy in inpatients[J]. China Medical Herald, 2024, 21(17): 103-105, 112.
[6]	朱丽霞, 高凤莉, 罗虹辉, 等. 舒适状况量表的信效度测试研究[J]. 中国实用护理杂志, 2006, 22(13): 57-59. ZHU L X, GAO F L, LUO H H, et al. The study of testing the content validity and the internal consistency of general comfort questionnaire[J]. Chinese Journal of Practical Nursing, 2006, 22(13): 57-59.
[7]	焦敏, 杜亚松. 儿童焦虑性情绪障碍筛查量表的临床应用[J]. 上海精神医学, 2005, 17(2): 72-74. JIAO M, DU Y S. The clinical application of screen for anxiety related emotional disorders[J]. Shanghai Archives of Psychiatry, 2005, 17(2): 72-74.
[8]	苏林雁, 王凯, 朱焱, 等. 儿童抑郁障碍自评量表的中国城市常模[J]. 中国心理卫生杂志, 2003, 17(8): 547-549. SU L Y, WANG K, ZHU Y, et al. Norm of The Depression Self-rating Scale for Children in Chinese Urban Children[J]. Chinese Mental Health Journal, 2003, 17(8): 547-549.
[9]	AGULNIK A, MUNIZ-TALAVERA H, PHAM L T D, et al. Effect of paediatric early warning systems (PEWS) implementation on clinical deterioration event mortality among children with cancer in resource-limited hospitals in Latin America: a prospective, multicentre cohort study[J]. Lancet Oncol, 2023, 24(9): 978-988.
[10]	WANG L, ZHENG S M, WANG Q, et al. Emergency nursing based on PEWS can improve the condition of children with acute asthma[J]. Altern Ther Health Med, 2024, 30(8): 233-239.
[11]	王兰兰, 苗永红, 李倩, 等. 闭环式护理对肾病综合征患儿自我效能和满意度的影响[J]. 中华现代护理杂志, 2022, 28(14): 1948-1950. WAG L L, MIAO Y H, LI Q, et al. Effects of closed-loop nursing on self-efficacy and nursing satisfaction of children with nephrotic syndrome[J]. Chinese Journal of Modern Nursing, 2022, 28(14): 1948-1950.
[12]	卢艳如, 卢国琇, 覃荣苗, 等. 儿童早期预警评分联合标准沟通模式在儿科病房中的应用价值[J]. 广西医学, 2023, 45(3): 366-370. LU Y R, LU G X, QIN R M, et al. The application value of the joint standard communication mode for early warning scoring in children in pediatric wards[J]. Guangxi Medical Journal, 2023, 45(3): 366-370.
[13]	吴许丹, 丁晓芳, 李圣萍, 等. 风险防控式层级化护理对支气管炎患儿功能恢复、预后转归的影响[J]. 中国医药导报, 2024, 21(15): 168-170. WU X D, DING X F, LI S P, et al. Effect of hierarchical nursing of risk prevention and control on functional recovery and prognosis of children with bronchitis[J]. China Medical Herald, 2024, 21(15): 168-170.
[14]	侯璐蒙, 李嘉嘉, 钟娟, 等. 集束化干预联合闭环管理对ICU多重耐药菌感染的防控效果[J]. 护理学杂志, 2022, 37(16): 92-94. HOU L M, LI J J, ZHONG J, et al. Application of bundled intervention combined with closed-loop management in prevention and control of multi-drug resistance bacterial infections in ICU[J]. Journal of Nursing Science, 2022, 37(16): 92-94.
[15]	杨翠玲, 张宇, 张翔, 等. 互动式健康教育模式对肺炎患儿配合度及病情改善的影响[J]. 中国医药导报, 2024, 21(15): 99-101. YANG C L, ZHANG Y, ZHANG X, et al. Effect of interactive health education model on cooperation and improvement of children with pneumonia[J]. China Medical Herald, 2024, 21(15): 99-101.
[16]	校晓丽, 林蓉. 童趣化诱导联合改良式拍背排痰法在学龄期支气管肺炎患儿雾化吸入治疗中的应用效果[J]. 医学临床研究, 2022, 39(5): 796-798. XIAO X L, LIN R. The application effect of the combination of childlike interest induction and improved pat back sputum method in nebulized inhalation therapy for school-age children with bronchopneumonia[J]. Journal of Clinical Research, 2022, 39(5): 796-798.
[17]	孙慧, 徐梅先, 李君娥, 等. 肺泡灌洗液社区获得性呼吸窘迫综合征毒素表达与难治性肺炎支原体肺炎发生风险的相关性[J]. 中华实用诊断与治疗杂志, 2023, 37(4): 406-409. SUN H, XU M X, LI J E, et al. Correlation between expression of community-acquired respiratory distress syndrome toxin in bronchoalveolar lavage fluid and risk of refractory Mycoplasma pneumoniae pneumonia[J]. Journal of Chinese Practical Diagnosis and Therapy, 2023, 37(4): 406-409.
[18]	CHENG Y, ZHANG X L, ZHANG J Y, et al. The application of pediatric early warning score (PEWS) in emergency watch room[J]. J Pediatr Nurs, 2022, 66: 1-5.

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(5)

Get Citation

PDF

XML

Article Metrics

Article views (40) PDF downloads(1)

The impact of risk grading nursing combined with closed-loop management on clinical symptoms, functional recovery, and psychological status of children with bacterial pneumonia

doi: 10.16766/j.cnki.issn.1674-4152.003858

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

The impact of risk grading nursing combined with closed-loop management on clinical symptoms, functional recovery, and psychological status of children with bacterial pneumonia

doi: 10.16766/j.cnki.issn.1674-4152.003858

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content